摘要
[目的]探讨产后不同时机实施乳房按摩联合穴位按摩对初产妇泌乳质量、母乳喂养的影响。[方法]选取2016年7月-2018年7月在某院住院自然分娩的初产妇600例为研究对象,所有初产妇均进行乳房按摩联合穴位按摩干预措施,根据实施乳房按摩联合穴位按摩的不同时机分为1组(产后2 h)、2组(产后12 h)、3组(产后24 h),记录并比较3组初产妇产后72 h的泌乳量、血清泌乳素水平、单纯母乳喂养率及产后乳房并发症发生率。[结果]3组初产妇产后72 h的泌乳量及血清泌乳素水平比较差异有统计学意义(P<0.05),1组初产妇的泌乳量及血清泌乳素水平高于2组和3组,经比较差异有统计学意义(P<0.05)。3组初产妇产后72 h的单纯母乳喂养率比较差异具有统计学意义(P<0.05),1组初产妇的单纯母乳喂养率高于2组和3组(P<0.05)。3组初产妇产后72 h的产后乳房并发症发生率比较差异具有统计学意义(P<0.05),1组初产妇的产后乳房并发症发生率低于2组和3组(P<0.05)。[结论]产后2 h对初产妇实施乳房按摩联合穴位按摩为最佳时机,能有效增加泌乳量,提升泌乳质量和单纯母乳喂养率,减少产后乳房并发症的发生。
Objective:To investigate the effect of breast massage combined with acupoint massage on lactation quality and breastfeeding of primiparas at different time after delivery.Methods:A total of 600 primiparas who were gave spontaneous labor in a hospital from July 2016 to July 2018 were selected as subjects.All the primiparas received breast massage combined with acupoint massage.According to different timing of breast massage combined with acupoint massage,they were divided into group one(2 h postpartum),group two(12 h postpartum)and group three(24 h postpartum).The lactation volume,serum prolactin level,pure breast-feeding rate and incidence of postpartum breast complications in the three groups were recorded and compared at the timepoint of postpartum 72 h.Results:The lactation volume and serum prolactin level among the three groups were statistically significant(P<0.05),and the lactation volume and serum prolactin level of group one were higher than those in group two and group three(P<0.05).The rate of pure breast-feeding among the three groups were statistically significant(P<0.05).The rate of pure breast-feeding of group one was higher than that in group two and group three(P<0.05).There was a statistically significant difference in the incidence of breast complications among the three groups at the timepoint of postpartum 72 h(P<0.05).The incidence of postpartum breast complications in group one was lower than that in group two and group three,and the difference was statistically significant(P<0.05).Conclusions:The timepoint of postpartum 2 h was the best time to apply breast massage combined with acupoint massage for the primiparas,which can effectively increase lactation volume,improve the quality of lactation and pure breast-feeding rate,and reduce the occurrence of postpartum breast complications.
作者
丘青
张燕娜
刘惠贤
黄婷
林丽思
QIU Qing;ZHANG Yanna;LIU Huixian;HUANG Ting;LIN Lisi(Shenzhen Luohu Maternal and Child Health Hospital,Guangdong 518019 China)
出处
《全科护理》
2019年第33期4118-4121,共4页
Chinese General Practice Nursing
基金
罗湖区软科学研究计划项目,编号:2016210
关键词
乳房按摩
穴位按摩
初产妇
泌乳质量
母乳喂养
breast massage
point massage
primipara
the quality of lactation
breast-feeding
