中医辨证护理联合中药督脉熏蒸对产后缺乳产妇泌乳能力的影响  

Effect of traditional Chinese medicine syndrome differentiation nursing combined with traditional Chinese medicine governor vessel fumigation on lactation ability of postpartum hypogalactia parturients

作　　者：候小燕 钟林 HOU Xiaoyan;ZHONG Lin(Department of Postpartum Rehabilitation,Maternity&Child Care Center of Xinyu,Xinyu,Jiangxi 330800,China)

机构地区：[1]新余市妇幼保健院产后康复科,江西新余330800

出　　处：《现代医药卫生》2024年第23期4052-4055,4060,共5页Journal of Modern Medicine & Health

基　　金：江西省新余市科技局科技计划项目(20223090975)。

摘　　要：目的探讨中医辨证护理联合中药督脉熏蒸对产后缺乳产妇泌乳能力的影响。方法选取2021年4月至2022年4月于该院分娩的84例产后缺乳产妇,按随机数字表法分为对照组和观察组,各42例。对照组产妇给予常规护理,观察组产妇行中医辨证护理联合中药督脉熏蒸,连续干预1周。比较2组产妇泌乳能力、泌乳素水平、中医证候评分、心理状态。结果观察组产妇泌乳始动时间[(20.31±2.05)h]短于对照组[(23.69±2.47)h],产后48 h泌乳量[(42.36±4.17)mL]多于对照组[(30.45±3.88)mL],纯母乳喂养率[92.86%(39/42)]高于对照组[76.19%(32/42)],差异均有统计学意义(P<0.05);干预前,2组产妇泌乳素水平与各项中医证候评分及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异均无统计学意义(P>0.05);干预后,观察组产妇泌乳素水平[(283.65±20.59)ng/mL]高于对照组[(257.84±19.43)ng/mL],各项中医证候、SAS、SDA评分均低于对照组,差异均有统计学意义(P<0.05)。结论中医辨证护理联合中药督脉熏蒸可促进产后缺乳产妇乳汁分泌,提高纯母乳喂养率,减轻其各项临床症状,改善心理状态,临床应用价值较高。Objective To explore the effect of traditional Chinese medicine syndrome differentiation nursing combined with traditional Chinese medicine governor vessel fumigation on lactation ability of postpartum hypogalactia parturients.Methods A total of 84 parturients with postpartum hypogalactia who gave birth in our hospital from April 2021 to April 2022 were selected and divided into control group and observation group according to the random number table method,with 42 cases in each group.The control group was given routine nursing,while the observation group was given traditional Chinese medicine syndrome differentiation nursing combined with traditional Chinese medicine governor vessel fumigation for one week.The lactation ability,prolactin level,traditional Chinese medicine syndrome score and psychological state of the two groups were compared.Results The initial time of lactation in the observation group[(20.31±2.05)h]was shorter than that in the control group[(23.69±2.47)h],the lactation volume at 48 h postpartum[(42.36±4.17)mL]was more than that in the control group[(30.45±3.88)mL],and the exclusive breastfeeding rate[92.86%(39/42)]was higher than that in the control group[76.19%(32/42)],the differences were statistically significant(P<0.05).Before intervention,there was no significant difference being found in the comparison of the prolactin level and the scores of TCM syndromes,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05).After intervention,the prolactin level of the observation group[(283.65±20.59)ng/mL]was higher than that of the control group[(257.84±19.43)ng/mL],and the scores of TCM syndromes,SAS and SDA were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine syndrome differentiation nursing combined with traditional Chinese medicine governor vessel fumigation can promote the milk secretion in postpartum hypogalactia women,improve the rate of exclusive breastfeeding

关 键 词：产后缺乳 中医辨证护理 中药督脉熏蒸 泌乳能力 泌乳素 

分 类 号：R473.71[医药卫生—护理学]