PDF(Pubmed)
Abstract：
The occurrence of wound infection following a Caesarean section procedure poses a substantial clinical obstacle. Transcutaneous Electrical Nerve Stimulation (TENS) has been identified as a promising supplementary treatment option for improving the healing process and decreasing the incidence of infections. This study assessed the efficacy of TENS therapy in the postoperative care of patients who have had Caesarean section. We randomly assigned a total of 108 women who had Caesarean sections to either a TENS group (n = 54) or control (n = 54). The TENS therapy was provided twice daily for a duration of 30 min for the period of 14 days following the surgery. The main measure of interest in this study was the occurrence of wound infection during 30-day period. Additionally, secondary measures included the rate of wound healing, levels of pain experienced and level of patient satisfaction. In comparison to the control (22.2%, p < 0.05), the TENS group had notably reduced occurrence of wound infection, with the rate of 7.4%. TENS group had superior wound healing results, as measured by REEDA scale, at 7 days (2.1 ± 0.8 vs. 2.5 ± 1.0, p < 0.04), 14 days (1.2 ± 0.5 vs. 1.9 ± 0.7, p < 0.05) and 30 days (0.3 ± 0.5 vs. 0.7 ± 0.6, p < 0.05). Furthermore, TENS group had reduced pain levels on the Visual Analog Scale (VAS) at all evaluation intervals (p < 0.05). TENS group exhibited significantly higher levels of patient satisfaction, as evidenced by 64.8% of participants rating high satisfaction, in contrast to 40.7% in the control group (p < 0.05). The incidence of adverse effects was found to be minor, as indicated by a skin irritation rate of 3.7% and reported discomfort rate of 1.9% at the electrode location. TENS therapy effectively decreased the occurrence of post-Caesarean wound infections, expedited the healing process and enhanced pain control. This treatment was well-received by patients and had little negative consequences. The aforementioned results provided evidence in favour of incorporating TENS into post-Caesarean care regimens, which may have significant consequences for improving patient outcomes and maximizing healthcare resources.
摘要：
剖腹产手术后伤口感染的发生构成了实质性的临床障碍。经皮神经电刺激（TENS）已被确定为改善愈合过程和降低感染发生率的有希望的补充治疗选择。这项研究评估了TENS疗法在剖腹产患者术后护理中的疗效。我们将108例剖腹产的妇女随机分配到TENS组（n=54）或对照组（n=54）。在手术后的14天期间,每天两次提供TENS治疗,持续时间为30分钟。这项研究中感兴趣的主要指标是30天期间伤口感染的发生。此外,次要指标包括伤口愈合率，经历的疼痛程度和患者满意度。与对照组相比（22.2%，p<0.05)，TENS组伤口感染发生率显著降低，率为7.4%。TENS组有优越的创面愈合后果，以REEDA量表衡量，在7天（2.1±0.8vs.2.5±1.0，p<0.04)，14天(1.2±0.5vs.1.9±0.7，p<0.05）和30天（0.3±0.5vs.0.7±0.6，p<0.05)。此外，TENS组在所有评估间隔的视觉模拟量表（VAS）上的疼痛水平降低（p<0.05）。TENS组患者满意度明显较高，64.8%的参与者满意度很高，对照组为40.7%(p<0.05)。发现不良反应发生率较小,如电极位置的皮肤刺激率为3.7％，报告的不适率为1.9％。TENS治疗有效减少了剖宫产后伤口感染的发生，加快愈合过程和加强疼痛控制。这种治疗方法受到患者的欢迎，并且几乎没有负面影响。上述结果提供了支持将TENS纳入剖腹产后护理方案的证据，这可能会对改善患者预后和最大限度地利用医疗保健资源产生重大影响。
