CAJ | 학술논문

目的：观察热敷与穴位按摩对初产妇乳房胀痛及泌乳的影响。方法2011年3月~2012年3月，按随机数字表法将本院产科足月分娩的初产妇200例随机分为实验组、对照组，各100例。实验组进行乳房热敷和穴位按摩，3次/d，连续3d；对照组按照产科常规进行母乳喂养。3d后评价乳房胀痛程度，5d后观察母乳喂养情况。观察两组的乳房硬度、乳房充盈度、乳腺管通畅程度。结果实验组的乳房胀痛程度明显小于对照组(P<0.05)；实验组的母乳喂养情况显著优于对照组(P<0.05)；实验组的乳房硬度明显小于对照组(P<0.05)；实验组的乳房充盈度显著高于对照组(P<0.05)；实验组的乳腺管通畅通畅程度明显高于对照组(P<0.05)。结论早期乳房热敷和穴位按摩可以有效疏通初产妇乳络，改善和促进血液循环，促进乳汁分泌，减轻初产妇乳房胀痛程度，降低其乳房硬度，提高其乳房充盈度、乳腺管畅通度和母乳喂养率。
목적：관찰열부여혈위안마대초산부유방창통급비유적영향。방법2011년3월~2012년3월，안수궤수자표법장본원산과족월분면적초산부200례수궤분위실험조、대조조，각100례。실험조진행유방열부화혈위안마，3차/d，련속3d；대조조안조산과상규진행모유위양。3d후평개유방창통정도，5d후관찰모유위양정황。관찰량조적유방경도、유방충영도、유선관통창정도。결과실험조적유방창통정도명현소우대조조(P<0.05)；실험조적모유위양정황현저우우대조조(P<0.05)；실험조적유방경도명현소우대조조(P<0.05)；실험조적유방충영도현저고우대조조(P<0.05)；실험조적유선관통창통창정도명현고우대조조(P<0.05)。결론조기유방열부화혈위안마가이유효소통초산부유락，개선화촉진혈액순배，촉진유즙분비，감경초산부유방창통정도，강저기유방경도，제고기유방충영도、유선관창통도화모유위양솔。
Objective To observe the influence of hot compress and acupoint massage on distending pain and lactation of breast in primiparas. Methods From March 2011 to March 2012,two hundred primiparas with full-term labor in de-partment of obstetrics of our hospital were randomly divided into experimental group and control group according to the random number table method,and there were 100 cases in each group.The experimental group was given hot compress and acupoint massage of breast,3 times a day for 3 days continuously while control group was given breast-feeding ac-cording to obstetric routine.After 3 days,the degree of distending pain of breast was evaluated,and after 5 days,breast-feeding was observed.Hardness of breast,filling degree of breast and the patency of mammary duct was observed re-spectively. Results The degree of distending pain of breast in experimental group was obviously smaller than that of control group (P<0.05);breast-feeding in experimental group was obviously better than that of control group (P<0.05);hardness of breast in experimental group was obviously smaller than that of control group (P<0.05);filling degree of breast in experimental group was obviously higher than that of control group (P<0.05);the patency of mammary duct in experimental group was obviously higher than that of control group (P<0.05). Conclusion Hot compress and acupoint massage of breast in early stage can effectively dredge the meridians of breast in primiparas,improve and promote blood circulation,promote milk secretion,and relieve distending pain of breast and decrease hardness of breast,improve filling degree of breast,patency of mammary duct and increase the breast-feeding rate in primiparas.