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低中频电刺激穴位在产后催乳康复中的应用研究 被引量:16

Application research on low intermediate frequency pulse current stimulating acupuncture point in postpartum lactation
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摘要 目的 研究低中频脉冲电流刺激穴位在产妇产后催乳中的作用及效果.方法 选择2009年8月至2011年8月在第四军医大学西京医院产科自然分娩和剖宫产产妇620例为研究对象,按照产妇入院次序随机分两组.对照组采取常规护理方法,观察组在传统的护理基础上,加低中频电刺激穴位辅助催乳.最后记录产妇始乳时间及产后24、48、72小时的泌乳量,观察子宫复旧情况,并对资料结果 进行统计分析.结果 ①泌乳始动时间在24小时内观察组占68.7%,对照组占27.1%,两组比较差异有统计学意义(χ2=63.03,P〈0.05);②泌乳量:观察组在产后48小时内乳汁分泌充足者占55.2%,对照组仅为26.1%,两组比较差异有统计学意义(χ2=66.95,P〈0.05),即辅助低中频脉冲刺激穴位能明显提高泌乳量;③子宫复旧:观察组子宫复旧良好,占96.1%,对照组占83.2%,得出辅助低中频脉冲刺激穴位能促进子宫收缩,利于子宫复旧.结论 低中频电刺激穴位辅助催乳是一种安全可靠、使用方便而有效的催乳方法,值得在产科病房中推广使用. Objective To study the role and effect of low intermediate frequency pulse current stimulating acupuncture point in maternal postpartum lactation. Methods From August 2009 to August 2011 620 parturient women were selected as research objects who had natural birth or cesarean section in Xijing Hospital of the Fourth Military Medical University. The cases were randomly divided into two equal groups. Control group received conventional nursing method, and the observation group accepted low intermediate frequency pulse current stimulation to induce lactation besides conventional method. Initial time of lactation and amount of lactation after 24h, 48h and 72h were recorded, and the condition of uterine instauration was observed. All of the data was statistically analyzed. Results The parturient whose lactation initiating within 24h after childbirth in observation group and control group accounted for 68.7% and 27. 1% , respectively, and the difference was statistically significant (X2 = 63.03, P 〈 0.05 ). The proportion of parturient with enough secretion in 48h in observation group and control group was 55.2% and 26.1%, respectively, and it had statistical significance (X2 = 66.95 ,P 〈 0.05 ), which indicated that low intermediate frequency pulse current stimulating acupuncture point could increase amount of lactation obviously. There were 96.1% and 83. 2% in observation group and control group having good condition of uterine instauration, which showed that low intermediate frequency pulse current stimulating acupuncture point could promote uterine contraction and was helpful for involution of uterus. Conclusion Low intermediate frequency pulse current stimulation is a safe, reliable and convenient auxiliary method for lactation, and it is worthy of being generalized in maternity ward.
出处 《中国妇幼健康研究》 2012年第1期87-89,共3页 Chinese Journal of Woman and Child Health Research
关键词 低中频脉冲 电刺激 产后 催乳 康复 low intermediate frequency pulse electrical stimulation postpartum lactation rehabilitation
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