母婴分离产妇早期应用产后康复仪催乳的研究

Research on early using of postnatal recovery instrument to promote lactation by mothers experiencing mother-infant separation

目的 研究早期应用产后康复仪治疗对母婴分离产妇催乳的影响.方法 将96例剖宫产母婴分离产妇随机分为实验组和对照组各48例,对照组采用传统的催乳方法 （热敷、按摩、挤奶）;实验组在产后6小时使用产后康复仪治疗.观察两组产妇泌乳始动率、血清泌乳素水平、泌乳量以及乳房肿胀的发生率.结果 与对照组比较,实验组产妇泌乳始动时间提前（u=-2.825,P〈0.01）、血清泌乳素水平增高（24、48、72小时比较t值分别为7.736、10.912、8.688,均P〈0.01）、泌乳量增多（24、48、72小时比较t值分别为41.134、18.636、10.836,均P〈0.01）、乳房肿胀的发生率降低（χ2=5.031,P〈0.01）.结论 应用产后康复仪治疗可使乳房肿胀发生率降低,促进乳汁分泌,提高母乳喂养的成功率,且操作简便,无不良反应,值得临床推广应用.

Objective To evaluate the effect of early using postnatal recovery instrument to promote lactation for mothers who experienced mother-infant separation. Methods Ninety-six mothers experiencing mother-infant separation after cesarean section were randomly divided into experimental group and control group with 48 cases in each. Mothers in the control group accepted traditional methods （ hot compress, massage and milking） to promote lactation, while those in the experimental group used postnatal recovery instrument 6 hours after cesarean section. The initiating lactation time, level of serum prolactin, amount of breast milk and the incidence of breast swelling were compared between two groups. Results Compared with the control group, the initial time of lactation was advanced （u = -2. 825, P 〈0. 01 ）, the level of serum prolactin increased（ t value was 7. 736, 10.912 and 8. 688, respectively, at 24h, 48h and 72h time point, all P 〈0.01 ）, the amount of breast milk increased（t value was 41. 134, 18. 636 and 10. 836, respectively, at 24h, 48h and 72h time point, all P 〈 0. 01 ）and the incidence of breast swelling declined（x2 = 5.031 ,P 〈 0. 01 ）in the experimental group. Conclusion Using postnatal recovery instrument is helpful to reduce the incidence of breast swelling, promote lactation and improve the success rate of breastfeeding. This method is easy to operate and has no adverse reaction, which is worthy of promoting and applying in clinics.