摘要
目的:探讨神经肌肉电刺激(NMES)联合按摩对剖宫产产妇产后泌乳功能、母乳喂养及血清泌乳素水平的影响。方法:选取2020年1月—2022年12月在本院行剖宫产产妇196例随机分为两组各98例,对照组予以按摩干预,观察组按摩联合实施NMES干预,两组均连续干预5d。记录两组产妇泌乳始动时间、乳房充盈时间和产后48h泌乳量情况,产后24h、72h及5d乳房胀痛视觉模拟评分(VAS)和血清泌乳素水平,产后42d母乳喂养情况和新生儿体质量。结果:与对照组对比,观察组泌乳始动时间提前,乳房充盈时间缩短,且产后48h泌乳量更优(P<0.05)。产后72h、5d时,观察组乳房胀痛评分(2.56±0.42分、1.71±0.42分)均低于对照组(3.46±0.57分、2.41±0.49分),产后42d母乳喂养成功率观察组(92.9%),高于对照组(77.6%),新生儿体质量(5.89±1.08 kg)高于对照组(5.24±0.99 kg)(均P<0.05)。结论:NMES联合按摩能够上调剖宫产产妇产后血清泌乳素水平,促进早期泌乳。
Objective:To investigate the effects of the neuromuscular electrical stimulation(NMES)combined with massage for treating women after cesarean section on their postpartum lactation function,breastfeeding,and serum prolactin level.Methods:A total of 196women after cesarean section were selected and were randomly divided into two groups(98cases in each group)from January 2020to December 2022.The women in the control group were given massage intervention for 5days continuously,and the women in the experimental group were given intervention of NMES combined with massage.The initial time of lactation,the breast filling time,and the lactation volume in 48 hours after delivery of the women in the two groups were recorded.The score of visual analogue scale(VAS)of breast distending pain and the serum prolactin level of the women at 24h,72h,and in 5dafter delivery,and the breastfeeding status and the neonatal body mass in 42days after delivery in the two groups were also recorded.Results:The initial time of lactation and the breast filling time of the women in the experimental group were significantly shorter than those of the women in the control group,and the lactation volume of the women at postpartum 48hin the experimental group was significantly more than that of the women in the control group(P<0.05).The score of breast tenderness of the women in the experimental group at postpartum 72h(2.56±0.42points)or in postpartum 5d(1.71±0.42points)was significantly lower than that(3.46±0.57points or 2.41±0.49points)of the women in the control group.The success rate of breastfeeding(92.9%)of the women in the experimental group in postpartum 42dwas significantly higher than that(77.6%)of the women in the control group.The neonatal body mass(5.89±1.08kg)in the experimental group was significantly higher than that(5.24±0.99kg)in the control group(all P<0.05).Conclusion:NMES combined with massage for treating the women after cesarean section can up-regulate their postpartum serum prolactin level,and can promote their early lac
作者
史增玉
高爱梅
周红梅
SHI Zengyu;GAO Aimei;ZHOU Hongmei(Jiaozhou Central Hospital of Qingdao,Jiaozhou,Shandong Province,266300)
出处
《中国计划生育学杂志》
2023年第7期1622-1626,共5页
Chinese Journal of Family Planning
基金
2022-2024年青岛市市级临床重点专科妇产科专科资助。
关键词
剖宫产
产后泌乳
乳房胀痛
母乳喂养
神经肌肉电刺激
泌乳素
Cesarean section
Postpartum lactation
Breast tenderness
Breastfeeding
Neuromuscular electrical stimulation
Prolacti
