摘要
目的 探析乳房穴位按摩联合产后个体化营养干预在初产妇中的实施价值。方法 选取2021年1月至2022年12月在江苏省东台市人民医院产科经顺产分娩的80例初产妇作为研究对象,按随机数字表法将其划分为对照组(40例)、观察组(40例)。对照组应用常规护理,观察组以常规护理为基础应用乳房穴位按摩和产后个体化营养干预,比较2组的泌乳情况、乳房胀痛程度以及实验室相关指标水平。结果 观察组的泌乳始动时间快于对照组,产后24 h内、24~48 h之间、48~72 h之间,乳房充盈和泌乳量均优于同期对照组(P均<0.05)。产后6 h、12 h、24 h、48 h、72 h,观察组的视觉模拟评分法评分均较同期对照组更低(P均<0.05)。出院时、产后42 d, 2组的血清催乳素、血清总蛋白、血清白蛋白以及血红蛋白水平均较产后当日升高,且观察组均较同期对照组更高,均有统计学差异(P均<0.05)。结论 乳房穴位按摩联合产后个体化营养干预对初产妇产后泌乳、乳房胀痛程度减轻以及催乳素和营养状况指标的提升均产生积极影响。
Objective To explore the implementation value of breast acupoint massage combined with postpartum personalized nutrition intervention in primiparas.Methods A total of 80 primiparas who delivered spontaneously in the Obstetrics Department of Dongtai People's Hospital from January 2021 to December 2022 were enrolled as the subjects of the study.They were divided into a control group(40 cases)and an observation group(40 cases)using a random number table method.The control group received the routine nursing and the observation group received the breast acupoint massage combined with postpartum personalized nutrition intervention based on the routine nursing.The lactation,distending pain of breasts,and laboratory-related indexes were compared between the two groups.Results The start time of lactation in the observation group was faster than that in the control group.Within 24 h,24~48 h,and 48~72 h after delivery,the breast fullness and lactation yield in the observation group were better than those in the control group(P<0.05).At 6 h,12 h,24 h,48 h and 72 h after delivery,the Visual Analogue Scale(VAS)scores in the observation group were lower than those in the control group at the same period(P<0.05).At discharge and 42 d after delivery,the levels of serum prolactin,serum total protein,serum albumin,and hemoglobin in both groups increased compared with the delivering day,and the levels in the observation group were higher than those in the control group at the same period,with statistical differences(P<0.05).Conclusion The implementation of breast acupoint massage combined with postpartum personalized nutrition intervention has a positive effect on postpartum lactation,alleviating distending pain of breasts,and improving prolactin and nutritional status indicators in primiparas.
作者
金荣
李婷婷
周小霞
JIN Rong;LI Tingting;ZHOU Xiaoxia(Dongtai People's Hospital,Yancheng,Jiangsu,224200,China)
出处
《中西医结合护理(中英文)》
2025年第5期49-52,共4页
Journal of Clinical Nursing in Practice
关键词
初产妇
乳房穴位按摩
个体化营养干预
泌乳情况
乳房胀痛
primipara
breast acupoint massage
personalized nutrition intervention
lactation
distending pain of breasts
