泌乳方剂联合穴位按摩对初次分娩剖宫产后产妇泌乳质量、VAS评分的影响探究

Study on Effect of Lactation Formula Combined with Acupoint Massage on Quality of Lactation and VAS Score of Parturients after The First Cesarean Section

目的探究泌乳方剂联合穴位按摩对初次分娩剖宫产后产妇泌乳质量、视觉模拟疼痛评分(VAS评分)的影响。方法选取2019年1月1日—2020年8月31日来医院接受泌乳治疗的初次分娩剖宫产后产妇120例为研究对象,按照患者采取的治疗方式分为观察组和对照组各60例,对照组患者采取常规泌乳治疗和穴位按摩,观察组患者在对照组的基础上联合给予泌乳方剂口服,观察对比两组患者治疗前的泌乳质量、母乳喂养情况、1周内乳房胀痛VAS评分变化情况、治疗前后血清泌乳素含量变化情况。结果两组患者均得到了一定的治疗效果,其中对照组患者泌乳始动时间、乳房充盈时间分别为(34.67±4.69)h、(63.47±7.84)h,观察组患者为(22.39±3.74)h、(43.28±5.77)h;对照组患者治疗3 d、7 d后泌乳量评分为(1.46±0.48)、(2.15±0.37),观察组患者为(1.93±0.35)、(2.76±0.29);对照组患者母乳喂养率为78.33%(47/60),观察组患者为91.67%(55/60),差异对比均存在统计学意义(P<0.05);治疗1周两组患者VAS评分情况均呈现下降的趋势,但观察组3 d、5 d、7 d VAS评分显著低于对照组同期评分(P<0.05);治疗前两组患者血清乳泌素含量比较无统计学意义(P>0.05),治疗5 d后,对照组患者含量水平为(202.73±22.64)μg/L,观察组患者为(269.68±18.03)μg/L,差异对比存在统计学意义(P<0.05)。结论泌乳方联合穴位按摩能够提升初次分娩剖宫产后产妇泌乳治疗,改善乳房胀痛情况。

Objective To explore the effect of Self-Made Lactation Prescription combined with acupoint massage on the quality of lactation and VAS score of parturients after the first cesarean section. Methods From January 1, 2019 to August 31, 2020, 120 women who came to our hospital for lactation treatment after cesarean section were selected as the research objects. According to the treatment methods adopted by the patients, they were divided into observation group and control group, 60 cases in each. The patients in the control group were given conventional lactation therapy and acupoint massage. Those in the observation group were given Self-Made Lactation Prescription orally on the basis of the control group. The lactation quality, breastfeeding status, and breast tenderness and pain VAS scores of the two groups before treatment were observed and compared. Changes in serum prolactin content before and after treatment were compared. Results Both groups obtained certain therapeutic effects. The lactation initiation time and breast filling time of the control group were(34.67±4.69) h and(63.47±7.84) h, respectively, and the observation group’s were(22.39±3.74) h and(43.28±5.77)h, respectively. The lactation scores of the patients in the control group were(1.46±0.48)points and(2.15±0.37)points after treatment for 3 and 7 days, and those in the observation group were(1.93±0.35)points and(2.76±0.29)points, respectively. The control group’s breastfeeding rate of patients was 78.33%(47/60), and that of the observation group was 91.67%(55/60). The difference was statistically significant(P<0.05). The VAS scores of the two groups were decreased after 1 week of treatment. However, the VAS scores after 3 d, 5 d and 7 d treatment of the observation group were significantly lower than those of the control group during the same period(P<0.05). There was no difference in serum lactin content between the two groups before treatment(P>0.05). After 5 days of treatment, the control group’s level was(202.73±22.64)μg/L, and the observation group’s was(269.68±18.03)μg/L. The difference was statistically significant(P<0.05). Conclusion Self-Made Lactation Prescription combined with acupoint massage can improve the lactation treatment of the parturient after the first cesarean section, and improve the breast pain.