CAJ | 학술논문

目的：探讨神经肌肉电刺激联合益母草流浸膏对剖宫产术后促进子宫复旧的效果。方法选取2012年1月至2013年7月于灵山县人民医院产科行剖宫产的产妇共60例为研究对象。观察组（30例）产妇均签署知情同意书，将神经肌肉电刺激联合益母草流浸膏用于剖宫产术后以促进子宫复旧。对照组（30例）产妇术后给予常规对症支持治疗。结果观察组术后第1、3、5天皮尺测量子宫底高度分别为（18．000±1．425）、（14．000±1．852）、（9．000±1．715）cm ，而对照组分别为（20．000±1．521）、（17．000±1．359）、（12．000±1．569）cm ，两组比较差异有统计学意义（ P＜0．01）。术后第5天B超测子宫大小，观察组子宫直径平均为（28．2±3．7）cm ，对照组（32．5±4．8） cm ，差异有统计学意义（t＝5．97，P＜0．01）。两组产妇产后24 h内出血量大致相同，但观察组产后恶露结束时间明显短于对照组，差异有统计学意义（P＜0．01）。结论益母草流浸膏配合肌肉神经电刺激技术对产后子宫复旧有促进作用，特别在改善阴道出血、缩小子宫体方面具有显著疗效；且不影响哺乳，临床使用方便，又无不良反应，值得临床推广应用。
목적：탐토신경기육전자격연합익모초류침고대부궁산술후촉진자궁복구적효과。방법선취2012년1월지2013년7월우령산현인민의원산과행부궁산적산부공60례위연구대상。관찰조（30례）산부균첨서지정동의서，장신경기육전자격연합익모초류침고용우부궁산술후이촉진자궁복구。대조조（30례）산부술후급여상규대증지지치료。결과관찰조술후제1、3、5천피척측양자궁저고도분별위（18．000±1．425）、（14．000±1．852）、（9．000±1．715）cm ，이대조조분별위（20．000±1．521）、（17．000±1．359）、（12．000±1．569）cm ，량조비교차이유통계학의의（ P＜0．01）。술후제5천B초측자궁대소，관찰조자궁직경평균위（28．2±3．7）cm ，대조조（32．5±4．8） cm ，차이유통계학의의（t＝5．97，P＜0．01）。량조산부산후24 h내출혈량대치상동，단관찰조산후악로결속시간명현단우대조조，차이유통계학의의（P＜0．01）。결론익모초류침고배합기육신경전자격기술대산후자궁복구유촉진작용，특별재개선음도출혈、축소자궁체방면구유현저료효；차불영향포유，림상사용방편，우무불량반응，치득림상추엄응용。
Objective To explore the effects of neuromuscular electrical stimulation combined with leonurus liquid extract on uterine involution after cesarean section .Methods A total of 60 cases receiving cesarean section during Jan .2012 and Jul .2013 in this hospital were enrolled .Neuromuscular electrical stimulation ,combined with le-onurus liquid extract ,was administrated in observation group ,including 30 cases .Conventional treatment of symp-tomatic postoperative support was performed in control group ,including 30 cases .Results In observation group ,u-terine height measured at the first ,third and fifth day after operation were (18 .000 ± 1 .425) ,(14 .000 ± 1 .852) and (9 .000 ± 1 .715)cm ,which were significantly different with the (20 .000 ± 1 .521) ,(17 .000 ± 1 .359) and (12 .000 ± 1 .569)cm of control group (P<0 .01) .The uterine size detected by B ultrasound measurement at the fifth day after operation was (28 .2 ± 3 .7)cm in observation group ,which was significantly different with the (32 .5 ± 4 .8) cm of control group (t=5 .97 ,P<0 .01) .Volumes of postpartum lochia 24 h after delivery in the two groups were without statistical difference ,but the duration of the ending of postpartum lochia was shorter in observation group than con-trol group (P< 0 .01) .Conclusion Leonurus liquid extract ,combined with neuromuscular electrical stimulation , could promote postpartum uterine involution ,especially in improving the vaginal bleeding and reducing uterine body , and might be with advantages of not affecting breast-feeding ,small dosage ,convenient clinical use and without ad-verse reaction ,which could be worthy of clinical application .