电刺激疗法辅助干预对剖宫产产妇术后促泌乳及母乳喂养的影响  

Effects of the electrical stimulation auxiliary therapy of the routine lactation intervention of women after cesarean section on their lactation and breastfeeding

作　　者：李盼盼 邢燕燕 LI Panpan;XING Yanyan(Fuyang Women's and Children's Hospital,Fuyang,Anhui Province,236000)

机构地区：[1]安徽省阜阳市妇女儿童医院,236000

出　　处：《中国计划生育学杂志》2025年第1期116-120,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨神经肌肉电刺激(NMES)联合常规促乳干预对剖宫产产妇术后促泌乳效果。方法:纳入2022年1月-2023年12月于本院行剖宫产产妇110例随机分为对照组与观察组各55例,两组均术后予以乳房按摩、耳穴压豆干预,观察组辅以NMES干预,两组连续干预3d。对比两组产后泌乳始动时间、产后48h泌乳量,评估产后48h乳房胀痛程度,测定产后24h、48h、72h对产妇血清泌乳素水平,比较两组产后3d母乳喂养评分和产后42d纯母乳喂养率。结果:观察组泌乳始动时间(25.54±6.12h)早于对照组(32.43±5.87h),产后48h泌乳量多的占比(52.7%)高于对照组(38.2%),产后48h乳房胀痛程度轻于对照组(均P<0.05)。两组产后24h血清泌乳素水平无差异(P>0.05),产后48h、72h血清泌乳素水平观察组(322.57±36.23ng/ml、372.54±41.31ng/ml)均高于对照组(285.49±30.29ng/ml、341.37±38.32ng/ml),产后3d母乳喂养评分(8.11±0.74分)高于对照组(7.32±0.87分),产后42d纯母乳喂养率(67.3%)高于对照组(45.5%)(均P<0.05)。结论:按摩、耳穴压豆基础上联用NMES对剖宫产产妇产后泌乳有促进作用,能够减轻乳房胀痛,提高纯母乳喂养率。Objective:To investigate the lactation effect of the neuromuscular electrical stimulation(NMES)combined with the routine lactation intervention for women after cesarean section.Methods:110 women who had undergone the cesarean section were included and were divided into control group and observation group(55 cases in each group)randomly from January 2022 to December 2023.The women in the two groups were given the breast massage and the auricular point pressing intervention after cesarean section for 3 days continuously,and the women in the observation group were given NMES auxiliary intervention additionally.The onset time of the postpartum lactation and the lactation volume in postpartum 48h of the women were compared between the two groups.The degree of breast swelling and pain of the women in the two groups at postpartum 48h were evaluated.The serum prolactin levels of the women in the two groups at postpartum 24h,48h and 72h were detected.The breastfeeding score in the postpartum 3rd day and the rate of exclusive breastfeeding in the postpartum 42 days of the women were compared between the two groups.Results:The onset time of the lactation(25.54±6.12 h)of the women in the observation group was significantly earlier than that(32.43±5.87 h)of the women in the control group.The proportion of the high postpartum lactation volume(52.7%)of the women in the observation group in the postpartum 48h was significantly higher than that(38.2%)of the women in the control group.The degrees of breast swelling and pain of the women in the observation group in postpartum 48h were significantly lighter than those of the women in the control group(all P<0.05).There was no significant difference in the serum prolactin level in the postpartum 24h of the women between the two groups(P>0.05).The serum prolactin levels of the women in the observation group in the postpartum 48h and 72h were 322.57±36.23 ng/ml and 372.54±41.31 ng/ml,which were significantly higher than those(285.49±30.29 ng/ml and 341.37±38.32 ng/ml)of the women

关 键 词：剖宫产 产后泌乳 神经肌肉电刺激 乳房按摩 耳穴压豆 母乳喂养 泌乳素 

分 类 号：R473.71[医药卫生—护理学]