耳穴压豆联合乳房穴位按摩对产妇产后乳汁分泌情况及血清泌乳素水平变化的影响

Effects of Auricular Bean Pressing Combined with Breast Acupoint Massage on Postpartum Milk Secretion and Serum Prolactin Level of Parturients

目的探讨耳穴压豆联合乳房穴位按摩对产妇产后乳汁分泌情况、血清泌乳素水平变化以及乳房胀痛程度的影响。方法将本院2019年3月-2020年5月收治的101例产妇按照随机数字表法分为两组,对照组50例给予产后常规干预,即产后0.5h内实现母婴同室,在医护的指导下实行早接触、早开奶、早吮吸,做到按需哺乳。观察组51例产后予以耳穴压豆联合乳房穴位按摩干预,即产后10h,按摩少泽、太冲、膻中、乳根穴,并置产妇于仰卧位,沿顺时针方向按摩左侧乳房,逆时针方向按摩右侧乳房;同时选取神门、内分泌、肝脾肾俞、肾上腺以及脑穴予以耳穴埋豆,直至产后72h。观察两组产妇乳汁分泌情况、血清泌乳素水平以及乳房胀痛情况。结果干预后观察组泌乳始动时间(4.73±0.58)h、满足时间(28.46±4.18)h、充盈时间(44.79±6.31)h长于对照组泌乳始动时间(10.28±2.12)h、满足时间(35.21±6.49)h、充盈时间(63.95±7.23)h(P<0.05);干预前观察组PRL(295.31±43.65)g/L、E(121.47±15.49)pg/mL和对照组(296.78±43.79)g/L、(122.04±15.97)pg/mL对比,差异无统计学意义(P>0.05),干预后两组PRL均高于对照组,且观察组PRL(362.97±48.21)g/L高于对照组(321.76±45.83)g/L,E(58.96±7.31)pg/mL低于对照组(83.97±10.46)pg/mL(P<0.05);观察组乳房胀痛程度轻于对照组(Z=3.290,P=0.001)。结论将耳穴压豆联合乳房穴位按摩用于产妇,可以改善产后泌乳情况,调节血清泌乳素水平,减轻乳房肿胀程度。

Objective To investigate the effect of ear point pressing bean combined with breast acupoint massage on postpartum milk secretion,serum prolactin level and breast pain.Methods 101 pregnant women in our hospital from March 2019 to May 2020 were randomLy divided into two groups.50 cases in the control group were given routine postpartum intervention,that is,the mother and baby were in the same room within half an hour after delivery,early contact,early milk opening and early sucking were carried out under the guidance of medical care,and breast-feeding was carried out on demand.51 cases in the observation group were given ear acupoint pressing bean combined with breast acupoint massage intervention after delivery,that is,10 hours after delivery,massage Shaoze,Taichong,Tanzhong and Rugen acupoints,place the parturient in the supine position,massage the left breast clockwise and the right breast counterclockwise;at the same time,Shenmen,endocrine,liver,spleen and kidney acupoints,adrenal gland and brain acupoints were selected to bury beans in ear acupoints until 72 hours postpartum.The milk secretion,serum prolactin level and breast pain were observed.Results After the intervention,the lactation initiation time(4.73±0.58)h,satisfaction time(28.46±4.18)h and filling time(44.79±6.31)h in the observation group were longer than those in the control group(10.28±2.12)h,satisfaction time(35.21±6.49)h and filling time(63.95±7.23)h(P<0.05).Before the intervention,there was no significant difference in PRL(295.31±43.65)g/L,E(121.47±15.49)pg/mL between the observation group and the control group(296.78±43.79)g/L,(122.04±15.97)pg/mL(P>0.05).After the intervention,the PRL of the two groups was higher than that of the control group,and the PRL of the observation group(362.97±48.21)g/L was higher than that of the control group(321.76±45.83)g/L,and E(58.96±7.31)pg/mL was lower than that of the control group(83.97±10.46)pg/mL(P<0.05);the degree of breast swelling and pain in the observation group was lighter than that in the control group(Z=3.290,P=0.001).Conclusion Ear point pressing bean combined with breast acupoint massage can improve postpartum lactation,regulate serum prolactin level and reduce breast swelling.