耳穴贴压对剖宫产术围术期产妇泌乳及Cor、IL-6的影响

Effect of ear auricular sticking on the lactation, Cor and IL-6 in puerpera undergoing cesarean section in the perioperative period

目的观察耳穴贴压对剖宫产术围术期产妇泌乳及Cor、IL-6的影响。方法选取2015行剖宫产术分娩的产妇100例,随机分为观察组及对照组,各50例。2组产妇剖宫产术后均进行常规处置,观察组在常规处置的基础上配合耳穴贴压治疗,对比2组产妇产后泌乳素浓度、泌乳始动时间及下奶时间,并采集2组产妇术前及术后2 d晨起空腹静脉血,测定血清皮质醇(Cor)、白介素-6(IL-6)浓度变化。结果观察组术后PRL浓度明显高于对照组(P>0.05),但泌乳始动时间及下奶时间明显早于对照组(P<0.05),观察组术后第2天血清Cor、IL-6浓度均明显低于对照组(P<0.05)。结论剖宫产术后行耳穴贴压治疗,可显著加速剖宫产术后产妇泌乳始动时间及下奶时间,降低血清Cor、IL-6浓度,利于产妇术后康复及早期哺乳。

Objective To observe the effect of ear auricular sticking on the lactation, Cor, and IL-6 in puerpera undergoing cesarean section in the perioperative period. Methods 100 puerpera who were admitted in our hospital from 2015 for cesarean section were included in the study and randomized into the observation group and the control group with 50 cases in each group. The puerpera in the two groups were given routine treatments after cesarean section. On this basis, the puerpera in the observation group were given ear auricular sticking. PRL concentration, lactation initial time and lactation promoting time in the two groups were compared. The morning fasting venous blood before operation and 2 d after operation in the two groups was collected. The serum Cor and IL-6 concentrations were detected. Results PRL concentration after operation in the observation group was significantly higher than that in the control group（P〉0.05）, but the lactation initial time and lactation promoting time were significantly earlier than those in the control group（P〈0.05）. The serum Cor and IL-6 concentrations 2 d after operation in the observation group were significantly lower than those in the control group（P〈0.05）. Conclusion Ear auricular sticking after cesarean section can significantly accelerate the lactation initial time and lactation promoting time, reduce the serum Cor and IL-6 concentrations, and contribute to the postoperative rehabilitation and early lactation.