摘要
目的探讨采用穴位按摩联合产后综合治疗仪促进气血虚弱型初产妇产后泌乳的效果。方法选取我院足月单胎阴道顺产气虚血弱型初产妇80例作为研究对象。按产妇分娩时间顺序先后,选取其中38例作为对照组,另外42例作为观察组。对照组产妇分娩后30 min内予早期哺乳和饮食指导及生活护理。观察组产妇分娩后30 min内即实施穴位按摩法,分娩后8小时后开始使用产后综合治疗仪按摩。哺乳、饮食指导和生活护理同对照组,干预时间1周。对比两组产妇泌乳效果及产后母乳喂养率随访结果。结果两组产妇产前泌乳素水平比较,差异无统计学意义(P>0.05);产后3 d泌乳素水平比较,观察组高于对照组,差异具有统计学意义(P<0.05);观察组产妇泌乳始动时间早于对照组;观察组产后3 d内日平均泌乳量高于对照组;半年随访结果显示,观察组母乳喂养率高于对照组,差异均有统计学意义(P<0.05)。结论穴位按摩联合产后综合治疗仪干预能显著促进气虚血弱型初产妇泌乳功能,达到早泌乳、多泌乳的效果,提高产后纯母乳喂养率。
Objective To explore using acupuncture point massage combined postpartum comprehensive therapeutic apparatus to promote the effect of blood type weak primipara postpartum lactation. Methods In this study, 80 cases of full-term single-born vaginal delivery of qi deficiency and weak blood type primipara were selected as the research subjects. According to the order of parturients delivery time, 38 cases of them were selected as the control group. The other 42 cases were selected as the observation group. The control group was given early lactation, diet guidance and life nursing within 30 min after childbirth. In the observation group, the method of acupoint massage was carried out within 30 min after childbirth, and after 8 hours after delivery, the postpartum comprehensive treatment instrument was used. Nursing, diet guidance and life nursing were the same as the control group, and the intervention time was 1 week. The results of two groups of women＇s lactation effect and postpartum breast feeding rate were compared. Results There was no signifcant difference in the level of prenatal prolactin in the two groups （P 〉 0.05）. After postpartum 3 days prolactin level, the observation group was higher than the control group, the difference was statistically signifcant （P 〈 0.05）. The observation group maternal lactation initiating time earlier than the control group; the observation group postpartum 3 days in average daily milk yield was higher than the control group; the results of half year follow-up showed that the rate of breast feeding in the observation group was higher thanthat of the control group, and the difference was statistically signifcant （P 〈 0.05）. Conclusion Point massage combined postpartum comprehensive therapeutic intervention can signifcantly improve the debility blood weak type primipara lactation function, achieve the result of early lactation, increase the rate of postpartum exclusive breastfeeding.
出处
《中国继续医学教育》
2017年第36期100-102,共3页
China Continuing Medical Education
关键词
气虚血弱型
初产妇
穴位按摩
综合治疗仪
the debility blood weak type
first-time mothers
point massage
comprehensive therapeutic apparatus
