摘要
目的研究节段式乳房按摩对剖宫产术后乳房中度胀痛初产妇疼痛程度及泌乳质量的影响。方法选取我科就诊的剖宫产术后乳房中度胀痛初产妇95例,按照随机数字表法分为对照组(47例)和研究组(48例)。对照组行常规干预,研究组在对照组的基础上增加节段式乳房按摩。观察两组患者乳房胀痛程度、排乳量、血清炎性因子水平、雌激素水平。结果干预7d末研究组乳房疼痛(1.02±0.13)分、红肿面积(0.73±0.08)分、肿块大小(0.63±0.18)分均显著低于对照组(1.34±0.22)分、(0.89±0.13)分、(0.74±0.15)分(P<0.05)。干预7d末研究组排乳量(98.57±9.05)mL显著高于对照组(132.38±11.09)mL(P<0.05);C-反应蛋白(CRP)(10.63±2.37)mg/L、白细胞介素-1α(IL-1α)(16.65±3.26)pg/mL、白细胞介素-6(IL-6)(27.16±4.74)pg/mL均显著低于对照组(18.94±3.85)mg/L、(21.04±3.58)pg/mL、(32.61±5.82)pg/mL(P<0.05);血清雌二醇(E2)(31.65±4.89)ng/mL显著低于对照组(42.73±5.14)ng/mL(P<0.05),泌乳素(PRL)(345.17±22.78)ng/mL显著高于对照组(304.78±23.65)ng/mL(P<0.05)。结论节段式乳房按摩能够显著改善剖宫产术后初产妇乳房中度胀痛,抑制炎症反应,降低E2含量,纠正激素紊乱,提高泌乳量。
Objective To study the effect of segmental breast massage on the pain degree and lactation quality of primiparas with moderate breast tenderness after cesarean section.Methods Ninety-five pregnant women with moderate breast pain after cesarean section who were treated in our department from September 2018 to September 2019 were selected and divided into a control group(47 cases)and a research group(48 example).The control group received routine intervention,and the research group added segmental breast massage on the basis of the control group.The degree of breast tenderness,milk output,serum inflammatory factors and estrogen levels in the two groups of patients were observed.Results At the end of 7 days of intervention,the score of breast pain(1.02±0.13),swelling area(0.73±0.08),and mass size(0.63±0.18)in the study group were significantly lower than those in the control group(1.34±0.22),(0.89±0.13),and(0.74±0.15),respectively(P<0.05).At the end of 7 days after intervention,the milk output of the study group(98.57±9.05)mL was significantly higher than that of the control group(132.38±11.09)mL(P<0.05).CRP(10.63±2.37)mg/L,interleukin-1(IL-1)(16.65±3.26)pg/mL,interleukin-6(IL-6)(27.16±4.74)pg/mL,(21.04±3.58)pg/mL,and (32.61±5.82)pg/mL were significantly lower than those of the control group(18.94±3.85)mg/mL,(21.04±3.58)pg/mL,and(32.61±5.82)pg/mL(P<0.05).Serum estradiol(E2)(31.65±4.89)ng/mL was significantly lower than that of the control group(42.73±5.14)ng/mL(P<0.05),and prolactin(PRL)(345.17±22.78)was significantly higher than that of the control group(304.78±23.65)ng/mL(P<0.05).Conclusion Segmental breast massage can significantly improve the mammary breast tenderness after cesarean section,inhibit inflammation,reduce E2 content,correct hormone disorders,and increase lactation.
作者
李玉霞
LI Yu-xia(Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《牡丹江医学院学报》
2020年第5期68-71,共4页
Journal of Mudanjiang Medical University
关键词
节段式乳房按摩
乳房中度胀痛
炎性因子
激素紊乱
segmental breast massage
moderate breast tenderness
inflammatory factors
hormone disorders
