缩宫素对新生儿哺乳行为表达及母乳喂养的影响  

Effects of oxytocin on neonatal lactation behavior expression and breastfeeding

作　　者：周云 张效艳 胥阳 崔敏[3] 王爱华[1] 张媛媛[1] 刘文文 Zhou Yun;Zhang Xiaoyan;Xu Yang;Cui Min;Wang Aihua;Zhang Yuanyuan;Liu Wenwen(Nursing College of Weifang Medical University,Weifang 261053,China;Delivery Room,Affiliated Hospital of Weifang Medical College,Weifang 261035,China;Department of Rheumatology and Immunology,Affiliated Hospital of Weifang Medical College,Weifang 261035,China)

机构地区：[1]潍坊医学院护理学院,潍坊261053 [2]潍坊医学院附属医院产房,潍坊261035 [3]潍坊医学院附属医院免疫风湿科,潍坊261035

出　　处：《中国实用护理杂志》2022年第19期1453-1458,共6页Chinese Journal of Practical Nursing

基　　金：潍坊市科学技术发展计划(2018YX029);2019年第二批产学合作协同育人项目(201902104007)。

摘　　要：目的探讨缩宫素对新生儿哺乳行为表达及母乳喂养的影响。方法选取2021年2—5月在潍坊医学院附属医院产房自然分娩的71对产妇及新生儿为研究对象,根据是否缩宫素引产分为缩宫素组和对照组,采用Widstr?m的9个阶段观察记录新生儿行为动作,并在生后72 h、3个月随访母乳喂养情况。结果最终纳入2组各35对。缩宫素组新生儿抬头或转头、手放入口中、身体向乳头移动、嘴唇接触乳晕、舔乳头、含乳头、有效吸吮的出现时间分别为(18.2±5.4)、(27.8±8.3)、(31.0±10.1)、(44.3±14.5)、(47.2±15.6)、(49.4±16.3)、(48.3±13.6)min,明显晚于对照组的(15.3±5.3)、(21.0±8.1)、(24.3±9.0)、(34.0±11.4)、(37.2±11.9)、(38.6±11.8)、(39.6±8.7)min,差异有统计学意义(t值为-3.35~-2.17,均P<0.05);缩宫素组新生儿觉醒、活动、爬行、熟悉阶段的持续时间分别为(6.9±3.2)、(18.9±9.3)、(13.6±7.9)、(9.2±5.1)min,明显长于对照组的(5.1±2.8)、(12.3±7.1)、(10.3±5.3)、(6.7±4.3)min,吸吮阶段的持续时间为(35.1±7.2)min,明显短于对照组的(39.6±7.1)min,差异有统计学意义(t值为-3.25~2.28,均P<0.05)。缩宫素组生后24、48、72 h的纯母乳喂养次数分别为(2.8±3.1)、(4.5±3.3)、(6.9±3.0)次,低于对照组的(7.6±3.6)、(8.9±2.7)、(10.3±2.0)次,差异有统计学意义(t值为6.05、6.11、5.48,均P<0.05)。缩宫素组生后3个月纯母乳喂养率为77.1%(27/35),低于对照组的82.9%(29/35),差异有统计学意义(χ^(2)=0.36,P<0.05)。结论产时应用缩宫素可能影响新生儿哺乳行为表达,对母乳喂养产生负面影响。Objective To investigate the effect of oxytocin on neonatal instinctive behavior expression and breast-feeding.Methods A total of 71 pairs of parturient women and their newborns who delivered in the delivery room of the Affiliated Hospital of Weifang Medical College from February to May 2021 were selected.According to whether oxytocin induced labor,they were divided into the oxytocin group and the control group.Widström nine stages was used to observe and record neonatal behavior.Breastfeeding was followed up 3 days and 3 months after delivery.Results Totally 35 pairs in each group were included.In the oxytocin group,the occurrence time of neonatal head or head turning,hand in mouth,body moving to nipple,lips touching areola,licking nipple,nipple and effective sucking were(18.2±5.4),(27.8±8.3),(31.0±10.1),(44.3±14.5),(47.2±15.6),(49.4±16.3),(48.3±13.6)min,which were significantly later than those in the control group(15.3±5.3),(21.0±8.1),(24.3±9.0),(34.0±11.4),(37.2±11.9),(38.6±11.8),(39.6±8.7)min.The difference was statistically significant(t values ranged from-3.10 to-2.17,P<0.05).The duration of neonatal awakening,activity,crawling and familiarity in the oxytocin group were(6.9±3.2),(18.9±9.3),(13.6±7.9),(9.2±5.1)min,which were significantly longer than those in the control group(5.1±2.8),(12.3±7.1),(10.3±5.3),(6.7±4.3)min;sucking stage duration in the oxytocin group was(35.1±7.2)min,which was significantly shorter than that in the control group(39.6±7.1)min;all the differences were statistically significant(t values ranged from-3.25 to 2.28,P<0.05).The times of exclusive breast-feeding in the oxytocin group were(2.8±3.1),(4.5±3.3),(6.9±3.0)at 24,48 and 72 h postnatal,and the exclusive breastfeeding rate at 3 months after birth was 77.1%(27/35),which were significantly lower than those(7.6±3.6),(8.9±2.7),(10.3±2.0)and 82.9%(29/35)in the control group,the differences were statistically significant(t=6.05,6.11,5.48,χ^(2)=0.36,P<0.05).Conclusions The use of oxytocin during labor ma

关 键 词：母乳喂养 喂奶 新生儿 缩宫素 哺乳 皮肤接触 

分 类 号：R174.4[医药卫生—妇幼卫生保健]