子午流注针法配合辨证取穴针刺治疗产后缺乳临床效果及安全性观察  

Observation on Clinical Effect and Safety of Meridional Flow Injection Combined with Syndrome Differentiation Acupuncture in Treatment of Postpartum Lactation

作　　者：刘曼芳 毕秀霞[1] 耿丹丹 贾小杰[1] LIU Manfang;BI Xiuxia;GENG Dandan;JIA Xiaojie(Shijiazhuang Fourth Hospital,Shijiazhuang 050000,Hebei,China)

机构地区：[1]石家庄市第四医院,河北石家庄050000

出　　处：《中华中医药学刊》2021年第6期245-248,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划(2019464)。

摘　　要：目的探究子午流注针法配合辨证取穴针刺治疗产后缺乳临床效果及安全性。方法研究合计纳入医院产妇60例产后缺乳产妇,均由医院2019年1月—2020年3月收治,采取随机数字表法将其分为两组,予以对照组产妇(30例)辨证取穴治疗,予以观察组患者(30例)子午流注针法配合辨证取穴针刺治疗,比较两组患者临床治疗效果、治疗前后中医症状(乳汁减少或全无、乳汁稀薄、乳房柔软无胀感、面色少华、倦怠乏力、食欲差)积分及治疗前后患者血清泌乳素含量变化、治疗前后患者乳房充盈度评分变化、治疗前后患者泌乳量变化、治疗前后新生儿饥饿程度评分变化、治疗副反应。结果观察组患者治疗总有效率96.67%(29/30)高于对照组患者73.33%(22/30)(P<0.05);治疗前,两组患者乳汁减少或全无、乳汁稀薄、乳房柔软无胀感、面色少华、倦怠乏力、食欲差、舌淡苔白脉细弱等中医症状积分、血清泌乳素含量、乳房充盈度评分、泌乳量比较,P>0.05,治疗后各组患者乳汁减少或全无、乳汁稀薄、乳房柔软无胀感、面色少华、倦怠乏力、食欲差、舌淡苔白脉细弱等中医症状积分、血清泌乳素含量、乳房充盈度评分、泌乳量等指标均改善,观察组患者治疗后乳汁减少或全无、乳汁稀薄、乳房柔软无胀感、面色少华、倦怠乏力、食欲差、舌淡苔白脉细弱等中医症状积分、血清泌乳素含量、乳房充盈度评分、泌乳量等指标均优于对照组(P<0.05);治疗前,两组新生儿饥饿程度评分比较,P>0.05,治疗后各组新生儿饥饿程度评分均改善,观察组新生儿治疗后饥饿程度评分均优于对照组,P<0.05;观察组与对照组患者治疗过程中均未见不良反应(0.00%)(P>0.05)。结论子午流注针法配合辨证取穴针刺治疗产后缺乳临床效果显著,患者乳房充盈情况改善,泌乳量增加,症状改善,恢复好,新生儿饥饿程度降低,未见�Objective To explore the clinical effect and safety of meridional flow injection combined with syndrome differentiation acupuncture in the treatment of postpartum lactation. Methods A total of 60 puerpera with postpartum lacteal shortage in our hospital were included in the study. All puerperas were admitted to our hospital from January 2019 to March 2020. They were divided into two groups by the random number table method. Two groups’ clinical therapeutic effect of traditional Chinese medicine(TCM), symptoms score and serum prolactin content changes of the patients, breast filling degree score changes, mammary volume changes, neonatal hunger score changes before and after treatment and side effects were compared. Results The total effective rate of treatment in the observation group(96.67%,29/30) was higher than that in the control group(73.33%,22/30)(P<0.05). Before treatment, two groups’ TCM symptoms scores were not significant(P>0.05). After treatment, TCM symptoms scores, serum prolactin levels, breast filling rating and lactation quantity indicators were improved. After treatment, the observation group’s TCM symptoms scores, serum prolactin content, breast filling degree, milk quantity and other indicators were all better than those in the control group(P<0.05). Before treatment, the neonatal hunger score of the two groups was not significant(P>0.05), and the neonatal hunger score of each group was improved after treatment. The neonatal hunger score of the observation group was better than that of the control group after treatment(P<0.05). No adverse reactions(0.00%) were observed during treatment in both the observation group and the control group(P>0.05).Conclusion The clinical effect of the treatment of postpartum lactation with meridional flow injection combined with syndrome differentiation acupuncture is remarkable. The breast filling condition of the patients is improved. The lactation quantity is increased and symptoms are improved. The recovery is good and the degree of neonatal hunger is red

关 键 词：产后缺乳 辨证取穴针刺 子午流注针法 临床效果 泌乳量 不良反应 

分 类 号：R245.31[医药卫生—针灸推拿学] R271.43[医药卫生—中医临床基础]