王不留行联合按摩对剖宫产产妇母乳喂养及泌乳功能的影响  

Effect of Wangbuliuxing combined with massage on breastfeeding and lactation function in cesarean section women

作　　者：陈香军[1] 黄楠[1] 詹进来 孟柠[2] 冷贵兰[3] 吴旭阳 沈辉辉 郑克 CHEN Xiang-jun;HUANG Nan;ZHAN Jin-lai;MENG Ning;LENG Gui-lan;WU Xu-yang;SHEN Hui-hui;ZHENG Ke(Department of Obstetrics,Affiliated Hospital of Hangzhou Normal University,Hangzhou 310000,Zhejiang Province,China;Department of Surgery of Thyroid and Breast Gland,Affiliated Hospital of Hangzhou Normal University,Hangzhou 310000,Zhejiang Province,China;Department of TCM,Affiliated Hospital of Hangzhou Normal University,Hangzhou 310000,Zhejiang Province,China;Department of Rehabilitation Therapy,Affiliated Hospital of Hangzhou Normal University,Hangzhou 310000,Zhejiang Province,China;Graduate School of Hangzhou Normal University)

机构地区：[1]杭州师范大学附属医院产科,浙江杭州310000 [2]杭州师范大学附属医院甲乳外科,浙江杭州310000 [3]杭州师范大学附属医院中医科,浙江杭州310000 [4]杭州师范大学附属医院康复治疗科,浙江杭州310000 [5]杭州师范大学研究生院

出　　处：《中国针灸》2021年第12期1343-1346,共4页Chinese Acupuncture & Moxibustion

基　　金：杭州市科学技术委员会项目:20191203B100;浙江省医药卫生科技计划项目:2019KY498。

摘　　要：目的:探讨王不留行联合乳房、穴位按摩对剖宫产产妇母乳喂养及泌乳功能的影响。方法:将120例剖宫产产妇随机分为观察组和对照组,每组60例。对照组给予常规西医护理。在对照组的基础上,观察组给予王不留行汤剂口服,每日2次,连服7 d;配合穴位(中府、云门、膻中等,每个穴位每次2 min)及乳房按摩,每日2次,共7 d。比较两组产妇泌乳始动时间、产后48 h泌乳量及乳房胀痛情况、产后42 d母乳喂养情况,检测产后48、72 h血清泌乳素水平,记录出生及产后42 d新生儿体质量。结果:观察组泌乳始动时间早于对照组(P<0.05),产后48 h泌乳量高于对照组(P<0.05),产后48 h乳房胀痛轻于对照组(P<0.05);产后42 d,观察组母乳喂养成功率为91.7%(55/60),高于对照组的76.7%(46/60,P<0.05);产后48、72 h,观察组血清泌乳素水平均高于对照组(P<0.05);产后42 d,两组新生儿体质量高于出生时(P<0.05),且观察组高于对照组(P<0.05)。结论:王不留行联合穴位及乳房按摩可明显缩短剖宫产产妇泌乳始动时间,提高泌乳量,且能有效改善乳房胀痛,提高母乳喂养率,促进新生儿生长发育。Objective To explore the effect of Wangbuliuxing(semen vaccariae)combined with massage at breast and acupoint on breastfeeding and lactation function in cesarean section women.Methods A total of 120 cases of cesarean section women were randomly divided into an observation group and a control group,60 cases in each group.The control group was treated with routine nursing.On the basis of the control group,the observation group was treated with oral administration of Wangbuliuxing decoction,twice a day for 7 days;in addition,massage at breast and acupoint(Zhongfu[LU 1],Yunmen[LU 2],Danzhong[CV 17],2 min per acupoint per time)was given,twice a day for 7 days.The onset time of lactation,48-hour postpartum lactation volume,breast swelling and pain,42-day postpartum breastfeeding were compared between the two groups;the serum levels of prolactin at 48 and 72 h after delivery were measured,and the body mass of newborns at birth and 42 d after delivery were recorded.Results The onset time of lactation in the observation group was earlier than that in the control group(P<0.05),the 48-hour postpartum lactation volume was higher than the control group(P<0.05),and the breast swelling pain 48 h after delivery was lighter than the control group(P<0.05).Forty-two days after delivery,the success rate of breastfeeding in the observation group was 91.7%(55/60),which was higher than 76.7%(46/60)in the control group(P<0.05).At 48 and 72 h after delivery,the level of serum prolactin in the observation group was higher than that in the control group(P<0.05).On 42 d after delivery,the body mass of newborns in the two groups was higher than that at birth(P<0.05),and that in the observation group was higher than the control group(P<0.05).Conclusion Wangbuliuxing combined with massage at acupoint and breast could significantly shorten the onset time of lactation,improve the lactation volume,effectively improve breast swelling and pain,increase breastfeeding rate and promote the growth and development of newborns.

关 键 词：剖宫产 王不留行 穴位按摩 母乳喂养 泌乳功能 

分 类 号：R246.3[医药卫生—针灸推拿学]