三种人工干预方法对产妇泌乳Ⅱ期的效果观察  

Effect Observation on Three Methods of Manual Intervention of Maternal Lactation Ⅱ Stage

作　　者：邓连方[1] 张小艳[1] 李庆梅[1] 黄秋杰[1] DENG Lianfang;ZHANG Xiaoyan;LI Qingmei;HUANG Qiujie(The First People’s Hospital of Qinzhou,Qinzhou 535000,China)

机构地区：[1]广西钦州市第一人民医院

出　　处：《中国医学创新》2019年第33期91-95,共5页Medical Innovation of China

基　　金：钦州市科学研究与技术开发计划项目(20156501)

摘　　要：目的:探讨三种人工干预方法对产妇泌乳Ⅱ期的效果。方法:选取2015年1月-2016年12月在本院分娩产妇200例,按照随机数字表法分为四组,对照组应用常规干预方式,研究1组应用康复治疗仪,研究2组应用穴位按摩,研究3组应用康复治疗仪+穴位按摩。观察比较四组产妇干预后的泌乳情况、泌乳始动时间及四组新生儿出生后1、3 d的体重变化情况。结果:研究1、2、3组的泌乳情况与对照组比较,差异有统计学意义(H=35.865,P=0.000);研究3组的母乳充足率均显著高于研究1组与研究2组,差异均有统计学意义(P<0.05)。对照组泌乳始动时间为(35.3±13.4)h,研究1组为(28.6±10.7)h,研究2组为(29.8±11.1)h,研究3组为(22.1±9.5)h,四组泌乳始动时间比较,差异有统计学意义(F=7.453,P<0.05);研究1、2、3组的泌乳始动时间均显著短于对照组,差异均有统计学意义(P<0.05);研究3组的泌乳始动时间均显著短于研究1组与研究2组,差异均有统计学意义(P<0.05)。出生后1、3 d,研究1、2、3组的新生儿体重下降率均显著低于对照组,差异均有统计学意义(P<0.05);出生后1、3 d,研究3组的新生儿体重下降率均显著低于研究1组与研究2组,差异均有统计学意义(P<0.05)。结论:应用康复治疗仪联合穴位按摩可显著缩短分娩后泌乳始动时间,改善泌乳情况,降低新生儿体重下降比率。Objective:To study the effect of three methods of manual intervention of maternal lactationⅡstage.Method:A total of 200 cases of parturient who gave birth in our hospital from January 2015 to December 2016 were selected and divided into four groups according to the random number table method.The control group was treated with conventional intervention,the study 1 group was treated with rehabilitation therapy apparatus,the study 2 group was treated with acupoint massage,and the study 3 group was treated with rehabilitation therapy apparatus+acupoint massage.The lactation condition and starting time of lactation after intervention,and the changes of the newborn’s body weight after 1 and 3 days after birth in the four groups were observed and compared.Result:The lactation of the 1,2,3 group and the control group was compared,the difference was statistically significant(H=35.865,P=0.000).The breast milk adequacy in study 3 group were significantly higher than those in study 1 group and study 2 group,the differences were statistically significant(P<0.05).The starting time of lactation in the control group was(32.5±13.4)h,the study 1 group was(28.6±10.7)h,in the study 2 group was(29.8±11.1)h,and in the study 3 group was(22.1±9.5)h,the lactation initiation time of study 1,2 and 3 group were significantly shorter than those of the control group,the differences were statistically significant(P<0.05).The lactation initiation time of study 3 group were significantly shorter than those of study 1,2 group,the differences were statistically significant(P<0.05).On day 1 and 3 after birth,the rate of neonatal weight loss in study 1,2 and 3 group were significantly lower than those in the control group,with statistically significant differences(P<0.05);on day 1 and 3 after birth,the rate of neonatal weight loss in the study 3 group were significantly lower than those in the study 1 and study 2 group,with statistically significant differences(P<0.05).Conclusion:The application of rehabilitation therapy apparatus combined w

关 键 词：产妇 泌乳情况 母乳喂养 泌乳始动时间 穴位按摩 康复治疗仪 

分 类 号：R47[医药卫生—护理学]