吳紅艷　　顧水琴　　周歡

[關(guān)鍵詞] 剖宮產(chǎn);穴位外敷;產(chǎn)后恢復(fù);子宮復(fù)舊

[中圖分類號] R7174.6? ? ? ? ? [文獻標(biāo)識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）20-0077-03

Effect of acupoint external application on promoting postpartum recovery and uterine involution after cesarean section

WU Hongyan1? ?GU Shuiqin1? ?ZHOU Huan2

1.Department of Obstetrics， Jiaxing Maternal and Child Health Hospital in Zhejinag Province， Jiaxing? ?314000， China;2.Department of Traditional Chinese Medicine Jiaxing Maternal and Child Health Hospital in Zhejinag Province， Jiaxing? ?314000， China

[Abstract] Objective To explore the effect of acupoint external application on promoting postpartum recovery and uterine involution after cesarean section. Methods A total of 140 parturients who underwent cesarean section in the obstetrics and gynecology department of our hospital from January 2019 to August 2019 were selected and randomly divided into observation group and control group with 70 cases in each group. Both groups of parturients underwent conventional intrafascial lower uterine transverse incision cesarean section， and the control group received conventional Western medicine treatment after surgery. On the basis of the treatment in the control group， the observation group was treated with acupoint topical application of self-made Chinese medicine gel preparation，3 times/d， for 3 days. The postpartum lochia clean-up time， postpartum uterine contraction pain score， the time from the fundus of the uterus to the umbilical cord and the time of uterine invagination in the two groups were observed. The uterine involution and uterine effusion at 42 days postpartum were compared. Results The time to clean up postpartum lochia， the time from the bottom of the uterus to the umbilical cord and the time to enter the pelvis of the uterus in the observation group were significantly shorter than those in the control group（P<0.05）. The score of postpartum uterine contractions in the observation group was significantly lower than that of the control group（P<0.05）. At 42 days postpartum， ultrasound examination found that the rate of good uterine involution of the observation group was significantly higher than that of the control group（P<0.05）， and the incidence of uterine effusion in the observation group was significantly lower than that of the control group（P<0.05）. Conclusion Acupoint external application after cesarean section can not only promote the postpartum recovery of parturients， accelerate the absorption of uterine effusion， but also promote the involution of the uterus， promote uterine contraction and uterine fundus decline， speed up the recovery of the uterus， and shorten the duration of postpartum lochia time.