乳房手法按摩结合耳穴贴压促进泌乳的效果观察  

Observation on the effect of breast massage combined with ear acupoint pressing to promote lactation

作　　者：麦燕玲[1] MAI Yan-ling(Department of Obstetrics and Gynecology,Foshan Gaoming District People′s Hospital,Guangdong Province,Foshan 528500,China)

机构地区：[1]广东省佛山市高明区人民医院妇产科,广东佛山528500

出　　处：《中国当代医药》2021年第13期259-262,共4页China Modern Medicine

基　　金：广东省佛山市科技创新项目(1920001001806)。

摘　　要：目的探讨乳房手法按摩结合耳穴贴压促进泌乳的效果。方法选取2019年1~8月广东省佛山市高明区人民医院收治的359例产妇作为研究对象,根据纳入顺序奇偶数将其分为观察组(180例)和对照组(179例)。观察组用乳房手法按摩及耳穴贴压促进泌乳的护理方法,对照组采用常规分娩后护理措施。比较两组的泌乳始动时间、产后48 h泌乳量、产后第4天的泌乳效果及乳房肿胀情况,分析两种护理方法对产妇泌乳的效果。结果观察组的分娩泌乳始动时间短于对照组,差异有统计学意义(P<0.05);观察组的产后48 h泌乳量高于对照组,差异有统计学意义(P<0.05);观察组的产后第4天泌乳效果优于对照组,差异有统计学意义(P<0.05);观察组的乳房肿胀程度低于对照组,差异有统计学意义(P<0.05)。结论分娩后早期实施乳房按摩联合耳穴贴压能缩短产妇的泌乳时间,增加泌乳量及改善泌乳效果,并能有效防范产妇乳房肿胀发生,值得临床推广。Objective To explore the effect of breast massage combined with ear acupoint pressing to promote lactation.Methods A total of 359 parturients admitted to Foshan Gaoming District People′s Hospital from January to August 2019 were selected as the research objects.According to the odd and eveen number of inclusion order they were divided into the observation group(180 cases)and the control group(179 cases).The observation group used breast massage and ear acupoint pressing to promote lactation.The control group adopted routine post-delivery nursing measures.The lactation initiation time,48 h lactation volume,lactation effect on the 4th day after delivery,and the incidence of breast swelling in the two groups were compared.The effects of the two nursing methods on the lactation effect of the mother were compared.Results The lactation initiation time after delivery of the observation group was shorter than that of the control group,the difference was statistically significant(P<0.05).The 24-hour lactation volume of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The breast swelling rate of the parturients in the observation group was lower than that of the control group on the 4th day after delivery,the difference was statistically significant(P<0.05).The breast swelling degree of the parturients in the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Early breast massage combined with ear acupoint pressing after childbirth can shorten the lactation time,increase lactation and improve the effect of lactation,and can effectively prevent the incidence of maternal breast swelling,which is worthy of promotion.

关 键 词：乳房手法按摩 乳房胀痛 泌乳量 耳穴贴压 

分 类 号：R248.3[医药卫生—中医临床基础]