耳穴辨证选穴贴压促进自然分娩产妇产后泌乳的临床观察

A Clinical Research on the Effect of Syndrome Differentiated Auricular-plaster Therapy with Selected Points on Lactation of Natural Delivery Women

目的：观察耳穴辨证选穴贴压对自然分娩产妇泌乳的影响。方法：将自然分娩产妇随机分为试验组、对照组,试验组产妇辨证分为气虚组和气郁组,均在产后30 min内进行早接触、早吸吮、早开奶、母婴同室,按需哺乳、纯母乳喂养,试验组气虚组单侧耳贴压胸区、乳腺穴、神门、内分泌、皮质下、脾、胃;气郁组单侧耳贴压胸区、乳腺穴、神门、内分泌、皮质下、肝、胆;对照组单侧耳贴压胸区、乳腺穴、神门、内分泌、皮质下、垂前、角窝中,每穴按压10-15 s,每次哺乳前按压,4 d为1个疗程。观察产妇泌乳始动时间、泌乳量和泌乳率。结果：共入组42例产妇,试验组28例,对照组14例,试验组泌乳始动时间、泌乳量、泌乳率高于对照组。结论：辨证选穴耳穴贴压能够促进自然分娩产妇产后泌乳。

Objective：To investigate the effect syndrome differentiated auricular-plaster therapy with selected points on lactation of natural delivery women.Methods：The natural delivery women were randomly divided into a test group and a control group,the test group were subdivided into qi deficiency group and qi depression group.All of them received the same therapy,early touching,sucking,and secretion,staying with the baby in the same room and exclusive breastfeeding,but qi deficiency group were applied with the plaster on the chest area,breast acupoint,endocrine,Shenmen,subcortex,spleen and stomach;qi depression group the chest area,breast acupoint,Shenmen,subcortex,endocrine,liver and gallbladder;the control group the chest area, breast acupoint,endocrine,Shenmen,subcortex,anterior ear lobe,middle triangular fossa,of which all the platers were only at on side of the bady,and each acupoint was pressed 10-15 seconds before feeding,4 d a course.Results：Totally 42 women were enrolled in,28 cases in the test group and 14 cases in the control group.The test group was higher than the control group in initial time of lactation,lactation amount and lactation rate.Conclusion：Syndrome differentiated auricular-plaster therapy with selected points on lactation can promote lactation of natural delivery women.