|目的：观察中药热奄包对无痛人流术后的康复效果。方法：将无痛人流术患者120 例随机分为对照组60 例和观察组60 例，对照组术后给予头孢克洛胶囊、屈螺酮炔雌醇片、新生化颗粒治疗联合综合护理干预，观察组在对照组的基础加用中药热奄包热敷气海、关元穴进行干预；观察2 组术后腹痛程度［视觉模拟评分法（VAS） 评分］、阴道出血量［月经经量评分法（PBAC 评分）］，随访记录术后月经复潮时间，记录术后宫腔残留、宫腔积血、生殖道感染和宫颈宫腔粘连等并发症发生情况。结果：术后3 d、5 d、7 d，2 组患者术后腹痛VAS 评分均显著下降（P＜0.05），且观察组术后3 d、5 d、7 d 的腹痛VAS 评分均低于对照组（P＜0.05）。术后3 d、5 d、7 d，2 组患者术后PBAC 评分均显著下降（P＜0.05），观察组术后3 d、5 d、7 d 的PBAC 评分均低于对照组（P＜0.05）。治疗后，观察组患者疼痛消失时间、月经复潮时间均短于对照组，差异有统计学意义（P＜0.05）。并发症总发生率观察组为5.00%，对照组为21.67%，2 组比较，差异有统计学意义（P＜0.05）。结论：无痛人流术后在常规中西医治疗、护理的基础上，加用中药热奄包外敷穴位可有效减轻疼痛，减少阴道出血量，降低术后并发症，缩短病程，促进患者月经恢复。
|关键词: 无痛人流术后 康复护理 中药热奄包 穴位外敷
|Clinical Study on Rehabilitation Effect of Point Application with Hot Compress ofChinese Herbs After Painless Induced Abortion
|FAN Lixia,XIA Lingfei
|Abstract：Objective：To observe rehabilitation effect of hot compress of Chinese herbs after painless induced abortion.
Methods：A total of 120 cases of patients undergoing painless induced abortion were randomly divided into the control group
and the observation group， 60 cases in each group. After surgery， the control group was given comprehensive nursing
intervention combined with cefaclor capsules， drospirenone and ethinylestradiol tablets， and Xinshenghua granules； the
observation group was additionally given hot compress of Chinese herbs at Qihai point(GB 32) and Guanyuan point(GB 30) for
intervention based on the treatment of the control group. The degree of postoperative abdominal pain in the two groups was
observed and evaluated by Visual Analogue Score(VAS). After surgery， the volume of vaginal bleeding was observed and
evaluated by Pictorial Blood Loss Assessment chart(PBAC). After surgery，the time of resuming menstruation was recorded
in the follow-up；the incidence of complications such as intrauterine residues，intrauterine hematocele，reproductive tract
infection and adhesion of cervical and uterine cavity was recorded. Results：On the 3rd，5th，and 7th days after surgery，the
scores of VAS for postoperative abdominal pain in the two groups were significantly decreased(P＜0.05)；the scores in the
observation group were lower than those in the control group(P＜0.05). On the 3rd，5th，and 7th days after surgery，the PBAC
scores in the two groups were significantly decreased(P＜0.05)；the scores in the observation group were lower than those in
the control group(P＜0.05). After treatment，the time of pain disappearance and menstruation resumption in the observation
group was shorter than that in the control group， the difference being significant(P＜0.05). The total incidence of
complications was 5.00% in the observation group and 21.67% in the control group，the difference being significant(P＜0.05).
Conclusion： Based on routine treatment and nursing of integrated Chinese and western medicine， the additional point
application with hot compress of Chinese herbs can effectively alleviate pain， reduce the volume of vaginal bleeding and postoperative complications，shorten the course of disease，and promote menstruation recovery.
|Key words: Keywords： After painless induced abortion Rehabilitation nursing Hot compress of Chinese herbs Point