Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2014, Vol. 10 ›› Issue (01): 18 -21. doi: 10.3877/cma.j.issn.1673-5250.2014.01.005

Special Issue:

Original Article

Clinical Investigation of the Effects of Low-intensity Ultrasound Irradiation on Involution of Uterus After Delivery

Longqiong Wang1, Hongbo Qi1, Xin Luo1(), Chengzhi Li2   

  1. 1. Department of Obstetrics and Gynecology, First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China
  • Received:2013-11-19 Revised:2014-01-03 Published:2014-02-01
  • Corresponding author: Xin Luo
  • About author:
    (Corresponding author: Luo Xin, Email: )
Objective

To investigate the effects of low-intensity ultrasound irradiation on involution of uterus after delivery.

Methods

From June 2012 to December 2012, a total of 141 cases delivered in the First Affiliated Hospital of Chongqing Medical University were studied. Using the single blind method (The patient didn't know whether be treated or not) , and they were divided into 4 groups: caesarean section treatment group (n=46) ,caesarean section control group (n=34) ,natural childbirth treatment group (n=30) and natural childbirth control group (n=31) ,according to the different childbirth way and whether by low-intensity ultrasound irradiation. The first treatment began in the first 6 hours after natural childbirth, compared with 24 hours who has the cesarean section. The treatment group received the ultrasound therapy 2 times a day, for 30 minutes every time, a overall treatment of 5 times; Operation method of control group was consistent with treatment group, but no ultrasound energy output. Observe the decline of fundus uteri, lochia clear time after delivery and visual analog scale score before and after the treatment. The maternal ages and other clinical characteristics of each group had no significant difference (P>0.05) . The study protocol was approved by the Ethical Review Board of Investigation in Human Beings of the First Affiliated Hospital of Chongqing Medical University. Informed consent was obtained from each participating patient.

Results

The fundus decline index of treatment group was obviously better than the control group (H =31.710 0, 34.390 0, P<0.05) ,and the lochia clear time was significantly shorter than the control group (H=5.927 0, 6.343 5, P<0.05) .The visual analog scale (Vas) score of caesarean section treatment group had significant difference compared with the control group before and after treatment (P<0.05) , but there has no signifficant difference between two groups of natural childbirth of Vas score (P >0.05) .

Conclusions

The low-intensity ultrasound and shorten lochia clear time. It can alleviated the cesarean section uterine pain but not work for eutocia puerpera. irradiation can promote the involution of uterus and shorten lochia clear time. It can alleviate the cesarean section uterine pain but not work for eutocia puerpera.

图1 "韵产康"超声波子宫复旧仪
Figure 1 "Yun Chan Kang" ultrasonic therapy apparatus for uterine involution
表1 两组产妇一般情况比较(±s
Table 1 Comparison of clinical characteristics of two groups(±s
表2 两组产妇一般情况比较(±s
Table 2 Comparison of clinical characteristics of two groups(±s
表3 治疗后两组产妇宫底下降指数及恶露结束时间比较(±s
Table 3 Comparison of fundus decline index and lochia clear time of two groups(±s
表4 治疗后两组产妇宫底下降指数及恶露结束时间比较(±s
Table 4 Comparison of fundus decline index and lochia clear time of two groups(±s
表5 两组治疗前后Vas评分差值变化比较(±s
Table 5 Comparison of the visual analog scales difference before and after treatment of two groups(±s
表6 两组治疗前后Vas评分差值变化比较(±s
Table 6 Comparison of the visual analog scales difference before and after treatment of two groups(±s
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