摘要
目的探讨自拟生化催乳汤联合不同时期乳房按摩对产妇乳汁分泌的影响。方法选取2017年6月~2018年8月我院收治的300例产妇作为研究对象,采用随机数字表法分为A、B、C三组,每组各100例。A组产后给予自拟生化催乳汤治疗7d;B组在A组的基础上,在产后开始乳房按摩;C组在A组的基础上,从孕37周开始给予乳房按摩至产后7d。随访6个月,比较三组产妇乳汁分泌的相关情况。结果C组产妇的泌乳始动时间短于A组和B组,B组短于A组(P<0.05);C组产妇的乳汁初始分泌量多于A组和B组,B组多于A组(P<0.05);C组产妇的乳房胀痛程度优于A组和B组,B组优于A组(P<0.05);C组产妇的乳房胀痛发生率低于A组和B组,B组低于A组,差异有统计学意义(P<0.05);C组产妇产后42d子宫复旧率、6个月母乳喂养率高于A组和B组,B组高于A组(P<0.05);B组和C组产妇的7d泌乳成功率明显高于A组(P<0.05),B、C两组的7d泌乳成功率比较,差异无统计学意义(P>0.05)。结论孕37周开始进行乳房按摩能够有效促进产妇的乳汁分泌,减轻乳房胀痛程度,促进子宫复旧,提高母乳喂养率。
Objective To investigate the effect of self-made Shenghua Galactagogue Decoction combined with breast massage in different periods on maternal milk secretion. Methods A total of 300 parturients admitted to our hospital from June 2017 to August 2018 were selected as the subjects, and divided into group A, B, and C by random number table method, with 100 cases in each group. Group A was given self-made Shenghua Galactagogue Decoction for 7 days after delivery. Group B was given breast massage based on group A for 7 days after delivery. Group C was given breast massage from 37 weeks of pregnancy to 7 days based on group A after delivery. After 6 months follow-up, the maternal milk secretion of the three groups were compared. Results The initiation time of lactation in group C was shorter than that in group A and B, and group B was shorter than group A (P<0.05). The amount of initial secretion of milk in group C was more than that in group A and group B, and group B was more than group A (P<0.05). The degree of breast tenderness in group C was better than that in group A and group B, and group B was better than group A (P<0.05). The incidence of breast tenderness in group C was lower than that in group A and group B, and group B was lower than group A (P<0.05). The uterine recovery rate at 42 days postpartum and the 6-month breastfeeding rate in group C were higher than those in group A and group B, and group B was higher than group A (P<0.05). The 7-day ssuccess rate of lactation in group B and group C was significantly higher than that in group A (P<0.05). There was no significant difference in the 7-day ssuccess rate of lactation between group B and group C (P>0.05). Conclusion Breast massage from 37 weeks of pregnancy can effectively promote maternal milk secretion, reduce breast pain, promote uterine involution, and increase breastfeeding rate.
作者
陈锦芬
陈利平
CHEN Jin-fen;CHEN Li-ping(Department of Traditional Chinese Medicine, the Seventh People′s Hospital of Nanhai District in Foshan City, Guangdong Province, Foshan 528247, China)
出处
《中国当代医药》
2019年第25期121-123,共3页
China Modern Medicine
基金
广东省佛山市卫生和计生局医学科研课题(20170201)
关键词
自拟生化催乳汤
乳房按摩
乳汁分泌
Self-made Shenghua Galactagogue Decoction
Breast massage
Milk secretion
