穴位贴敷联合益母生新汤对剖宫产术后气虚血瘀证产妇早期泌乳的影响  

Effects of Acupoint Application Combined with Benefiting-mother Generating-new Decoction on Early Lactation of Patients of Qi Deficiency and Blood Stasis Pattern after Cesarean Section

作　　者：王晓玲 严燕 张文卿 余小琴 WANG Xiaoing;YAN Yan;ZHANG Wenqing;YU Xiaoqin(Lu'an Hospital of Traditional Chinese Medicine of Anhui Province,Lu'an 237006,China;North Anhui Health Vocational College,Subei 234000,China)

机构地区：[1]六安市中医院,安徽六安237006 [2]皖北卫生职业学院,安徽宿北234000

出　　处：《西部中医药》2024年第12期147-149,共3页Western Journal of Traditional Chinese Medicine

基　　金：安徽省教育厅自然科学研究重点项目(KJ2021A1568)。

摘　　要：目的:探讨穴位贴敷联合益母生新汤内服对剖宫产术后早期气虚血瘀证产妇泌乳的影响。方法:选取行剖宫产分娩的初产妇100例,按随机数字表法分成对照组与治疗组,各50例。两组术后均予常规护理措施,对照组予益母生新汤内服,治疗组在对照组基础上予穴位贴敷。两组均连续干预7天。比较两组患者术后泌乳情况、术后5天纯母乳喂养率及血清催乳激素(prolactin,PRL)水平。结果:术后治疗组开奶时间、泌乳始动时间早于对照组,初乳后24 h哺乳次数多于对照组(P<0.05);术后5天,治疗组纯母乳喂养率[80.00%(40/50)]高于对照组[58.00%(29/50)](P<0.05);术后7天,两组产妇血清PRL水平均升高,且治疗组升高程度更明显(P<0.05)。结论:穴位贴敷联合益母生新汤对剖宫产术后早期气虚血瘀证产妇泌乳的效果明显,且能有效提高血清PRL表达水平。Objective:To discuss the effects of acupoint application combined with oral administration of benefiting-mother generating-new decoction(Yimu Shengxin Tang)on the lactation of patients of Qi deficiency and blood stasis pattern after cesarean section(CS).Methods:A total of 100 primiparae undergoing CS were chosen,and divided into the control group and the treatment group according to random number table method,50 cases in each group.Both groups were given conventional nursing measures after the operation,and the control group took the decoction,and the treatment group accepted acupoint application on the foundation of the decoction.Both groups were intervened for seven days consecutively.To compare postoperative lactation,exclusive breastfeeding rate in five days after birth and the levels of PRL between the two groups.Results:After the surgery,the treatment group was earlier than the control group in breastfeeding time and time for the onset of lactation,more than the control group in the number of breastfeedings within 24 hours after colostrum(P<0.05);exclusive breastfeeding rate of the treatment group was[80.00%(40/50)],higher than[58.00%(29/50)]of the control group in five days after the delivery(P<0.05);The levels of PRL increased in the two groups in seven days after the treatment,and the increase of the treatment group was more noticeable(P<0.05).Conclusion:Acupoint application combined with oral administration of benefiting-mother generating-new decoction could obtain apparent effects on lactation in patients of Qi deficiency and blood stasis pattern after CS,and it could effectively raise the expressions of serum PRL.

关 键 词：剖宫产 穴位贴敷 益母生新汤 气虚血瘀证 泌乳 

分 类 号：R271.4[医药卫生—中医妇科学]