摘要
目的 :观察产后不同时间实施乳房配合穴位按摩对乳汁分泌与母乳喂养的影响。方法 :选择2015年7月至2016年2月150例产妇为研究对象,随机分为A、B、C三组,三组分别自产后2h、12h、24h实施乳房配合穴位按摩,比较三组产后血清泌乳素水平、首次泌乳时间、产后48h泌乳量充足者比例、产后48h乳房胀痛发生率及产后30d母乳喂养成功率。结果 :产后48h、72h三组产妇血清泌乳素水平差异均有统计学意义(P<0.05);三组产妇产后首次泌乳时间差异有统计学意义(P<0.05),产后48h母乳充足者比例差异有统计学意义(P<0.05),产后30d母乳喂养成功率差异无统计学意义(P﹥0.05)。三组产妇产后48hⅢ度乳房胀痛发生率差异有统计学意义(P<0.05)。结论 :产后2h较12h、24h给予乳房配合穴位按摩更能促进产妇早泌乳、多泌乳,降低乳房胀痛发生率。
Objective： To observe and explore the effects of breast and acupoint massage on milk secretion and breast feeding at different time among women after delivery. Methods： Totally 150 women after delivery from July 2015 to February 2016 were recruited and randomly divided into 3 groups with 50 women in each group. The women in A, B, C group was given breast and acupoint massage at 2h, 12h, 24h after delivery, respectively. We compared postpartum serum prolactin levels, the first milk secretion time, 48 hours postpartum milk secretion, breast tenderness incidences and 30 days postpartum breastfeeding success rate among 3 groups. Results： The difference of the postpartum serum prolactin levels, among 3 groups was statistically significant （P〈0.05）. The difference of the first milk secretion time was statistically significant （P〈0.05）. The difference of the postpartum breast milk adequacy rate among three groups at 48h after delivery was statistically significant （P〈0.05）. However, the difference of the 30 days postpartum breast feeding success rate had no statistically significance （P〉0.05）. Significant difference was observed on postpartum breast pain within 48 hours in three groups and the difference of III degree breast tenderness incidence was statistically significant （P〈0.05）. Conclusion： Compared with 12h, 24h postpartum intervention, breast and acupoint massage 2h after delivery could promote earlier and more milk secretion, reduce incidence of breast tenderness.
出处
《中国护理管理》
CSCD
2017年第2期184-187,共4页
Chinese Nursing Management
关键词
乳房配合穴位按摩
干预时间
血清泌乳素
泌乳
母乳喂养
breast and acupoint massage
intervention time
serum prolactin
milk secretion
breast feeding
