产后生理性乳胀的乳腺按摩标准化规程的创建和应用  

Establishment and application of standard procedures of breast massage for postpartum physiological breast distention

作　　者：顾娟芬 虞志艳 范健[1] GU Juanfen;YU Zhiyan;FAN Jian(Postpartum Rehabilitation Center,Wuxi Branch of Zhongda Hospital Affiliated to Southeast University,Wuxi,Jiangsu,214105)

机构地区：[1]东南大学附属中大医院无锡分院产后康复中心,江苏无锡214105

出　　处：《实用临床医药杂志》2020年第4期81-83,86,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省无锡市卫计委妇幼健康适宜技术推广项目(FYTG201807)。

摘　　要：目的创建和应用产后生理性乳胀的按摩标准化规程。方法选取2017年1—12月住院的自然分娩后发生生理性乳胀产妇100例作为对照组,2018年1—12月住院的自然分娩后发生生理性乳胀产妇100例作为实验组。对照组给予临床护理乳腺按摩师各自习惯手法和方案治疗。实验组创建和应用按摩标准化规程。比较2组患者相关指标。结果治疗后,实验组乳房胀痛评分评估情况显著优于对照组(P<0.05)。实验组胀痛持续时间较短者比例显著高于对照组(P<0.05)。实验组总有效率63.0%,显著高于对照组41.0%(P<0.05)。2组治疗1周后母乳喂养率比较无显著差异(P>0.05)。实验组总满意率显著高于对照组(P<0.05),2组不良事件发生率无显著差异(P>0.05)。结论产后生理性乳胀的按摩标准化规程能有效规范临床乳腺按摩的操作过程,提高疗效,保证按摩护理质量。Objective To establish and use the standard procedure of breast massage for postpartum physiological breast distention.Methods A total of 100 puerperas with physiological breast distention after natural childbirth from January to December 2017 were selected as control group,and 100 puerperas with physiological breast distention after natural childbirth from January to December 2018 were selected as experimental group.In the control group,the patients were treated with nursing based on clinical breast massagists′own habitual manipulations and treatment plans.The experimental group was treated with standard massage procedures.The relative indexes were compared between the two groups.Results After treatment,the evaluation of breast pain score in the experimental group was significantly better than that in the control group(P<0.05).The proportion of patients with short duration of pain in experimental group was significantly higher than that in control group(P<0.05).The total effective rate of the experimental group was 63.0%,which was significantly higher than 41.0%of the control group(P<0.05).There was no significant difference in breast-feeding rate between the two groups after one week of treatment(P>0.05).The total satisfaction degree of the experimental group was significantly higher than that of the control group(P<0.05),and there was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion The standard procedures of breast massage for postpartum physiological breast distention can effectively regulate the operation process of clinical breast massage,improve the curative effect and ensure the quality of massage and nursing.

关 键 词：生理性乳胀 乳腺按摩 标准化规程 母乳喂养率 胀痛 持续时间 

分 类 号：R339.2[医药卫生—人体生理学]