硫酸镁湿热敷配合电动吸乳仪在治疗初产妇产后乳汁淤积中的应用

Application of magnesium sulfate hot-wet dressing cooperating with electric breast bump in the treatment of primiparas＇ postpartum galactostasis

目的探讨母婴同室区初产妇乳汁淤积的有效护理措施，以提高母乳喂养率。方法将82例乳汁淤积的初产妇随机分为观察组42例和对照组40例，观察组采用50％硫酸镁湿热敷15—20min后，行电动吸乳仪治疗20min，对照组采用普通湿热敷15～20min后，行人工挤奶20min，比较两组产妇治疗24h后乳汁淤积缓解情况及乳汁排出量是否能满足新生儿需要。结果观察组42例产妇中，乳房淤积治愈29例，好转11例，总有效率95．2％，对照组40例产妇中，治愈13例，好转15例，总有效率70．0％，两组比较，差异有统计学意义（X2=9．217，P〈0．05）；观察组42例产妇中，36例产妇乳汁量充足，母乳喂养率为85．7％，对照组40例产妇中，21例产妇乳汁量充足，母乳喂养率为52．5％，两组比较，差异有统计学意义（x2=10．665，P〈0．05）。结论50％硫酸镁湿热敷与电动吸乳仪联合应用对母婴同室区乳汁淤积的初产妇有明显的治疗效果，能有效提高母乳喂养率。

Objective To discuss effective nursing measures for postpartum galaetostasis in maternal- neonatal unit, in order to increase the breasffeeding rate. Methods 82 cases of primipara galaetostasis were randomly divided into two groups： the experimental group （42 cases ） and the control group （40 cases ）. The experimental group received 50% magnesium sulfate hot-wet dressing for 15 to 20 minutes and then electric breast bump treatment for 20 minutes, while the control group received conventional hot-wet dressing for 15 to 20 minutes and then manual milking for 20 minutes. Two groups＇ remission of galactostasis and whether the milk can meet the needs of the newborns 24 hours after the treatment was compared. Results Out of the 42 cases in the experimental group, 29 cases were cured and 11 had improvements, with the total effective rate of 95.2%. Out of the 40 eases in the control group, 13 eases were cured and 15 had improvements, with the total effective rate of 70.0%. The difference was statistically significant （ X2 = 9. 217, P 〈 0.05 ）. 36 out of 42 cases in the experimental group had sufficient maternal breast milk, with the breasffeeding rate of 85.7%, while 21 out of＇ 40 cases in the control group had sufficient maternal breast milk, with the breasffeeding rate of 52.5%. The difference was statistically significant （ X2 = 10. 665, P 〈 0.05 ）. Conclusions 50% magnesium sulfate hot- wet dressing cooperating with electric breast bump had obvious effect on the primiparas＇ postpartum galactostasis, and can effectively improve the breasffeeding rate.