摘要目的 探讨不同时间中药足浴对剖宫产术后胃肠功能恢复的影响,寻找最佳足浴时间,提高中药足浴治疗效果.方法 选择刮宫产术产妇388例,按产妇床号随机分为观察组200例,对照组188例.观察组术后6 h开始中药足浴1次,并定于7:00-8:00、21:00-22:00中药足浴,20 min/次,连续3-5 d;对照组于术后第1天开始中药足浴,产妇任意选择时间足浴,20 min/次,连续3-5 d,比较2组肠功能恢复情况.结果 观察组术后肠鸣音恢复时间、肛门首次排气时间、首次排便时间、术后3 d食欲及睡眠质量等方而显著优于对照组.结论 按时辰中药足浴更能有效促进剖宫产术后胃肠功能恢复,更能体现时间医学的重要性,达到药半功倍的效果.

abstractsObjective To study the influence of different time of lavipeditum with traditional Chinese medicine on recovery of gastrointestinal function right after cesarean section, to find the best lavipeditum time and improve the therapeutic effect of lavipeditum with traditional Chinese medicine. Methods 388 cases parturents after cesarean section were selected and were randomly divided into the observation group(200 cases)and the control group(188 cases)according to their bed number. The observation group began lavipeditum with Chinese medicine 6 hours after operation, and was scheduled 7:00-8:00 in the morning, 21:00-22:00 in the evening, lasted 20 minutes every time for consecutive 3 to 5 days. the control group started lavipeditum with Chinese medicine one day after operation, and continued lavipeditum any time they wanted. lasted 20 minutes every time for consecutive 3 to 5 days. Recovery of intestinal function were com-pared between the two groups. Results Postoperative recovery time of bowel sounds, anal exhaust time for the first time, the first defecation time, appetite and sleep quality three days after operation in the observation group were beuer compared with the control group. Conclusions Timing of lavipeditum with Chinese medicine is more effective for recovery of gastrointestinal function after cesarean section, it embodies the importance of time medicine and reach best aims.