两种按摩手法缓解产妇乳胀症状的比较  

A Comparison of the Breast Distension Relieving Effects of Two Massage Manipulations

作　　者：潘素招[1] 赵勤[1] 

机构地区：[1]台州医院产科,浙江台州317000

出　　处：《护理学报》2009年第8期56-58,共3页Journal of Nursing（China）

摘　　要：目的比较传统乳房按摩手法与一指禅推拿手法对缓解产妇乳胀症状的疗效,探讨更合适缓解乳胀的按摩手法。方法对200例乳胀初产妇按摩前进行评估,乳胀程度相同的产妇按就诊顺序编号,双数的100例产妇作为对照组,采用传统乳房按摩手法,即操作者用双手掌大小鱼际按压乳房壁并围绕乳房根部均匀按摩两侧乳房共60 min;单数的100例产妇作为观察组,采用一指禅推拿手法,即操作者用左手托住乳房,右手用大拇指按米字线以螺旋式向乳晕处推拿60 min。根据按摩前乳胀程度、按摩时产妇疼痛情况、按摩后乳胀程度及母乳喂养情况评定疗效。结果观察组产妇按摩后乳胀程度、按摩时疼痛程度较对照组轻,观察组产妇母乳喂养情况优于对照组,以上差异均有统计学意义(P<0.01)。结论一指禅推拿手法较传统乳房按摩手法更能有效缓解产妇乳胀症状。Objective To determine the better massage manipulation for relieving the parturients＇ breast distension, by comparing the conventional one and the pain-free one. Methods Before offering the massage, the breast distensions of 200 first-time parturients were assessed. Those with the roughly the same degree of breast distension were numbered according to their treatment serial number. The 100 oddly numbered were included in the control group, who were offered the conventional breast massage for 60 minutes, while the 100 evenly numbered, in the observation group, who were offered the pain-free breast massage for 60 minutes. Then the effects of the two massage manipulations were assessed according to the pre-massage distension, the while-massage pain of the parturients, the post-massage distension and the breast-feeding. Results The while-massage pain, the post-massage distension and breast-feeding of the parturients in the observation group were better than those of the control group, all the differences being statistically significant （P〈0.01）. Conclusion Pain-free breast massage manipulation can relieve the parturient＇s breast distension more than the conventional one.

关 键 词：按摩 乳胀 母乳喂养 护理 

分 类 号：R473.71[医药卫生—护理学]