Objective To explore the efficacy of Tuina for postpartum lactation and work out an optimal protocol involved. Methods With a randomized, controlled and clinical method, Eighty-four full-term primiparas were divided i...Objective To explore the efficacy of Tuina for postpartum lactation and work out an optimal protocol involved. Methods With a randomized, controlled and clinical method, Eighty-four full-term primiparas were divided into a Tuina group （58 cases） and a control group （26 cases）. While the patients in the control group received rooming in conventional nursing, those in the Tuina group were additionally treated with Tuina, including local manipulations at the breasts combined with acupoint manipulations. The colostrum time, lactation volume and serum prolactin were observed to make the comparisons between the two groups. Results The scores of lactation quantity after the 1st, 2nd, 3rd of the treatment were 1.660±0.785, 2.530±1.030, 2.880±1.171 in the Tuina group and 1.270±0.533, 1.460±0.811, 1.500±0.583 in the control group respectively, where there were significant differences in each time stage between the two groups （all P0.001）. The time of colostrum was （21.6±10.5） h in the Tuina group and （22.5±9.7） h in the control group, in which the difference was not statistically significant （P0.05）. The levels of prolactin were （314.35±110.37） ng/mL and （321.56±109.61） ng/mL in the Tuina group, （385.78±85.19） ng/mL and （340.12±103.10） ng/mL in the control group before and after treatment respectively, suggested that there were no significant difference （both P0.05）. Conclusion Postpartum Tuina at the breasts could increase the quantity of lactation and delay the decreasing of the levels of prolactin, which contributes primiparas to lactate more and sooner.展开更多
目的探讨产后抑郁对产妇阴道流血量、初乳始动时间及泌乳量的影响,以便完善产妇和新生儿的护理工作。方法对200例产妇采用自评抑郁量表测定其心理状况,根据测试结果分为对照组与抑郁组,各100例。比较两组产后阴道流血量、初乳始动时间...目的探讨产后抑郁对产妇阴道流血量、初乳始动时间及泌乳量的影响,以便完善产妇和新生儿的护理工作。方法对200例产妇采用自评抑郁量表测定其心理状况,根据测试结果分为对照组与抑郁组,各100例。比较两组产后阴道流血量、初乳始动时间及泌乳量。结果对照组阴道流血量<200 m L和>500 m L的人数明显优于抑郁组(P<0.05);两组阴道流血量为200~500 m L产妇人数比较,差异不显著(P>0.05);对照组初次泌乳时间在产后24、72 h内的人数明显优于抑郁组(P<0.05);两组初次泌乳时间在产后48 h内的产妇人数比较,差异不显著(P>0.05);产后各时段抑郁组泌乳量均明显少于对照组,差异具有统计学意义(P<0.05)。结论产后抑郁会加大产妇阴道流血量、推迟初乳始动时间、减少泌乳量,对产妇有不良影响。展开更多
目的:系统评价初乳口腔免疫疗法对改善早产儿胃肠道喂养的效果,为初乳口腔免疫疗法的临床应用提供参考依据。方法:计算机检索PubMed、the Cochrane Library、Web of Science、Up To Date、中国知网、万方数据库、维普数据库中有关早产...目的:系统评价初乳口腔免疫疗法对改善早产儿胃肠道喂养的效果,为初乳口腔免疫疗法的临床应用提供参考依据。方法:计算机检索PubMed、the Cochrane Library、Web of Science、Up To Date、中国知网、万方数据库、维普数据库中有关早产儿初乳口腔免疫疗法的随机对照试验研究,检索时间为建库至2021年5月31日,根据纳入及排除标准对文献进行初筛,并由2名研究员独立对筛选后的文献进行质量评价。采用RevMan 5.4软件进行Meta分析。结果:共纳入13篇随机对照试验进行研究。Meta分析结果显示,初乳口腔免疫疗法可降低新生儿坏死性小肠结肠炎发生率[RR=0.42,95%CI(0.26,0.68),P=0.0004],缩短达全肠道喂养时间[MD=-2.46,95%CI(-3.46,-1.45),P<0.00001],降低喂养不耐受发生率[RR=0.48,95%CI(0.36,0.64),P<0.00001]。结论:现有证据表明,初乳口腔免疫疗法可有效降低早产儿新生儿坏死性小肠结肠炎和喂养不耐受的发生率,缩短早产儿达全肠道喂养时间。展开更多
目的：探讨乳房双侧早吸吮与单侧早吸吮对初乳分泌时间和乳汁量的影响。方法选取300名足月正常分娩、乳头条件正常的初产妇，随机分为双侧早吸吮组150人和单侧早吸吮组150人。两组产妇均在产后1 h 内由助产士协助实施早吸吮，双侧早吸...目的：探讨乳房双侧早吸吮与单侧早吸吮对初乳分泌时间和乳汁量的影响。方法选取300名足月正常分娩、乳头条件正常的初产妇，随机分为双侧早吸吮组150人和单侧早吸吮组150人。两组产妇均在产后1 h 内由助产士协助实施早吸吮，双侧早吸吮组每侧乳房吸吮15 min，共吸吮30 min，单侧早吸吮组任选左侧或右侧乳房吸吮30 min。比较分析两组产妇泌乳始动时间和产后6 h、24 h、48 h、72 h 泌乳量的差别。结果双侧早吸吮组与单侧早吸吮组泌乳始动时间比较，差异无统计学意义（P ＞0．05）。产后6 h 泌乳量两组差异无统计学意义（P ＞0．05），产后24 h、48 h 和72 h 双侧早吸吮组奶量充足人数均多于单侧早吸吮组，且差异有统计学意义（P ＜0．05）。结论产后实施双侧早吸吮比单侧早吸吮泌乳效果更佳。展开更多
文摘Objective To explore the efficacy of Tuina for postpartum lactation and work out an optimal protocol involved. Methods With a randomized, controlled and clinical method, Eighty-four full-term primiparas were divided into a Tuina group （58 cases） and a control group （26 cases）. While the patients in the control group received rooming in conventional nursing, those in the Tuina group were additionally treated with Tuina, including local manipulations at the breasts combined with acupoint manipulations. The colostrum time, lactation volume and serum prolactin were observed to make the comparisons between the two groups. Results The scores of lactation quantity after the 1st, 2nd, 3rd of the treatment were 1.660±0.785, 2.530±1.030, 2.880±1.171 in the Tuina group and 1.270±0.533, 1.460±0.811, 1.500±0.583 in the control group respectively, where there were significant differences in each time stage between the two groups （all P0.001）. The time of colostrum was （21.6±10.5） h in the Tuina group and （22.5±9.7） h in the control group, in which the difference was not statistically significant （P0.05）. The levels of prolactin were （314.35±110.37） ng/mL and （321.56±109.61） ng/mL in the Tuina group, （385.78±85.19） ng/mL and （340.12±103.10） ng/mL in the control group before and after treatment respectively, suggested that there were no significant difference （both P0.05）. Conclusion Postpartum Tuina at the breasts could increase the quantity of lactation and delay the decreasing of the levels of prolactin, which contributes primiparas to lactate more and sooner.
文摘目的探讨产后抑郁对产妇阴道流血量、初乳始动时间及泌乳量的影响,以便完善产妇和新生儿的护理工作。方法对200例产妇采用自评抑郁量表测定其心理状况,根据测试结果分为对照组与抑郁组,各100例。比较两组产后阴道流血量、初乳始动时间及泌乳量。结果对照组阴道流血量<200 m L和>500 m L的人数明显优于抑郁组(P<0.05);两组阴道流血量为200~500 m L产妇人数比较,差异不显著(P>0.05);对照组初次泌乳时间在产后24、72 h内的人数明显优于抑郁组(P<0.05);两组初次泌乳时间在产后48 h内的产妇人数比较,差异不显著(P>0.05);产后各时段抑郁组泌乳量均明显少于对照组,差异具有统计学意义(P<0.05)。结论产后抑郁会加大产妇阴道流血量、推迟初乳始动时间、减少泌乳量,对产妇有不良影响。
文摘目的:系统评价初乳口腔免疫疗法对改善早产儿胃肠道喂养的效果,为初乳口腔免疫疗法的临床应用提供参考依据。方法:计算机检索PubMed、the Cochrane Library、Web of Science、Up To Date、中国知网、万方数据库、维普数据库中有关早产儿初乳口腔免疫疗法的随机对照试验研究,检索时间为建库至2021年5月31日,根据纳入及排除标准对文献进行初筛,并由2名研究员独立对筛选后的文献进行质量评价。采用RevMan 5.4软件进行Meta分析。结果:共纳入13篇随机对照试验进行研究。Meta分析结果显示,初乳口腔免疫疗法可降低新生儿坏死性小肠结肠炎发生率[RR=0.42,95%CI(0.26,0.68),P=0.0004],缩短达全肠道喂养时间[MD=-2.46,95%CI(-3.46,-1.45),P<0.00001],降低喂养不耐受发生率[RR=0.48,95%CI(0.36,0.64),P<0.00001]。结论:现有证据表明,初乳口腔免疫疗法可有效降低早产儿新生儿坏死性小肠结肠炎和喂养不耐受的发生率,缩短早产儿达全肠道喂养时间。
文摘目的：探讨乳房双侧早吸吮与单侧早吸吮对初乳分泌时间和乳汁量的影响。方法选取300名足月正常分娩、乳头条件正常的初产妇，随机分为双侧早吸吮组150人和单侧早吸吮组150人。两组产妇均在产后1 h 内由助产士协助实施早吸吮，双侧早吸吮组每侧乳房吸吮15 min，共吸吮30 min，单侧早吸吮组任选左侧或右侧乳房吸吮30 min。比较分析两组产妇泌乳始动时间和产后6 h、24 h、48 h、72 h 泌乳量的差别。结果双侧早吸吮组与单侧早吸吮组泌乳始动时间比较，差异无统计学意义（P ＞0．05）。产后6 h 泌乳量两组差异无统计学意义（P ＞0．05），产后24 h、48 h 和72 h 双侧早吸吮组奶量充足人数均多于单侧早吸吮组，且差异有统计学意义（P ＜0．05）。结论产后实施双侧早吸吮比单侧早吸吮泌乳效果更佳。
