中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
27期
3271-3273
,共3页
杨康春%任秀琼%唐余%高靖
楊康春%任秀瓊%唐餘%高靖
양강춘%임수경%당여%고정
护理%乳汁淤积%湿热敷%硫酸镁%电动吸乳仪
護理%乳汁淤積%濕熱敷%硫痠鎂%電動吸乳儀
호리%유즙어적%습열부%류산미%전동흡유의
Nursing%Galactostasis%Hot-wet dressing%Magnesium sulfate%Electric breast bump
目的 探讨母婴同室区初产妇乳汁淤积的有效护理措施,以提高母乳喂养率.方法 将82例乳汁淤积的初产妇随机分为观察组42例和对照组40例,观察组采用50％硫酸镁湿热敷15～20 min后行电动吸乳仪治疗20 min,对照组采用普通湿热敷15 ～ 20 min后,行人工挤奶20 min,比较两组产妇治疗24 h后乳汁淤积缓解情况及乳汁排出量是否能满足新生儿需要.结果 观察组42例产妇中,乳房淤积治愈29例,好转11例,总有效率95.2％,对照组40例产妇中,治愈13例,好转15例,总有效率70.0％,两组比较,差异有统计学意义(x2=9.217,P＜0.05)；观察组42例产妇中,36例产妇乳汁量充足,母乳喂养率为85.7％,对照组40例产妇中,21例产妇乳汁量充足,母乳喂养率为52.5％,两组比较,差异有统计学意义(x2 =10.665,P＜0.05).结论 50％硫酸镁湿热敷与电动吸乳仪联合应用对母婴同室区乳汁淤积的初产妇有明显的治疗效果,能有效提高母乳喂养率.
目的 探討母嬰同室區初產婦乳汁淤積的有效護理措施,以提高母乳餵養率.方法 將82例乳汁淤積的初產婦隨機分為觀察組42例和對照組40例,觀察組採用50％硫痠鎂濕熱敷15～20 min後行電動吸乳儀治療20 min,對照組採用普通濕熱敷15 ～ 20 min後,行人工擠奶20 min,比較兩組產婦治療24 h後乳汁淤積緩解情況及乳汁排齣量是否能滿足新生兒需要.結果 觀察組42例產婦中,乳房淤積治愈29例,好轉11例,總有效率95.2％,對照組40例產婦中,治愈13例,好轉15例,總有效率70.0％,兩組比較,差異有統計學意義(x2=9.217,P＜0.05)；觀察組42例產婦中,36例產婦乳汁量充足,母乳餵養率為85.7％,對照組40例產婦中,21例產婦乳汁量充足,母乳餵養率為52.5％,兩組比較,差異有統計學意義(x2 =10.665,P＜0.05).結論 50％硫痠鎂濕熱敷與電動吸乳儀聯閤應用對母嬰同室區乳汁淤積的初產婦有明顯的治療效果,能有效提高母乳餵養率.
목적 탐토모영동실구초산부유즙어적적유효호리조시,이제고모유위양솔.방법 장82례유즙어적적초산부수궤분위관찰조42례화대조조40례,관찰조채용50％류산미습열부15～20 min후행전동흡유의치료20 min,대조조채용보통습열부15 ～ 20 min후,행인공제내20 min,비교량조산부치료24 h후유즙어적완해정황급유즙배출량시부능만족신생인수요.결과 관찰조42례산부중,유방어적치유29례,호전11례,총유효솔95.2％,대조조40례산부중,치유13례,호전15례,총유효솔70.0％,량조비교,차이유통계학의의(x2=9.217,P＜0.05)；관찰조42례산부중,36례산부유즙량충족,모유위양솔위85.7％,대조조40례산부중,21례산부유즙량충족,모유위양솔위52.5％,량조비교,차이유통계학의의(x2 =10.665,P＜0.05).결론 50％류산미습열부여전동흡유의연합응용대모영동실구유즙어적적초산부유명현적치료효과,능유효제고모유위양솔.
Objective To discuss effective nursing measures for postpartum galactostasis in maternalneonatal unit,in order to increase the breastfeeding rate.Methods 82 cases of primipara galactostasis were randomly divided into two groups:the experimental group (42 cases) and the control group (40 cases).The experimental group received 50％ magnesium sulfate hot-wet dressing for 15 to 20 minutes and then electric breast bump treatment for 20 minutes,while the control group received conventional hot-wet dressing for 15 to 20 minutes and then manual milking for 20 minutes.Two groups' remission of galactostasis and whether the milk can meet the needs of the newborns 24 hours after the treatment was compared.Results Out of the 42 cases in the experimental group,29 cases were cured and 11 had improvements,with the total effective rate of 95.2％.Out of the 40 cases in the control group,13 cases were cured and 15 had improvements,with the total effective rate of 70.0％.The difference was statistically significant (x2 =9.217,P ＜ 0.05).36 out of 42 cases in the experimental group had sufficient maternal breast milk,with the breastfeeding rate of 85.7％,while 21 out of 40 cases in the control group had sufficient maternal breast milk,with the breastfeeding rate of 52.5％.The difference was statistically significant (x2 =10.665,P ＜ 0.05).Conclusions 50％ magnesium sulfate hotwet dressing cooperating with electric breast bump had obvious effect on the primiparas' postpartum galactostasis,and can effectively improve the breasffeeding rate.
