盆底仿生物电刺激促进产后泌乳及子宫复旧的临床研究

•妇幼医学・中国当代医药2019年6月第26卷第16期

盆底仿生物电刺激促进产后泌乳及子宫复旧的

临床研究

聂莹毛中英冯虹黄冬梅

广东省佛山市南海区妇幼保健院妇科，广东佛山528200

|摘要］目的观察盆底仿生物电刺激对产后泌乳及子宫复旧的影响,探讨临床应用价值。方法选取2015年3月~ 2017年1月在佛山市南海区妇幼保健院足月分娩的20~40岁、无妊娠期合并症及并发症的180例初产妇作为研究对象，采取前瞻性随机方法将其分为研究A组、研究B组和对照组,每组各60例。对照组采用产后常规护理，研究组在对照组基础上使用仿生物电技术,分别选取不同治疗方案(A组作用宫体体表投影部位+紙尾部,B组作用双侧宫角体表投影+宫体体表投影+紙尾部)进行治疗。比较三组的子宫底高度、泌乳情况及超声检查子宫复旧情况。结果研究A组产后42d子宫小于B组，差异有统计学意义(P<0.05)；研究A组产后42d子宫小于对照组，差异有统计学意义(P<0.05)；研究B组产后42 d子宫小于对照组，差异有统计学意义(P<0.05)o研究A、B组与对照组的产后72h宫高变化率比较，差异无统计学意义(Q0.05)。研究A组的产后泌乳充足率及产后24h泌乳功能评分均高于对照组，差异有统计学意义(P<0.05)；研究B组的产后泌乳充足率及产后24 h泌乳功能评分均高于对照组，差异有统计学意义(P<0.05)；研究A、B组间的产后泌乳充足率及产后24 h泌乳功能评分比较,差异无统计学意义(Q0.05)。结论产后2h及早应用仿生物电技术治疗，可促进产后子宫复旧，促进早期泌乳。

［关键词］仿生物电技术；顺产后；子宫复旧；泌乳

【中图分类号］R174.4［文献标识码］A［文章编号］1674-4721(2019)6(3)-0158-04

Clinical study on pelvic floor bioelectric stimulation to promote postpar­tum lactation and uterine involution

NIE Ying MA0Zhong-ying FENG Hong HUANG Dong-mei

Department of Gynecology,Women and Children's Hospital in Nanhai District of Foshan City,Guangdong Province, Foshan528200,China

[Abstract]Objective To observe the effect of pelvic floor bioelectric stimulation on postpartum lactation and uterine involution,and to explore the clinical application value.Methods A total of180pri mi p aras from20to40years old with no gestational co-morbidities and complications who gave birth to full-term infants from March2015to January 2017in Women and Children's Hospital in Nanhai District of Foshan City were selected as the study subjects.The prospective randomized method was used to divide the patients into study group A,study group B and control group, with60cases in each group.Patients in the control group were given postpartum routine nursing care,patients in the study group were given different treatment protocols using bioelectric technique on the basis of the control group(sur­face projection of the uterus body+sacrococcygeal region in group A,surface projection of bilateral uterine horn4-surface projection of uterine body+sacrococcygeal region).The height of uterus fundus,the condition of lactation and uterine involution by ultrasound examination were compared.Results The uterus in the study group A was smaller than that in the study group B at42days after birth,and the difference between groups was statistically significant(P<0.05).

The uterus in the study group A was smaller than that in the control group at42days after birth,and the difference between groups was statistically significant(P<0.05).The uterus in the study group B was smaller than that in the con・trol group42days after birth,and the difference between groups was statistically significant(P<0.05).The change rate of uterine height at72hours after delivery was compared between the study group A,study group B and control group, there was no statistically significant difference between the three groups(P>0.05).The postpartum lactation adequacy

［基金项目］中华预防医学会科研资金支持项目(20131912)［作者简介］聂莹(1982-),女，江西新余人，硕士，副主任中医师,研究方向:妇科疾病rate and the postpartum24h lactation function score in the study group A were higher than those in the control group,and the differences were statistically significant

158CHINA MODERN MEDICINE Vol.26No.16June 2019