针灸联合耳穴按压干预缺乳的疗效及作用机制研究

The effect of acupuncture combined with auricular application for puerperal hypogalactia

目的：观察针灸联合耳穴按压对产后缺乳的治疗效果。方法收集300例产后缺乳患者，按随机、均衡、齐同的原则将300例患者分成三组，中药组、针灸联合耳穴组、按摩组各100例。比较三组的临床疗效。结果治疗3 d 后，中药组痊愈34例，显效24例，有效15例，无效27例；按摩组痊愈7例，显效13例，有效15例，无效65例；针灸联合耳穴组痊愈73例，显效13例，有效9例，无效5例。针灸联合耳穴组与中药组总有效率差异有统计学意义（χ2＝9．600，P ＜0．01），针灸联合耳穴组与按摩组总有效率比较差异有统计学意义（χ2＝13．400，P ＜0．05），中药和按摩组总有效率比较差异有统计学意义（χ2＝6．400，P ＜0．01）。结论针灸联合耳穴对产后缺乳患者症状改善有明显疗效。

Objective To observe the effect of acupuncture and auricular application in the treatment of puerperal hypogalactia.Methods 300 patients with puerperal hypogalactia,according to the principle of random, balanced,together,were divided into 3 groups：Chinese herbal medicine group and acupuncture combined with auricular group and massage group,each group in 1 00cases.Collected patients＇informed consent,and obtained the hospital ethics committee approval.The clinical curative effect was observed.Results After 3 days,in the Chinese herbal medicine group 34 cases recovered,24 cases were markedly effective,efficient in 1 5 cases,27 cases were invalid.In the massage group 7 cases recovered,1 3 cases had marked effect,1 5 cases were effective,ineffective in 65 cases.In the acupuncture combined with auricular group 73 cases cured,1 3 cases were markedly effective,effective in 9 cases, 5 cases were ineffective.The total effective rate between the acupuncture combined with auricular group and Chinese herbal medicine group had significant difference（χ2 =9.600,P 〈0.01 ）.The total effective rate between the acupuncture combined with auricular group and the massage group had significant difference （χ2 =1 3.400,P 〈0.01 ）.The total effective rate between Chinese herbal medicine group and massage group had significant difference （χ2 =6.400,P 〈0.01 ）.Conclusion Acupuncture and auricular application has obvious curative effect for patients with postpartum hypogalactia.