影响母婴分离产妇乳汁分泌的多因素分析  

Multivariate analysis on effect factors of the parturient milk secretion

作　　者：葛圆[1] 雪丽霜[1] 覃桂荣[1] 刘素娥[1] 李娉霞[1] 凌静[1] 徐明[1] 晏洁梅[1] 

机构地区：[1]广西医科大学第一附属医院,广西南宁530021

出　　处：《护士进修杂志》2013年第3期197-199,共3页Journal of Nurses Training

基　　金：广西卫生厅课题(项目编号:桂Z2009115)

摘　　要：目的分析影响母婴分离产妇乳汁分泌的各种因素,寻找促进乳汁分泌的最佳方法。方法对2011年7月～12月在广西医科大学第一附属医院产科住院的212例母婴分离产妇进行观察记录,运用单因素和多因素方法分析影响母婴分离产妇乳汁分泌的相关因素。结果单因素分析:自然分娩、产后2h内刺激乳头、24h挤奶次数的增加、挤奶时间10～30min、夜间挤奶1～3次、抑郁值(EPDS)<9分者,利于母婴分离产妇乳汁分泌,差异有显著意义(P均<0.05),而年龄、孕次、使用麻醉药物与乳汁分泌无显著相关(P>0.05)。多因素分析表明:各种因素对乳汁分泌的影响力大小排序依次为:产后2h内刺激乳头,分娩方式,24h挤奶次数,抑郁值(EPDS)(P<0.05)。结论早期进行乳头刺激或挤奶,增加挤奶次数,减轻母婴分离产妇产后焦虑抑郁,有助于产妇乳汁的早分泌与多分泌,促进母乳喂养及母婴身心健康。Abstract Objective To analyze the various factors that influence the parturient milk secretion, and to find out the best method of promoting milk secretion. Method 212 cases of parturient that hospitalized in Guangxi medical u- niversity Obstetrics department during July to December of 2012 was observed and recorded. The index including in- itial time of breast milk secretion, different time of breast milk secretion volume was analyzed in order to investigate the various factors that influence the parturient milk secretion and use the univariate, multivariate method to analyze the relationship between the parturient milk secretion and the influence factors. Result By single factors analysis, natural childbirth, stimulation of the nipples in postpartum 2h, the increase in the number of milking in 24h, mil- king time continued 10-30 rain, milking 1-3 times in night and depression value （EPDS）~9 were in favor of parturi- ent milk secretion, There was significant diffence（P^0.05）. Multivariate analysis showed that the influence factors on milk secretion size sort as follows： stimulation of the nipples in postpartum 2h, mode of delivery, 24h milking number, and depression value. Conclusion Stimulation of the nipples or milking in the early postpartum, milking number increasing and reducing the postpartum anxiety and depres^k~n of maternal separation women can contribute to milk secretion and early secretion and to promote the breastfeedin： nd the maternal and child＇s health.

关 键 词：母婴分离 乳汁分泌 影响因素 

分 类 号：R473.1[医药卫生—护理学]