低强度超声波促进顺产产后子宫复旧的临床研究
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摘要
目的研究低强度超声波促进顺产产后子宫复旧的临床疗效。方法选取该院足月分娩顺产产妇340例,分为治疗组(n=175)和对照组(n=165)。治疗组以移动法输出超声波治疗,对照组仅移动治疗头,不输出超声。比较两组产妇宫底下降指数、恶露情况及子宫复旧不良发生率等,并对安全性进行评估。结果治疗后治疗组[(18.30±5.21))%]宫底下降指数高于对照组[(16.22±5.14)%],比较差异有统计学意义(P<0.05);治疗组血性恶露结束时间[(7.69±3.55)d vs.(8.77±3.68)d]及浆液性恶露结束时间[(18.00±7.82)d vs.(21.81±7.14)d]均低于对照组(P<0.05)。治疗组产后42d随访,恶露尚未结束的产妇例数为4例,对照组11例,子宫复旧不良率分别为2.28%、6.67%,比较差异有统计学意义(P<0.05)。结论低强度超声波有促进顺产产后子宫复旧的作用。
Objective To investigate the clinical efficacy of low-intensity ultrasound in promoting uterine involution in postpartum.Methods Three hundred and forty parturients with full term delivery in our hospital were divided into the treatment group(n=175)and the control group(n=165).The treatment group was treated with ultrasound by the mobile method,and the control group only moved the treatment head without outputting ultrasound.The uterine fundus descending index,lochia and adverse incidence of uterine involution were compared between the two groups,and the safety was evaluated.Results The uterine fundus descending index after treatment in the treatment group was(18.30±5.21)%,which was higher than(16.22±5.14)%in the control group,the difference was statistically significant(P<0.05).The end time of hemorrhagic lochia and serous lochia in the treatment group were(7.69±3.55)d and(18.00±7.82)d,which were lower than(8.77±3.68)d and(21.81±7.14)d in the control group(P<0.05).In follow up on postpartum 42 d,there were 4 cases without ending lochia in the treatment group and 11 cases in the control group.The uterine involution defective rates in the two groups were 2.28% and 6.67% respectively,the difference was statistically significant(P<0.05).Conclusion Low intensity focus ultrasound has the effect of promoting postpartum uterine involution.
Objective To investigate the clinical efficacy of low-intensity ultrasound in promoting uterine involution in postpartum.Methods Three hundred and forty parturients with full term delivery in our hospital were divided into the treatment group(n=175)and the control group(n=165).The treatment group was treated with ultrasound by the mobile method,and the control group only moved the treatment head without outputting ultrasound.The uterine fundus descending index,lochia and adverse incidence of uterine involution were compared between the two groups,and the safety was evaluated.Results The uterine fundus descending index after treatment in the treatment group was(18.30±5.21)%,which was higher than(16.22±5.14)%in the control group,the difference was statistically significant(P<0.05).The end time of hemorrhagic lochia and serous lochia in the treatment group were(7.69±3.55)d and(18.00±7.82)d,which were lower than(8.77±3.68)d and(21.81±7.14)d in the control group(P<0.05).In follow up on postpartum 42 d,there were 4 cases without ending lochia in the treatment group and 11 cases in the control group.The uterine involution defective rates in the two groups were 2.28% and 6.67% respectively,the difference was statistically significant(P<0.05).Conclusion Low intensity focus ultrasound has the effect of promoting postpartum uterine involution.
引文
[1]张越,许文娟.产后子宫复旧不良的临床治疗概况[J].临床医学研究与实践,2017,2(35):190-192.
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[5]王龙琼,漆洪波,罗欣,等.低强度超声辐照用于产后子宫复旧的临床观察[J/CD].中华妇幼临床医学杂志(电子版),2014,10(1):17-20.
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[10]杜永洪,陈畅,陈飞,等峰.聚焦超声致早孕小鼠子宫平滑肌及胚胎损伤效应的观察[J].临床超声医学杂志,2013,15(1):1-4.
[11]RAJIV C,KEE T,MATHIEU B,et al.Analysis of the spatial and temporal ac-curacy of heating in the prostate gland using transurethral ultrasound therapy and active MR temperature feedback[J].Phys Med Biol,2009,54(9):2615-2633.
[12]兰瑞红,孙江川,常淑芳,等.低强度超声对大鼠在体子宫平滑肌收缩的影响[J].重庆医科大学学报,2008,33(6):691-693.
[13]赵艳,郭邑,刘秀英.低强度超声对二胎产后子宫收缩痛的影响[J].中国现代医生,2018,56(3):50-52.
[14]陆露.低强度超声促进剖宫产术后子宫复旧的临床研究[D].重庆:重庆医科大学,2015.
[15]陆露,李成志.子宫复旧不良治疗的研究进展[J].医学综述,2015,21(4):643-645.
[16]常淑芳,郭娟,普翠芬,等.低频电脉冲促进剖宫产术后子宫复旧的临床研究[J].激光杂志,2010,31(2):65-66.
[17]马慧清.剖宫产术后80例子宫复旧分析[J].基层医学论坛,2016,20(16):2233-2234.
[18]WANG D,ZHANG Y,JING L,etal.Low-intensity ultrasound promotes uterine invollution following cesarean section[J].South Med Univ,2013,33(2):276-278.
[2]张秀.初产妇剖宫产与自然分娩子宫复旧的对照研究[J].中国现代医生,2014,52(16):44-46.
[3]张催兰.低频脉冲电刺激在妇产科领域中的应用进展[J].中国妇幼保健,2015,30(36):6674-6676.
[4]望倩倩,孙江川,常淑芳.低强度聚焦超声促进剖宫产术后子宫复旧的临床研究[J].现代医药卫生,2016,32(3):328-331.
[5]王龙琼,漆洪波,罗欣,等.低强度超声辐照用于产后子宫复旧的临床观察[J/CD].中华妇幼临床医学杂志(电子版),2014,10(1):17-20.
[6] NATHAN M D,CLEMENT G T,PETER B.Transcranial magnetic resonance imaging guided focused ultrasound surgery of brain tumors:initial findings in three patients[J].Neurosurgery,2010,66(2):323-332.
[7] ERNST M,DANIEL J,ANNE M.High-intensity focused ultrasound for nonin vasive functional neurosurgery[J].Ann Neurol,2009,66(6):858-861.
[8] JOLESZ F A.MRI-guided focused ultrasound surgery[J].Annu Rev Med,2009,60(6):417-430.
[9]王丹,张懿,敬李,等.低强度超声促进剖宫产术后子宫复旧的研究[J].南方医科大学学报,2013,33(2):276-278.
[10]杜永洪,陈畅,陈飞,等峰.聚焦超声致早孕小鼠子宫平滑肌及胚胎损伤效应的观察[J].临床超声医学杂志,2013,15(1):1-4.
[11]RAJIV C,KEE T,MATHIEU B,et al.Analysis of the spatial and temporal ac-curacy of heating in the prostate gland using transurethral ultrasound therapy and active MR temperature feedback[J].Phys Med Biol,2009,54(9):2615-2633.
[12]兰瑞红,孙江川,常淑芳,等.低强度超声对大鼠在体子宫平滑肌收缩的影响[J].重庆医科大学学报,2008,33(6):691-693.
[13]赵艳,郭邑,刘秀英.低强度超声对二胎产后子宫收缩痛的影响[J].中国现代医生,2018,56(3):50-52.
[14]陆露.低强度超声促进剖宫产术后子宫复旧的临床研究[D].重庆:重庆医科大学,2015.
[15]陆露,李成志.子宫复旧不良治疗的研究进展[J].医学综述,2015,21(4):643-645.
[16]常淑芳,郭娟,普翠芬,等.低频电脉冲促进剖宫产术后子宫复旧的临床研究[J].激光杂志,2010,31(2):65-66.
[17]马慧清.剖宫产术后80例子宫复旧分析[J].基层医学论坛,2016,20(16):2233-2234.
[18]WANG D,ZHANG Y,JING L,etal.Low-intensity ultrasound promotes uterine invollution following cesarean section[J].South Med Univ,2013,33(2):276-278.