Treatment and Prognosis of Intestinal Obstruction after Cesarean Section
剖宫产术后发生肠梗阻的治疗和预后研究

摘要

目的 分析不同治疗方法在剖宫产术后肠梗阻治疗中的应用价值。方法 选取2020年1月-2022年5月100例剖宫产术后肠梗阻患者，随机分组。对照组采取常规治疗方案，观察组则加入术后第一天口服氯化钾缓释片+穴位按摩。比较两组疗效以及预后结局的差异，观察两组治疗前后睡眠质量、生活质量的变化。结果 ①观察组总有效率高于对照组（P＜0.05）；②观察组腹痛缓解时间、排气时间、排便时间、住院时间均短于对照组（P＜0.05）；③观察组治疗前PQSI评分与对照组治疗前PQSI评分比较差异无意义（P＞0.05）；观察组治疗后PQSI评分低于对照组（P＜0.05），QOL评分高于对照组（P＜0.05）。结论 中西医联合治疗，能够快速缓解肠梗阻症状，缩短住院时间，改善产妇的预后结局，可推广使用。

Abstract

Objective To analyze the application value of different treatment methods in the treatment of intestinal obstruction after cesarean section.
Methods 100 patients with intestinal obstruction after cesarean section from January 2021 to May 2022 were selected and randomly divided into two groups. The control group received routine treatment, and the observation group added acupoint massage. The difference of curative effect and prognosis was compared between the two groups, and the changes of sleep quality and life quality before and after treatment were observed.
Results ① The total effective rate of observation group was higher than that of control group (P < 0.05); ② The relief time of abdominal pain, exhaust time, defecation time and hospital stay were shorter in the observation group than in the control group (P < 0.05).③ There was no significant difference in PQSI score between the observation group and the control group before treatment (P > 0.05); After treatment, PQSI score of observation group was lower than control group (P < 0.05), QOL score was higher than control group (P < 0.05).
Conclusion   The combined treatment of Traditional Chinese and western medicine can quickly relieve the symptoms of intestinal obstruction, shorten the length of hospital stay, improve the prognosis of puerpera, and can be popularized.