摘要
目的 观察产后早期乳房手法按摩护理对乳汁分泌的改善作用.方法 选择2014—2017年于沈阳市第一人民医院进行分娩的产妇130例,根据有无催乳意愿分为观察组68例和对照组62例.对照组采用常规乳房护理方法;观察组在对照组基础上采用乳房手法按摩,3次/d,≥10 min/次,按摩时间3~5 d.结果 对照组乳汁分泌充足34例、乳汁分泌不足28例;观察组乳汁分泌充足50例、乳汁分泌不足18例,两组差异有统计学意义（χ2=4.96,P〈0.05）.对照组乳房舒适度0级9例、1级25例、2级17例、3级11例;观察组乳房舒适度0级37例、1级24例、2级7例,两组差异有统计学意义（χ2=32.63,P〈0.05）.结论 产后早期乳房手法按摩护理能够提高产妇乳汁分泌,改善乳房舒适度,应该在临床作为常规护理操作予以施行.
Objective The aim of the study is to observe the improvement of breast massage on milk secretion at early postpartum period. Methods A total of 130 parturients were collected from No. 1 Renmin Hospital, Shenyang, from 2014 to 2017. Based on the lactation intention, all parturients were divided into two groups： observation group （n=68） and control group （n=62）. The parturients in control group used normal breast nursing method, and the parturients in observation group adopted breast massage on the basis of normal breast nursing （3 times/day, 〉10 min/time, and duration time： 3-5 days）. Results The parturients with sufficient milk secretion was 44 cases in control group, and 50 cases in observation group; and the parturients with insufficient milk secretion were 28 cases in control group, and 18 cases in observation group （X2=4.96,P〈0.05） . According to breast comfort degrees, stage 0 is 9 cases, stage one 25 cases, stage two 17 cases, and stage three 11 cases in control group. The breast comfort degrees in observation group were significantly different with control group, stage 0 is 37 cases, stage one 24 cases, and stage two 7 cases （~=32.63,P〈0.05）. Conclusion The breast massage on milk secretion at early postpartum period could promote milk secretion and improve breast breast comfort, which could be used in routine nursing.
出处
《中国实用乡村医生杂志》
2017年第12期66-67,70,共3页
Chinese Practical Journal of Rural Doctor
关键词
按摩
护理
产后
早期
乳汁分泌
Massage
Nursing
Postpartum
Early stage
milk secretion
