目的：观察在剖宫产术后常规治疗与护理措施基础上加用艾灸配合经皮穴位电刺激对术后胃肠功能恢复的影响。方法：将128例剖宫产产妇随机分为对照组和观察组各64例。2组术后均给予现代医学常规治疗与护理措施，观察组加予艾灸和经皮穴位电刺激治疗。记录2组产妇的肠鸣音恢复时间，首次肛门排气、排便时间和泌乳时间，术后6 h、12 h、24 h 和36 h的切口疼痛情况，与术后48 h腹胀的发生情况及程度。结果：观察组肠鸣音恢复时间，首次肛门排气、排便时间和泌乳时间均早于对照组（P＜0.01）。观察组术后6 h、12 h、24 h和36 h的VAS评分均低于对照组，差异均有统计学意义（P＜0.05）。观察组腹胀发生率为25.00%，低于对照组的60.94%，组间比较，差异有统计学意义（P＜0.01）。观察组腹胀程度轻于对照组（P＜0.05）。结论：在剖宫产术后常规治疗与护理措施基础上加用艾灸配合经皮穴位电刺激有利于剖宫产术后胃肠功能恢复，并能帮助减轻切口疼痛和腹胀，促使产妇快速康复。
Abstract：Objective：To observe the effect of moxibustion combined with transcutaneous electrical point stimulation on the recovery of gastrointestinal function based on routine treatment and nursing after cesarean section. Methods：A total of 128 cases of puerperas undergone cesarean section were randomly divided into the control group and the observation group， 64 cases in each group. After surgery， both groups were treated with routine treatment and nursing of modern medicine， and the observation group was additionally treated with moxibustion and transcutaneous electrical point stimulation. The recovery time of bowel sounds，the time of first anal exhaust，defecation and lactation，the pain of incision at 6，12，24 and 36 hours after surgery，as well as the incidence and degree of abdominal distension 48 hours after surgery in the two groups were recorded. Results：The recovery time of bowel sounds as well as the time of first anal exhaust，defecation and lactation in the observation group were all earlier than those in the control group(P＜0.01). The VAS scores at 6，12，24 and 36 hours after surgery in the observation group were all lower than those in the control group，differences being significant (P＜0.05). The incidence of abdominal distension was 25.00% in the observation group， lower than that of 60.94% in the control group， the difference being significant(P＜0.01). The degree of abdominal distension in the observation group was lower than that in the control group(P＜0.05). Conclusion：Based on routine treatment and nursing，the additional therapy of moxibustion combined with transcutaneous electrical point stimulation is conductive to recovering gastrointestinal function after cesarean section，relieving pain and abdominal distension，and promoting the fast rehabilitation of puerperas.