乳房按摩联合产后康复仪在初产妇中应用效果分析

史丹红++++++吴丽萍++++++肖淑珠++++++邹丹玲++++++王存华

[摘要]目的 探讨乳房按摩联合产后康复仪在初产妇中的应用效果。方法 选择2015年7月～2016年6月我院分娩的初产妇200例，采用随机数字表法分为实验组和对照组，各100例。从产后当日开始，对照组给予乳房按摩，实验组采用乳房按摩联合产后康复仪治疗。比較两组产妇的泌乳始动时间、泌乳量和母乳喂养情况、泌乳功能以及乳房硬度和胀痛情况。结果 实验组产妇泌乳始动时间显著优于对照组，差异有统计学意义（P<0.01）；实验组产妇母乳喂养者占95.0%，泌乳充足者占97.0%；对照组产妇母乳喂养者占82.0%，泌乳充足者占85.0%，差异均有统计学意义（P<0.01）；实验组产妇产后24 h和48 h泌乳功能评分均显著优于对照组，差异有统计学意义（P<0.01）；实验组产妇乳房硬度和胀痛情况显著优于对照组，差异有统计学意义（P<0.01）。结论 在初产妇中应用乳房按摩联合产后康复仪治疗能有效促进初产妇泌乳，有助于泌乳量和母乳喂养率的有效提高，同时对减轻产妇乳房发硬和胀痛等情况具有积极作用。

[关键词]乳房按摩；产后康复仪；初产妇；应用效果

[中图分类号] R271.43 [文献标识码] A [文章编号] 1674-4721（2017）07（a）-0097-04

Clinical effect of breast massage combined with postpartum rehabilitation instrument in primiparas

SHI Dan-hong WU Li-ping XIAO Shu-zhu ZOU Dan-ling WANG Cun-hua

Health Care Department，Longgang Women and Children Health Care Hospital，Guangdong Province，Shenzhen 518172，China

[Abstract]Objective To investigate the effect of breast massage combined with postpartum rehabilitation instrument in primiparas.Methods A total of 200 cases primiparas in our hospital from July 2015 to June 2016 were randomly divided into study group and control group by means of random number table，100 cases in each group.Primiparas in control group were given breast massage，while primiparas in study group were given breast massage combined with postpartum rehabilitation instrument from the day of postpartum.Initial time of lactation，lactation volume，breast feeding condition，lactating function and hardness & tenderness breast in two groups were evaluated and compared.Results Initial time of lactation in study group was better than that in control group，the difference was statistically significant （P<0.01）；the rates of breast feeding and enough lactation yield in study group were 95.0% and 97.0%，and those in control group were 82.0% and 85.0%，the differences were statistically significant （P<0.01）；the scores of lactating function after 24 h and 48 h postpartum in study group were better than those in control group，the differences were statistically significant （P<0.01）；the hardness & tenderness breast condition in study group were better than those in control group，the differences were statistically significant （P<0.01）.Conclusion It is positive to improve lactation in primiparas by using breast massage combined with postpartum rehabilitation instrument，and it has a promotion in increasing lactation yield and breast feeding rate.At the same time，it can alleviate breast hardness and tenderness.

[Key words]Breast massage；Postpartum rehabilitation instrument；Primiparas；Clinical effect

一般认为，对婴幼儿的生长发育来讲，母乳是最佳的食品。然而在各种因素的影响下，导致现阶段的母乳喂养情况并不理想，其影响因素包括产后泌乳延迟、乳汁量不足、乳房胀痛、产后疲劳虚弱、产道撕裂或剖宫产伤口疼痛等[1-2]。科学有效地解决产后母乳喂养问题是当前产科临床的重要课题之一。有研究显示，乳房按摩有助于促进乳房的血液循环，刺激乳汁分泌[3]；产后康复仪作为一种无创的护理手段和工作，对提高产后母乳喂养也具有一定的效果[4]。我院对100例初产妇采用乳房按摩联合产后康复仪干预，取得了满意效果，现报道如下。

1资料与方法

1.1一般资料

选择2015年7月～2016年6月我院分娩并来我院妇保科母乳喂养咨询门诊诊治的初产妇200例，采用随机数字表法分为实验组和对照组，各100例。其中，对照组产妇年龄21～38岁，平均（28.1±1.6）岁；……