摘要
目的:观察温通膏联合穴位按摩预防肌肉注射黄体酮保胎治疗所致硬结的临床疗效。方法:选取100例行肌肉注射黄体酮保胎治疗的孕妇,使用随机平行对照方法分为对照组和观察组各50例。对照组注射前热敷注射部位,观察组在对照组基础上给予温通膏涂擦联合穴位按摩护理。比较2组注射部位硬结分级及发生率、注射局部视觉模拟评分法(VAS)评分、早期流产发生率、临床疗效及不良反应发生率。结果:观察组注射部位硬结发生率为14.00%,明显低于对照组的38.00%(P<0.05)。观察组注射部位VAS评分为(2.89±0.35)分,低于对照组的(4.57±0.42)分(P<0.05)。观察组早期流产发生率为4.00%,低于对照组的18.00%(P<0.05)。观察组总有效率为96.00%,高于对照组的76.00%(P<0.05)。观察组不良反应发生率为14.00%,低于对照组的42.00%(P<0.05)。结论:温通膏联合穴位按摩护理可以预防肌肉注射黄体酮保胎治疗所致硬结产生,减轻孕妇注射部位的疼痛感,降低早期流产及不良反应发生率。
Objective:To observe the clinical effect of Wentong ointment combined with point massage on preventing induration caused by intramuscular progesterone injection for fetal protection. Methods:A total of 100 pregnant women who was intramuscularly injected with progesterone for fetal protection were divided into the control group and the observation group by random parallel control method,50 cases in each group. In the control group,the injection site was heated before injection,and the observation group was additionally applied with Wentong ointment combined with point massage based on the treatment of the control group. The incidence and degree of induration,score of Visual Analogue Scale(VAS) on local injection site,incidence of early abortion,clinical effect and incidence of adverse reactions were compared between the two groups. Results:The incidence of injection site induration was 14.00% in the observation group,significantly lower than that of 38.00% in the control group(P<0.05). The VAS score on injection site in the observation group was(2.89±0.35) points,lower than that of(4.57±0.42) points in the control group(P<0.05). The incidence of early abortion in the observation group was 4.00%,lower than that of 18.00% in the control group(P<0.05). The total effective rate was 96.00% in the observation group,higher than that of 76.00% in the control group(P<0.05). The incidence of adverse reactions in the observation group was 14.00%, lower than that of 42.00% in the control group(P<0.05). Conclusion: The therapy of Wentong ointment combined with point massage can prevent the induration caused by intramuscular progesterone injection for fetal protection,and reduce the pain at the injection site,incidence of early abortion and adverse reactions.
作者
许春梅
吴雪茹
周敏婷
XU Chunmei;WU Xueru;ZHOU Minting
出处
《新中医》
CAS
2021年第6期145-147,共3页
New Chinese Medicine
基金
2015年广东省中医药强省专项基金医院中药制剂建设项目(粤中医办函[2015]102号)。
关键词
黄体酮
肌肉注射
硬结
温通膏
穴位按摩
疼痛
早期流产
不良反应
Progesterone
Intramuscular injection
Induration
Wentong ointment
Point massage
Pain
Early abortion
Adverse reactions
作者简介
许春梅(1983-),女,主管护师,E-mail:317562840@qq.com。
