中药熏蒸联合穴位按摩对产后乳汁分泌不足患者泌乳量的影响  

Influence of Herbal Fumigation and Acupoint Massage on Lactation Volume in Patients with Postpartum Milk Secretion Deficiency

作　　者：任文倩 REN Wenqian(Beijing Daxing District People′s Hospital,Beijing 102600,China)

机构地区：[1]北京市大兴区人民医院,北京102600

出　　处：《西部中医药》2024年第7期158-160,共3页Western Journal of Traditional Chinese Medicine

基　　金：北京市自然科学基金项目(6202142)。

摘　　要：目的:观察中药熏蒸联合穴位按摩对产后乳汁分泌不足患者泌乳量的影响。方法:选取剖宫产术后乳汁分泌不足患者88例,随机分为对照组、观察组,每组44例。两组均给予常规健康宣教和母乳喂养指导,观察组同时给予中药熏蒸联合穴位按摩,两组连续干预7天;比较两组临床疗效、乳汁量、血清泌乳素水平、症状评分。结果:观察组总有效率为97.73%(43/44),高于对照组的81.82%(36/44)(P<0.05);两组乳汁量增加(P<0.05),血清催乳素水平升高(P<0.05),且组间比较差异明显(P<0.05);治疗后两组中医证候评分降低(P<0.05),且观察组低于对照组(P<0.05)。结论:在常规干预的基础上,采用中药熏蒸联合穴位按摩护理,能提高剖宫产术后乳汁分泌不足患者泌乳量和血清催乳素水平,减轻临床症状。Objective:To observe the influence of herbal fumigation combined with acupoint massage on lactation volume in patients with postpartum milk secretion deficiency.Methods:A total of 88 patients suffering postpartum milk secretion deficiency were chosen after the surgery of caesarean section(CS),and randomized into the control group and the observation group,44 cases in each group.Both groups accepted conventional health education and breastfeeding guidance,the observation group was given herbal fumigation and acupoint massage,and both groups were intervened for seven days consecutively.To compare lactation volume,the levels of serum prolactin(PRL),syndrome scores and clinical effects between both groups.Results:Total effective rate of the observation group was 97.73%(43/44),higher than 81.82%(36/44) of the control group(P<0.05).The lactation volume increased in both groups(P<0.05),the levels of serum PRL rose(P<0.05),and the difference was significant between the(P<0.05);after the treatment,syndrome scores of both groups reduced(P<0.05),and the observa-tion group was lower than the control group(P<0.05).Conclusion:On the foundation of routine intervention,herbal fumigation joined with acupoint massage could increase lactation volume and raise the levels of serum PRL in patients with milk secretion deficiency after caesarean section,and relieve clinical symptoms.

关 键 词：泌乳不足 中药熏蒸 穴位按摩 剖宫产 血清催乳素 泌乳量 

分 类 号：R271.43[医药卫生—中医妇科学]