疏松式乳房按摩在剖宫产术后预防乳房肿胀及促进泌乳的临床研究  

Clinical research on loose breast massage on prevention of breast swelling and promotion of lactation after cesarean section

作　　者：谭茵 刘伟武[1] 李春艺[1] 林树坤 谢萍[1] 黎菲 朱睿颖 TAN Yin;LIU Weiwu;LI Chunyi;LIN Shukun;XIE Ping;LI Fei;ZHU Ruiying(Department of Obstetrics,Yulin Maternal and Child Health Hospital,Yulin 537000,Guangxi,China)

机构地区：[1]广西玉林市妇幼保健院产科,广西玉林537000

出　　处：《右江医学》2021年第5期349-352,共4页Chinese Youjiang Medical Journal

基　　金：玉林市科学研究与技术开发计划项目(玉市科20202913)。

摘　　要：目的探讨疏松式乳房按摩对剖宫产术后乳房肿胀及促进泌乳的治疗效果。方法选取2020年1月1日~12月31日剖宫产术分娩的足月单胎初产妇400例,按照随机数表分为对照组和观察组各200例。对照组产妇给予常规护理,观察组产妇在常规护理基础上结合疏松式乳房按摩,对比两组产妇的乳房肿胀情况、泌乳情况和产后第三天血清泌乳素(PRL)、雌二醇(E 2)水平。结果观察组分娩后乳房肿胀疼痛情况较对照组明显减轻(P<0.01)。观察组分娩后泌乳情况优于对照组(P<0.01)。产后3 d,观察组血清PRL水平与对照组比较显著提高(P<0.01),而E 2水平较对照组明显降低(P<0.01)。结论通过对产妇进行疏松式乳房按摩护理,能够促进母乳分泌,减轻和缓解乳房肿胀,提高血清PRL水平,降低血清E 2水平,改善和促进产后泌乳,取得了较好的临床效果,值得推广应用。Objective To explore the therapeutic effect of loose breast massage on prevention of breast swelling and promotion of lactation after cesarean section.Methods A total of 400 full-term single primipara who gave birth by cesarean section in our hospital from January 1 to December 31,2020 were selected and divided into control group and observation group according to random number table,with 200 cases in each group.The control group were given routine nursing,and the observation group were given loose breast massage on the basis of routine nursing.And then,breast swelling,lactation as well as serum prolactin(PRL)and estradiol(E 2)levels on the third day after delivery were compared between the two groups.Results Breast swelling and pain in the observation group were significantly alleviated than those in the control group after delivery(P<0.01).The lactation of the observation group was better than that in the control group(P<0.01).3 days after delivery,the serum PRL level in the observation group was significantly higher than that in the control group(P<0.01),while the E 2 level was significantly lower than that in the control group(P<0.01).Conclusion Loose breast massage nursing for pregnant women can promote breast milk secretion,alleviate breast swelling and pain,increase serum PRL levels,reduce serum E 2 levels,and improve lactation,which has achieved good clinical effects,and thus is worth popularizing and applying.

关 键 词：疏松式乳房按摩 剖宫产术 乳房肿胀 泌乳 

分 类 号：R473.71[医药卫生—护理学]