促进母婴分离产妇泌乳干预模式的研究  

A study of intervention mode in promoting lactation of puerpera with maternal separation

作　　者：李雯馨[1] 罗琳雪[1] 黄凤形[1] 李成香[1] 陈丽芬[1] 凌燕兰[1] 

机构地区：[1]右江民族医学院附属医院,百色533000

出　　处：《右江医学》2016年第5期539-542,共4页Chinese Youjiang Medical Journal

基　　金：百色市科学研究与技术开发计划项目(百科计0908009)

摘　　要：目的促进母婴分离产妇泌乳的干预模式.方法选择2013年3月-2014年3月住院分娩后母婴分离的产妇 240例为研究对象,随机分为A 组、 B 组和C 组, A 组按传统的母婴分离常规护理, B 组给予超早期乳房护理干预, C 组用产 后康复治疗仪干预;干预后比较三组的泌乳始动时间,产后72 h 的血清泌乳素水平、泌乳量及乳房肿胀的发生率.结果 三组间泌乳始动时间比较有统计学意义（F=49.02,P〈0.001）,两两比较, B 组、 C 组的泌乳始动时间较A 组明显提前（P均〈 0.01）, B 组与C 组之间差异无统计学意义（P〉0.05）;三组间血清泌乳素水平比较差异有统计学意义（F=181.73,P〈0.001）, 两两比较, B 组、 C 组的血清泌乳素水平高于A 组（P均〈0.01）, B 组与C 组之间差异无统计学意义（P〉0.05）;三组间泌乳量比较有统计学意义（F=98.46,P〈0.001）,两两比较, B 组、 C 组的泌乳量多于A 组（P均〈0.01）, B 组与C 组之间差异无统计学意义（P〉0.05 ）;三组间乳房肿胀发生率比较有统计学意义（χ^2 = 8.233,ν=2,P=0.016）,两两比较, B 组、 C 组的乳房肿胀发生率远低于A 组（P均〈0.05）,而B 组与C 组差异不大（P〉0.05）.结论超早期乳房护理干预与产后康复治疗仪干预均可使泌乳始动提前,血清泌乳素水平提高,泌乳量增加,乳房胀痛减轻,提高母乳喂养成功率,两种方法均操作简单、无创,临床上可根据产妇的需要选择应用.Objective To study the intervention mode that promoting lactation in puerpern with maternal separation. Methods 240 puerpera with maternal separation after delivery from March,2013 to March,2014 were randomly divided into group A,group B,and group C with 80 cases in each.The group A were given traditional maternal separation routine nursing care,the group B were given ultra early breast care,and the group C were given postpartum rehabilitation instrument. And then,initial time of lactation,serum level of prolactin 72 h after delivery, lactation amount 72 h after delivery and the inci-dence of breast swelling 72 h after delivery in the 3 groups were compared after intery ention. Results Difference of the initial time of lactation of the 3 groups was statistically significant（ F = 49.02, P 〈0.001）.And the initial time of lactation in the group B and group C were evidently earlier than that of the group A （all P 〈0.01）, difference of the initial time of lactation in the group B and group C was not statistically significant（ P 〉0.05）.Difference of the serum levels of prolactin of the 3 groups was statistically significant（ F = 181.73, P 〈0.001）.And the serum levels of prolactin in the group B and the group C were evident-ly higher than that of the group A （all P 〈0.01）, difference of the serum levels of prolactin in the group B and group C was not statistically significant（P 〉0.05）.Difference of the lactation amount of the 3 groups was statistically significant（F =98.46, P 〈 0.001） .Lactation amount of the group B and group C was larger than that of the group A （all P 〈0.01） , difference of the lacta-tion amount in the group B and group C was not statistically significant（P 〉0.05） .Difference of the incidence of breast sw- ell- ing of the 3 groups was statistically significant（χ^2 = 8.233, ν = 2, P = 0.016�

关 键 词：母婴分离 泌乳 干预模式 

分 类 号：R473.71[医药卫生—护理学]