剖宫产术后的产妇用妇产科康复治疗仪促乳汁分泌的临床研究

A Clinical Study on the Lactation Promotion of the Parturient after Cesarean Section with the Rehabilitation Instrument of Gynecology And Obstetrics

目的分析评价剖宫产术后的产妇用妇产科康复治疗仪促乳汁分泌的效果.方法该次将该院于2018年2月—2019年1月收治的72例行剖宫产术的产妇作为研究对象,按随机数字表法分成两组,其中对照组36例在促乳汁分泌上采取常规干预方法,观察组36例则应用妇产科康复治疗仪,进一步对两组干预效果进行分析比较.结果(1)观察组开始泌乳时间(8.30±1.42)h明显短于对照组(13.21±2.15)h,差异有统计学意义(P<0.05),观察组产后泌乳量1 d(10.24±1.65)mL、2 d(46.28±7.29)mL、3 d(136.81±12.83)mL泌乳量均明显多于对照组(6.13±2.64)mL、(29.81±5.29)mL、(104.29±11.29)mL,两组之间的数据差异有统计学意义(P<0.05).(2)观察组恶露流尽时间(2.36±0.64)d、宫缩持续时间(2.14±0.32)h均明显短于对照组(3.52±0.61)d、(3.57±0.26)h,差异有统计学意义(P<0.05),观察组宫缩疼痛度VAS评分(4.08±0.42)分明显低于对照组(7.49±0.95)分,差异有统计学意义(P<0.05),观察组产后出血量(211.28±20.23)mL明显少于对照组(325.88±21.85)mL,两组之间的数据差异有统计学意义(P<0.05).(3)在产妇满意度方面,观察组总满意度为94.44%,与对照组的77.78%比较明显更高,两组之间的数据差异有统计学意义(P<0.05).结论在临床中针对行剖宫产术的产妇使用妇产科康复治疗仪,可缩短开始泌乳时间,促进乳汁分泌,减轻宫缩疼痛,降低产后出血量;因此,具备推广及使用的价值.

Objective To analyze and evaluate the effect of postpartum lactation with the rehabilitation instrument of gynecology and obstetrics.Methods 72 cases of cesarean section in our hospital from February 2018 to January 2019 were divided into two groups according to the method of random number table.36 cases in the control group were treated with routine intervention method in promoting milk secretion,and 36 cases in the observation group were treated with rehabilitation therapy instrument for gynecology and obstetrics.The intervention effect of the two groups was further analyzed and compared.Results 1.The lactation time of the observation group(8.30±1.42)h was significantly shorter than that of the control group(13.21±2.15)h,the difference was statistically significant(P<0.05).The lactation amount of the observation group in the first day(10.24±1.65)mL,the second day(46.28±7.29)mL,and the third day(136.81±12.83)were significantly higher than that of the control group(6.13±2.64)mL,(29.81±5.29)mL,(104.29±11.29)mL,the differences were statistically significant(P<0.05).2.The bleeding time(2.36±0.64)d and the duration of uterine contraction(2.14±0.32)h in the observation group were significantly shorter than those in the control group(3.52±0.61)d,(3.57±0.26)h,the differences were statistically significant(P<0.05).The VAS score of uterine contraction pain in the observation group(4.08±0.42)points was significantly lower than that in the control group(7.49±0.95)points,the difference was statistically significant(P<0.05).The postpartum hemorrhage in the observation group(211.28±20.23)mL was significantly lower than that in the control group(325.88±21.85)mL,the difference was statistically significant(P<0.05).3.In terms of maternal satisfaction,the total satisfaction of the observation group was 94.44%,which was significantly higher than that of the control group of 77.78%,and the difference between the two groups was significantly different(P<0.05).Conclusion In clinical practice,the use of gynecological and obstetrical rehabilitation therapy instrument can shorten the time of lactation,promote the milk secretion,red uce the pain of uterine contraction,and reduce the amount of postpartum hemorrhage.Therefore,it has the value of promotion and use.