六步奶结疏通法对产后急性乳腺炎预防及母乳喂养的影响  

Effect of Six-Step Milk Knot Dredging Method on Prevention of Postpartum Acute Mastitis and Breastfeeding

作　　者：孙桂芳 叶琼花 徐娟 张晓磊 赵春英[2] 程洁 Sun Gui-fang;Ye Qiong-hua;Xu Juan;Zhang Xiao-lei;Zhao Chun-ying;Cheng Jie(Maqiao Community Health Service Center of Minhang District of Shanghai,Shanghai 201111,China;Department of Breast Surgery,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海市闵行区马桥社区卫生服务中心,上海201111 [2]上海中医药大学附属曙光医院乳腺外科,上海201203

出　　处：《中国社区医师》2022年第1期84-86,共3页Chinese Community Doctors

基　　金：上海市闵行区科委课题(编号2019MHZ080);上海市闵行区卫健委课题(编号:2018MW46);上海市闵行区中医专家社区师带徒项目(2019MW1S015);上海市闵行区一社区一学科建设项目(mwsqxk12)。

摘　　要：目的:探究六步奶结疏通法对产后急性乳腺炎发生率、产妇母乳喂养及情绪状态的影响。方法:前瞻性选取2020年1-12月社区产妇203例,随机分为两组。对照组仅于发生乳汁淤积或急性乳腺炎时给予金黄膏外敷,并内服中药疏通乳腺;观察组于产后3 d开始疏通乳腺,隔天1次,持续1周,之后每个月予以六步奶结疏通法疏通乳腺1次,发生乳汁淤积时给予金黄膏外敷加内服中药,并予六步奶结疏通法疏通乳腺,1次/d,连续3 d。比较两组产后4个月内急性乳腺炎发生率、急性乳腺炎治疗效果、母乳喂养成功率及产妇情绪状态。结果:观察组急性乳腺炎发生率低于对照组,差异有统计学意义(P<0.05);观察组急性乳腺炎治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组产后4个月母乳喂养成功率显著高于对照组,差异有统计学意义(P<0.05);观察组焦虑自评表评分与抑郁自评量表评分均显著低于对照组,差异有统计学意义(P<0.05)。结论:六步奶结疏通法有助于降低产后急性乳腺炎发生率,提高母乳喂养率,减轻负性情绪。Objective:To explore the effects of six-step milk knot dredging method on the incidence of postpartum acute mastitis,breastfeeding and emotional state of the parturient.Methods:From January to December in 2020,203 cases of parturients were prospectively selected from the community,they were randomly divided into the two groups.In the control group,Jinhuang ointment was applied externally only when milk deposition or acute mastitis occurred,and traditional Chinese medicine was taken orally to dredge the mammary gland.The observation group began to dredge the mammary gland on the 3rd day after delivery,once every other day for 1 week,and then six-step milk knot dredging method was given to dredge the mammary gland once a month.In case of milk deposition,Jinhuang ointment was applied externally and oral traditional Chinese medicine was taken,and six-step milk knot dredging method was given to dredge the mammary gland once a day for 3 days.The incidence of acute mastitis,the therapeutic effect of acute mastitis,the success rate of breastfeeding and the emotional state of the parturient in the two groups within postpartum 4 months were compared.Results:The incidence of acute mastitis in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The total effective rate of acute mastitis in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The success rate of breastfeeding in the observation group at postpartum 4 months was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The scores of self-rating anxiety scale and self-rating depression scale in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:The six-step milk knot dredging method can help reduce the incidence of postpartum acute mastitis,increase breastfeeding rate,and alleviate negative emotions.

关 键 词：六步奶结疏通法 急性乳腺炎 母乳喂养 情绪状态 

分 类 号：R473.71[医药卫生—护理学]