Objective To analyze the clinical effect of traditional Chinese medicine (TCM) footbath and acupressure in relieving postpartum uterine contraction pain.Methods 200 puerperants after vaginal delivery in 2013 were involved in this study and randomly divided into four groups with 50 cases in each group.TCM footbath group was given footbath with hot water which contained mugwort and Tinospora sinensis Merr;acupressure group was given acupressure at the points of Sanyinjiao,Tsusanli and Xuehai;TCM footbath + acupressure group was given interventions listed above;control group was given basic care such as changing of position,hot compress or massage on abdomen.Assessed the intensity of pain from the first day to the third day after delivery with visual analog scale (VAS).Result VAS score on the first day after delivery of TCM footbath group,acupressure group and TCM footbath + acupressure group were significantly lower than that of control group (P＜0.05).Conclusion TCM footbath,acupressure or their combination can effectively relieve uterine contraction pain after delivery,improve comfort degree and promote rehabilitation of puerperants.%目的 研究分析中药泡足及穴位按摩减轻经产妇产后宫缩痛的临床疗效.方法 入组2013年阴式分娩的经产妇200例,随机分成4组各50例,中药泡足组选用艾叶加宽筋滕粉热水泡足,穴位按摩组选用三阴交、足三里和血海穴位按摩,中药泡足+穴位按摩组采用艾叶加宽筋滕粉热水泡足加三阴交、足三里和血海穴位按摩,对照组给予基础治疗如改变体位、腹部热敷或按摩等,采用视觉模拟量表评分(visual analog scale,VAS)对4组产妇在产后第1～3天进行疼痛强度评估.结果 中药泡足组、穴位按摩组、中药泡足+穴位按摩组在产后第1天产后宫缩痛疼痛评分显著低于对照组,差异具有统计学意义(P＜0.05).结论 对经产妇选用中药泡足、穴位按摩或联合使用能有效减轻产后宫缩痛,增加产妇舒适度,促进产妇康复.
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