CAJ | 학술논문

目的探讨速泌通乳贴对剖宫产产妇产后泌乳的影响,为临床产后缺乳提供有效方法.方法将104例足月剖宫产产妇随机分为速泌通乳贴组(34例)、按摩组(36例)和生乳灵组(34例)3组,按摩组和生乳灵组作为对照组,速泌通乳贴组作为观察组,观察速泌通乳贴对剖宫产产妇泌乳量、泌乳始动时间及血清泌乳素(PRL)3个指标的影响.结果泌乳量:产后第2,3,7天观察组与各对照组分别比较均优于对照组,差异有统计学意义(P＜0.05),对照组之间比较差异无统计学意义(P＞0.05)；泌乳始动时间:观察组为产后(18.62±2.49)d,按摩组为(21.11 ±2.04)d,生乳灵组为(21.88±1.82)d,3组比较差异有统计学意义(F =4.291,P＜0.05),对照组之间比较差异无统计学意义(t=1.663,P＞0.05)；血清泌乳素水平:观察组与各对照组之间治疗后比较,差异有统计学意义(P＜0.05),对照组之间比较差异无统计学意义(P＞0.05).结论速泌通乳贴能增加产妇泌乳量,提前泌乳始动时间,延缓血清PRL下降速度,使产妇于产后较长时间内保持充足的泌乳量.
목적 탐토속비통유첩대부궁산산부산후비유적영향,위림상산후결유제공유효방법.방법 장104례족월부궁산산부수궤분위속비통유첩조(34례)、안마조(36례)화생유령조(34례)3조,안마조화생유령조작위대조조,속비통유첩조작위관찰조,관찰속비통유첩대부궁산산부비유량、비유시동시간급혈청비유소(PRL)3개지표적영향.결과 비유량:산후제2,3,7천관찰조여각대조조분별비교균우우대조조,차이유통계학의의(P＜0.05),대조조지간비교차이무통계학의의(P＞0.05)；비유시동시간:관찰조위산후(18.62±2.49)d,안마조위(21.11 ±2.04)d,생유령조위(21.88±1.82)d,3조비교차이유통계학의의(F =4.291,P＜0.05),대조조지간비교차이무통계학의의(t=1.663,P＞0.05)；혈청비유소수평:관찰조여각대조조지간치료후비교,차이유통계학의의(P＜0.05),대조조지간비교차이무통계학의의(P＞0.05).결론 속비통유첩능증가산부비유량,제전비유시동시간,연완혈청PRL하강속도,사산부우산후교장시간내보지충족적비유량.
Objective To study the effect of the plaster of sumitongru on postpartum lactation of caesarean section,so as to provide effective method for clinical postpartum hypogalactia.Methods Totals of 104 cases of caesarean sections were randomly divided into treatment group (n =34) that applied the plaster of Sumitongru,and control group,which included acupoint massage group (n =36) and lactogen group (n =34).Then,the lactation quantity,colostrum time and prolactin of two groups were observed.Results he milk amount on 2th,3th,7th day of treatment group was superior to control group (P ＜0.05),and no significant difference was found between acupoint massage group and lactogen group (P ＞ 0.05).Colostrum time was (18.62 ± 2.49) d in treatment group,(21.11 ± 2.04) d in acupoint massage group,and (21.88 ± 1.82) d in lactogen group,with significant difference found in three groups (F =4.291,P ＜ 0.05),but no significant difference found between acupoint massage group and lactogen group(t =1.663,P ＞ 0.05).PRL level in serum of treatment group was superior than that of control group (P ＜ 0.05),and no significant difference between acupoint massage group and lactogen group (P ＞ 0.05).Conclusions The application of plaster of Sumitongru in postpartum lactation of caesarean section could increase the lactation quantity,advance the initial time of lactation and delay the decreasing of the levels of prolactin,to maintain adequate lactation amount for postpartum.