摘要
目的观察速泌通乳贴配合按摩对初产妇产后泌乳的影响。方法将80例足月初产妇随机分为治疗组43例和对照组37例。治疗组自生产后6h进行穴位及局部按摩,每日2次,每次28min。然后用通乳贴穴位外敷,每日贴12h(20:00至次日8:00)。对照组自生产后6h服用生乳灵,每次50ml,每日2次。两组疗程均为7天。观察两组患者催乳疗效和泌乳量、泌乳始动时间、血清泌乳素(PRL)、产后第35天纯母乳喂养情况。结果治疗组总有效率为88.4%明显优于对照组的67.6%(P<0.01)。两组治疗后第2、3、7天泌乳量均大于本组治疗第1天(P<0.05);治疗组治疗后第2、3、7天泌乳量均大于对照组(P<0.01)。治疗组泌乳始动时间显著少于对照组(P<0.01)。两组治疗前后血清PRL比较,差异均无统计学意义(P>0.05)。产后第35天随访,治疗组纯母乳喂养情况明显优于对照组(P<0.01)。结论速泌通乳贴配合按摩能明显增加初产妇的泌乳量,提前泌乳始动时间,改善婴幼儿纯母乳喂养情况。
Objective To observe the effect of Sumi Tongru Paste （paste to free milk） combined with massage for postpar- tum hypogalactia in primiparas. Methods Eighty primiparas were randomized into the treatment group （43 cases） and control group （37 cases）. The treatment group was given the aeupoint and local massage for 28 rain twice daily from the 6th hour after delivery. The external application of Sumi Tongru Paste was used on Tanzhong （CV 17）, Rugen （ST 18, double） and Zusanli （ST 36, double） for 12 hours daily from 8pro to 8am. The control group was given Shengruling 50ml twice daily from the 6th hour after delivery. The treatment lasted for 7 days. The therapeutic effect, lactation quantity, colostrum time, prolactin （PRL） and breastfeeding on the 35th day after delivery were observed. Results The total effective rate （88.4G） of the treat- ment group was superior to that of （67.6%） the control group （P^0.01）. Comparing with the 1st day of the treatment, the lactation quantity was significantly increased on the 2nd, 3rd and 7th day of the treatment in both groups （P%0.05）. The lac- tation quantities on the 2nd, 3rd and 7th day of the treatment in the treatment group were significantly higher than those in the control group （P%0.01）. The colostrum time in the treatment group was significantly shorter than that in the control group （P〈0.01）. The PRL was decreased in both groups after treatment, but with no significant difference between groups or with- in group （P〉0.05）. The breastfeeding in the treatment group was superior to that in the control group on the 35th day after delivery （P〈0.01）. Conclusion The combo therapy of Sumi Tongru Paste and massage can increase the lactation quantity, advance the colostrum time and improve breastfeeding of primiparas.
出处
《中医杂志》
CSCD
北大核心
2013年第4期303-306,共4页
Journal of Traditional Chinese Medicine
基金
湖南省中医药管理局科研课题(201185)
常德市科技局科研课题(2011SK15)
关键词
速泌通乳贴
按摩
泌乳量
泌乳始动时间
泌乳素
Sumi Tongru Paste
massage
lactation quantity
colostrum time
prolactin
breastfeeding
