摘要
目的:观察推拿手法治疗产后缺乳的临床疗效。方法:选取106例产后缺乳的产妇,随机分为对照组和推拿组各53例。对照组采用常规催乳方案,推拿组加用推拿手法。治疗后比较2组泌乳量、首次泌乳时间、乳房充盈程度评分、血清泌乳素(PRL)水平及母乳喂养评估量表评分,对比分析2组临床疗效。结果:治疗后,推拿组泌乳量充足率为7 5.47%,对照组泌乳量充足率45.28%,2组比较,差异有统计学意义(P<0.01)。推拿组首次泌乳时间短于对照组(P<0.01),乳房充盈程度评分及PRL水平均高于对照组(P<0.01)。推拿组母乳喂养评估量表中产妇满意度、婴儿满意度及产妇生活方式评分均高于对照组(P<0.01)。推拿组总有效率9 6.23%,对照组总有效率84.9 1%,2组比较,差异有统计学意义(P<0.05)。结论:推拿手法治疗产后缺乳,可促进产妇乳汁分泌,保证新生儿初乳时间,改善母乳喂养状况。
Objective： To observe the clinical effect of tuina manipulation for postpartum hypogalactia. Methods： Selected 106 patients with postpartum hypogalactia,and divided them into the control group and the tuina group randomly,53 cases in each group.The control group was given routine lactagogue method, while the tuina group was given tuina manipulation for treatment. After treatment,compared the amount of lactation,first lactation time,scores of breast filling degree,levels of prolactin（PRL） and scores of breastfeeding assessment scale in the two groups. Compared and analyzed the clinical effect in the two groups. Results：After treatment,adequacy rate of amount of lactation in the tuina group was 75.47% and was 45.28% in the control group,difference being significant（P〈0.01）. The first lactation time in the tuina group was shorter than that in the control group（P〈0.01）. Score of breast filling degree and level of PRL in the tuina group were higher than those in the control group（P〈0.01）. Scores of maternal satisfaction,infant satisfaction and maternal lifestyle in breastfeeding assessment scale in the tuina group were all higher than those in the control group（P〈0.01）. The total effective rate was 96.23% in the tuina group and was 84.91% in the control group, difference being significant（P〈0.05）.Conclusion： The therapy of manipulation for postpartum hypogalactia can promote lactation of maternal, ensure neonatal colostrum time,and improve breastfeeding conditions.
作者
朱爱玲
温小玲
李梅
孙燕
ZHU Ailing;WEN Xiaoling;LI Mei;SUN Yan
出处
《新中医》
CAS
2018年第8期177-179,共3页
New Chinese Medicine
关键词
产后缺乳
推拿
泌乳量
泌乳时间
母乳喂养评估量表
Postpartum hypogalactia
Tuina
Amount of lactation
Lactation time
Breastfeeding assessment scale
