徒手护理干预对减轻产后重度乳房胀痛的探讨

Explore of Unarmed nursing intervention to alleviate breast severe distending pain of postpartum women

目的 比较两种护理干预措施对产后乳房硬度和疼痛程度变化的影响,探讨其对减轻产后重度乳房胀痛的效果。方法 2007年3月至2010年5月在我科足月分娩初产妇(包括剖宫产)重度乳房胀痛120例,随机分为2组,实验组60例,给予徒手护理干预(按摩、手工挤奶)措施,对照组60例,给予传统机械护理干预(吸奶器吸奶)措施,观察疼痛程度和乳房硬度的变化。结果实验组乳房疼痛程度和硬度减轻效果明显优于对照组(P<0.01)。结论对重度乳房胀痛进行徒手按摩、手工挤奶等护理干预措施,更易促使乳腺管通畅,使乳房胀痛明显减轻,增进护患关系。

Objective To compare the two nursing intervention measures to influence change of the degree of postpartum breast hardness and postpartum breast pain and to explore the effect to reduce the breast severe distending pain of postpartum women.Methods 120 full-term childbirth editorials（Including cesarean section）of breast severe distending pain of postpartum women brought into our obstetrical department during the period of Mach 2007 to May 2010,which were divided into two groups randomly,the experinental group of 60 women were given unarmed nursing intervention（massage,manual milking）while the control group of 60 women were given by traditional mechanical nursing intervention（milk sucked by XI NAI QI）During this period the changes of pain degrees and breast hardness were observed.Results Experimental breast pain relief and hardness relief were obviously superior to control group（P0.01）.Conclusion unarmed nursing intervention（massage,manual milking）on breast severe distending pain of postpartum women prompt ductal unobstructed more and make a breast pain to reduce significantly and improve the relationship.