首页|期刊导航|河北中医|循经穴位按摩联合雷火灸对剖宫产术后胃肠功能恢复的影响

循经穴位按摩联合雷火灸对剖宫产术后胃肠功能恢复的影响OA

Meridian acupoint massage combined with thunder-fire moxibustion promotes post-cesarean gastrointestinal recovery:a randomized clinical observation

中文摘要英文摘要

目的 观察循经穴位按摩联合雷火灸对剖宫产术后胃肠功能恢复的影响.方法 选取 2024 年 7 月至2024 年 12 月收治的 60 例剖宫产产妇,按照随机数字表法分为 2 组,各 30 例.对照组给予常规干预,观察组在对照组基础上加用循经穴位按摩联合雷火灸治疗.2 组均治疗 3d 后统计疗效,比较 2 组术后胃肠症状评分(包括腹胀、腹痛、饮食减少、大便不畅)、术后恢复(包括肠鸣音恢复时间、首次肛门排气时间、首次排便时间)、胃肠动力等级、泌乳指标(包括泌乳评分、泌乳启动时间、母乳喂养率)水平情况.结果 观察组术后胃肠症状腹胀、腹痛、饮食减少、大便不畅评分均低于对照组(P<0.05).观察组术后肠鸣音恢复时间、首次肛门排气时间、首次排便时间均短于对照组(P<0.05).观察组术后胃肠动力分级优于对照组(P<0.05).观察组术后泌乳评分高于对照组(P<0.05),泌乳启动时间短于对照组(P<0.05),母乳喂养率高于对照组(P<0.05).观察组总有疗效 96.67%(29/30),对照组总有效率 70.00%(21/30),观察组总有效率高于对照组(P<0.05).结论 对剖宫产产妇给予循经穴位按摩联合雷火灸治疗,可促进肠胃功能恢复和泌乳进程,效果显著.

Objective To evaluate the effect of meridian acupoint massage combined with thunder-fire moxibustion on postoperative gastrointestinal recovery and lactation in women after cesarean section.Methods From July to December 2024,60 cesarean section patients were randomized by random-number table into a control group(n=30)receiving routine care and an observation group(n=30)receiving routine care plus meridian acupoint massage combined with thunder-fire moxibustion.After 3 days of treatment,outcomes were compared:postoperative gastrointestinal symptom scores(abdominal distension,abdominal pain,reduced intake,difficulty in defecation),recovery measures(time to restoration of bowel sounds,time to first flatus,time to first defecation),gastrointestinal motility grade,and lactation indicators(lactation score,time to lactation initiation,and breastfeeding rate).Results The observation group showed significantly lower postoperative symptom scores for abdominal distension,abdominal pain,reduced intake,and difficulty in defecation compared with the control group(P<0.05).Times to recovery,including bowel-sound restoration,first flatus,and first defecation,were significantly shorter in the observation group than in the control group(P<0.05).Gastrointestinal motility grading post-treatment was superior in the observation group(P<0.05).Lactation outcomes favored the observation group:higher lactation scores(P<0.05),shorter time to lactation initiation(P<0.05),and higher breastfeeding rate(P<0.05).The overall effective rate was 96.67%(29/30)in the observation group versus 70.00%(21/30)in the control group;the difference was statistically significant(P<0.05).Conclusion Meridian acupoint massage combined with thunder-fire moxibustion after cesarean section significantly accelerates gastrointestinal functional recovery and facilitates lactation,producing a notable therapeutic benefit.

刘家丽;梁海燕;覃曼琳;邓月桂

广西中医药大学第一附属医院产科,广西 南宁 530015广西中医药大学第一附属医院产科,广西 南宁 530015广西中医药大学第一附属医院产科,广西 南宁 530015广西中医药大学第一附属医院产科,广西 南宁 530015

医药卫生

剖宫产胃肠功能穴位按摩雷火灸

Cesarean sectionGastrointestinal functionAcupoint massageThunder-fire moxibustion

《河北中医》 2026 (4)

646-650,5

广西壮族自治区中医药管理局自筹经费科研课题(编号:GXZYA20240073)

10.3969/j.issn.1002-2619.2026.04.024

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