CAJ | 학술논문

目的：分析参麦注射液配合耳穴压豆预防剖宫产术后感染的临床效果。方法选取我院2013—2014年收治的200例剖宫产手术产妇为研究对象，将其随机分为实验组与对照组，两组产妇均给予剖宫围手术期常规护理，在此基础上，对照组单用阿莫西林克拉维酸钾预防术后感染，阿莫西林克拉维酸钾1.2 g加生理盐水100 ml静脉滴注，分别于新生儿脐带结扎后立即、术后6小时各用药一次。实验组只在新生儿脐带结扎后立即用药1次，术后2小时开始使用参麦注射液40 ml加5%葡萄糖500 ml静脉滴注，每天一次，连用3天；剖宫产术后6小时给予耳穴压豆，取穴：神门、皮质下、屏尖、内分泌、脾、肾上腺。比较两组产妇的应用效果。结果实验组平均手术时间与术中出血量与对照组比较，无明显差异（P>0.05）；实验组产妇术后不良反应发生率均低于对照组（P<0.05），有统计学意义；实验组42 d切口愈合不良率低于对照组（P<0.05），差异有统计学意义。结论参麦注射液配合耳穴压豆预防剖宫产术后感染的临床效果显著，值得在临床上推广。
목적：분석삼맥주사액배합이혈압두예방부궁산술후감염적림상효과。방법선취아원2013—2014년수치적200례부궁산수술산부위연구대상，장기수궤분위실험조여대조조，량조산부균급여부궁위수술기상규호리，재차기출상，대조조단용아막서림극랍유산갑예방술후감염，아막서림극랍유산갑1.2 g가생리염수100 ml정맥적주，분별우신생인제대결찰후립즉、술후6소시각용약일차。실험조지재신생인제대결찰후립즉용약1차，술후2소시개시사용삼맥주사액40 ml가5%포도당500 ml정맥적주，매천일차，련용3천；부궁산술후6소시급여이혈압두，취혈：신문、피질하、병첨、내분비、비、신상선。비교량조산부적응용효과。결과실험조평균수술시간여술중출혈량여대조조비교，무명현차이（P>0.05）；실험조산부술후불량반응발생솔균저우대조조（P<0.05），유통계학의의；실험조42 d절구유합불량솔저우대조조（P<0.05），차이유통계학의의。결론삼맥주사액배합이혈압두예방부궁산술후감염적림상효과현저，치득재림상상추엄。
Objective To analyze the clinical effect of Shenmai injection combined with ear pressure beans in prevention of infection after cesarean section. Methods In our hospital from 2013-2014 were analysed in 200 cases of cesarean section were as the research object, it will be randomly divided into experimental group and control group, the two groups of mothers were given conventional nursing care in perioperative period of cesarean section, on the basis of this, the control group only in preventing postoperative use of amoxicillin and clavulanate potassium after infection, amoxicillin carat clavulanic acid potassium 1.2g plus normal saline 100 ml intravenous drip, respec-tively in neonatal umbilical cord ligation immediately after, 6 hours after the operation the medication once. Only the experimental group in the neonatal umbilical cord ligation immediately after the medication 1 times, 2 hours after the operation began to use Shenmai injec-tion 40 ml in 5% glucose 500 ml intravenous drip, once a day for 3 days; after cesarean section 6 hours to give ear pressure beans, acu-points: Shenmen subcortical screen tip, endocrine, spleen, adrenal gland. Application effects of the two groups were compared. Results In the experimental group, the mean operation time and bleeding volume compared with the control group, no significant difference ( P>0.05) ; adverse reaction in the experimental group after cesarean section rate was lower than the control group ( P<0.05) , the difference was statistically significant; the experimental group 42d incision healing rate was lower than the control group ( P<0.05) , the difference was statistically significant. Conclusion The clinical effect of Shenmai injection combined with ear pressure beans in prevention of infec-tion after cesarean section is significant, worthy of clinical popularization.