产前按摩配合中药治疗对促进产后泌乳的影响

Prenatal breast massage combined with traditional Chinese medicine to promote postpartum lactation

目的:观察产前按摩配合中药治疗对产后泌乳的促进作用。方法:选取于本院分娩的足月妊娠初产妇120例,随机分为观察组与对照组,观察组产妇于分娩前行乳房按摩,产后即给予催乳饮口服,对照组不进行按摩及催乳饮治疗,对比两组产妇产后泌乳量、血清泌乳素水平等情况变化。结果:观察组产妇产后24、72h泌乳量及血清泌乳素水平均明显高于对照组,差异有统计学意义(P<0.05);观察组产后24h阴道出血总量明显低于对照组,差异有统计学意义(P<0.05);且观察组产后42d纯母乳喂养率明显高于对照组,差异有统计学意义(P<0.05)。结论:产前按摩配合中药催乳可有效增加产妇泌乳量,刺激产妇血清泌乳素分泌,并可有效促进子宫复旧,减少产后出血量,效果显著,值得临床推广应用。

Objective： To observe the effect of antenatal breast massage with traditional Chinese medicine for promoting postpartum lactation. Methods： A total of 120 primipara with full-term pregnancy admitted in our hospital were randomly divided into observation group and control group, the observation group was given breast massage and oral lactation drinks treatment, while the control group was not given these treatment, compared the lactation quantity and serum prolactin levels between two groups. Results： Maternal postpartum mammary volume and serum prolactin level after 24 h and 72 h in observation group were significantly higher than that of control group （P 〈 0.05） Observation group showed a significantly smaller vol ume of postpartum vaginal bleeding than that in control group within 24 h （P〈 0.05）. And observation group showed an significantly higher exclusive breastfeeding rate than that in control group within postpartum 42 d （P〈 0.05）. Conclusion： Antenatal breast massage combing with traditional Chinese medicine can effectively increase the amount of maternal lactation, stimulate maternal serum prolactin secretion, and can effectively promote uterine instauration, reduce postpartum blood loss, it is worthy of clinical application.