雷火灸护理干预法促进初产妇会阴伤口愈合的价值探讨 |
| 熊莉勤 |
| 南宁市中医医院，广西南宁，530000 |
摘要：目的 探讨雷火灸护理干预法在促进初产妇会阴伤口愈合中的应用价值，评估其对会阴部症状改善、切口愈合质量及肿胀程度的影响。方法 选取2024 年1 月-2025 年1 月本院收治的50 例经阴道自然分娩且存在会阴伤口的初产妇作为研究对象，随机分为观察组和对照组各25 例。两组均给予会阴伤口基础护理，对照组在此基础上采用红外线照射干预，观察组采用雷火灸护理干预。比较两组会阴部症状（基于会阴部皮肤评估量表，PAT）、切口愈合状态及产后48h 的肿胀程度。结果 护理前，两组PAT 评分比较差异无统计学意义（P>0.05）；护理后，观察组PAT 评分（2.63±1.12）分显著低于对照组（4.33±1.82）分（P<0.05）。观察组会阴伤口甲级愈合率（60.00%）高于对照组（32.00%）（P<0.05）。产后48h，观察组会阴部轻度肿胀率（64.00%）高于对照组（36.00%），肿胀程度显著低于对照组（P<0.05）。结论 雷火灸护理干预法可有效减轻初产妇会阴部症状，促进会阴伤口愈合，降低肿胀程度，具有较高的临床应用价值。
关健词：雷火灸；初产妇；会阴伤口；伤口愈合；护理干预
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Discussion on the Value of Lei Huo Moxibustion Nursing Intervention in Promoting Perineal Wound Healing in Primiparas |
Liqin Xiong
Nanning Hospital of Traditional Chinese Medicine, Nanning Guangxi 530000, China
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Abstract：Objective To explore the application value of Lei Huo Moxibustion nursing intervention in promoting perineal wound healing in primiparas and evaluate its impact on perineal symptoms, wound healing quality, and swelling degree. Methods Fifty primiparas who delivered vaginally and had perineal wounds in our hospital from January 2024 to January 2025 were selected and randomly divided into an observation group and a control group, with 25 cases in each group. Both groups received basic perineal wound care, and the control group was additionally treated with infrared irradiation intervention, while the observation group was treated with Lei Huo Moxibustion nursing intervention. The perineal symptoms (based on the Perineal Assessment Tool, PAT), wound healing status, and swelling degree at 48 hours postpartum were compared between the two groups.Results Before nursing, there was no statistically significant difference in PAT scores between the two groups (P > 0.05); after nursing, the PAT score of the observation group (2.63 ± 1.12) was significantly lower than that of the control group (4.33 ± 1.82) (P < 0.05). The grade A healing rate of perineal wounds in the observation group (60.00%) was higher than that in the control group (32.00%) (P < 0.05). At 48 hours postpartum, the rate of mild swelling in the perineum in the observation group (64.00%) was higher than that in the control group (36.00%), and the degree of swelling was significantly lower than that in the control group (P < 0.05). Conclusion Lei Huo Moxibustion nursing intervention can effectively alleviate perineal symptoms in primiparas, promote perineal wound healing, and reduce swelling, demonstrating high clinical application value.
Keywords : Lei Huo Moxibustion; Primiparas; Perineal wound; Wound healing; Nursing intervention
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