国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
21期
3120-3123,3126
,共5页
冯少萍%杨春梅%陆平升%王琦%陈燕华%蒙桂嫦%赖邦玲
馮少萍%楊春梅%陸平升%王琦%陳燕華%矇桂嫦%賴邦玲
풍소평%양춘매%륙평승%왕기%진연화%몽계항%뢰방령
剖宫产%产妇%乳房按摩%泌乳
剖宮產%產婦%乳房按摩%泌乳
부궁산%산부%유방안마%비유
Cesarean section%Unipara%Breast massage%Lactation
目的 探讨剖宫产术后穴位及乳房按摩刺激泌乳的临床效果.方法 选择2013年8月至2015年12月期间我院产科剖宫产术后200例无母乳喂养禁忌症的产妇,按照数字表法随机分为两组,对照组100例在剖宫产术后实施常规护理进行母乳喂养,不用任何催乳方法.观察组100例则在对照组的基础上采用穴位及乳房按摩刺激泌乳方法.结果 观察组产妇的泌乳始动时间(20.7±14.5)h,显著地早于对照组的(32.8±16.9)h,两组比较差异有统计学意义(P＜0.05),观察组泌乳量增加较对照组显著,两组比较差异有统计学意义(P＜0.05),观察组新生儿在研究期间的体重变化为(-168.75±68.89)g,对照组新生儿在同一时期的体重变化为(-233.92±72.96)g.观察组新生儿体重下降的幅度明显的小于对照组(t=3.25,P＜0.05).对照组新生儿中有2人体重下降超过10％,而观察组的新生儿体重下降均在正常的生理性范围内.结论 剖宫产术后穴位及乳房按摩刺激泌乳具有乳汁分泌时间提前、泌乳量增加的作用,还能缓解产后乳房胀痛.
目的 探討剖宮產術後穴位及乳房按摩刺激泌乳的臨床效果.方法 選擇2013年8月至2015年12月期間我院產科剖宮產術後200例無母乳餵養禁忌癥的產婦,按照數字錶法隨機分為兩組,對照組100例在剖宮產術後實施常規護理進行母乳餵養,不用任何催乳方法.觀察組100例則在對照組的基礎上採用穴位及乳房按摩刺激泌乳方法.結果 觀察組產婦的泌乳始動時間(20.7±14.5)h,顯著地早于對照組的(32.8±16.9)h,兩組比較差異有統計學意義(P＜0.05),觀察組泌乳量增加較對照組顯著,兩組比較差異有統計學意義(P＜0.05),觀察組新生兒在研究期間的體重變化為(-168.75±68.89)g,對照組新生兒在同一時期的體重變化為(-233.92±72.96)g.觀察組新生兒體重下降的幅度明顯的小于對照組(t=3.25,P＜0.05).對照組新生兒中有2人體重下降超過10％,而觀察組的新生兒體重下降均在正常的生理性範圍內.結論 剖宮產術後穴位及乳房按摩刺激泌乳具有乳汁分泌時間提前、泌乳量增加的作用,還能緩解產後乳房脹痛.
목적 탐토부궁산술후혈위급유방안마자격비유적림상효과.방법 선택2013년8월지2015년12월기간아원산과부궁산술후200례무모유위양금기증적산부,안조수자표법수궤분위량조,대조조100례재부궁산술후실시상규호리진행모유위양,불용임하최유방법.관찰조100례칙재대조조적기출상채용혈위급유방안마자격비유방법.결과 관찰조산부적비유시동시간(20.7±14.5)h,현저지조우대조조적(32.8±16.9)h,량조비교차이유통계학의의(P＜0.05),관찰조비유량증가교대조조현저,량조비교차이유통계학의의(P＜0.05),관찰조신생인재연구기간적체중변화위(-168.75±68.89)g,대조조신생인재동일시기적체중변화위(-233.92±72.96)g.관찰조신생인체중하강적폭도명현적소우대조조(t=3.25,P＜0.05).대조조신생인중유2인체중하강초과10％,이관찰조적신생인체중하강균재정상적생이성범위내.결론 부궁산술후혈위급유방안마자격비유구유유즙분비시간제전、비유량증가적작용,환능완해산후유방창통.
Objective To explore the clinical effect of stimulating lactation massaging breast and acupuncture points after cesarean section.Methods 200 puerperae without contraindications of maternal breastfeeding after cesarean section were selected from our hospital from August, 2013 to December,2015 and were randomly divided into a control group and an observation group, 100 for each group.After cesarean section, the control group were routinely cared and maternally breastfed their infants.In addition,the observation group were stimulated lactation massaging breast and acupuncture points.Results The initiating time of maternal lactation was (20.7±14.5) h in the observation group and was (32.8±16.9) h in the control group, with a statistical difference(P ＜ 0.05).The mammary volume increased more in the observation group than in the control group, with a statistical difference(P ＜ 0.05).During the study period, the change of the body weight of neonates was (-168.75±68.89) g in the observation group and was (-233.92±72.96) g in the control group.The neonates of the observation group lost less weight those of the control group (t=3.25, P ＜ 0.05).2 neonate in the control group lost 10％ weight, while all the neonate in the observation group lost weight within normal physiological range.Conclusions Stimulating lactation massaging breast and acupuncture points after cesarean section can stimulate maternal milk secretion,increase mammary volume, and relieve postpartum breast tenderness.
