穴位按摩在产后缺乳产妇中的应用研究

Application of acupoint massage in postpartum hypogalactia in puerpera

目的:评价穴位按摩对产后缺乳产妇的作用效果。方法:将60例剖宫产产妇随机分为观察组和对照组,各30例,观察组剔除2例,最终观察组28例、对照组30例。对照组予以产科术后常规护理,指导产妇母乳喂养,进行产后健康宣教;观察组在对照组的基础上根据与乳房相关的经络选取相关穴位进行按摩,于术后第3天上午8:00–9:00进行,每天1次,每个穴位按揉1 min,持续5 d。比较两组产妇泌乳量、乳房充盈度、乳汁淤积程度及乳汁黏稠度,并比较两组的临床疗效。结果:干预第1、2天两组产妇的泌乳量、乳房充盈度、乳汁淤积程度评分比较差异无统计学意义(均P>0.05);第3~5天观察组泌乳量、乳房充盈度、乳汁淤积程度评分均低于对照组(均P<0.01)。两组产妇的乳汁黏稠度在前4 d差异均无统计学意义(均P>0.05),第5天观察组评分低于对照组(P<0.01)。观察组显效率为64.3%(18/28),高于对照组的13.3%(4/30,P<0.05)。结论:在与乳房密切相关的经络上选取穴位进行按摩可有效促进缺乳产妇术后乳汁的分泌,减轻涨奶程度。

Objective To evaluate the effects of acupoint massage for postpartum hypogalactia in puerpera. Methods A total of 60 puerpera of cesarean section were randomized into an observation group and a control group, 30 cases in each one. In the observation group, 2 cases were dropped out. Finally, there were 28 cases in the observation group and 30 cases in the control group. In the control group, the routine nursing after operation in obstetrics department was given, guiding maternal breastfeeding and postpartum health education. In the observation group, on the basis of the treatment as the control group, the corresponding acupoints were selected from the breast related meridians for massage. Acupoint massage was given since the 3rd day after operation, 8：00 am to 9：00 am, once a day, 1 min at one acupoint, continuously for 5 days. The lactation volume, breast filling, galactostasis and milk viscosity were compared in the parturient of the two groups. The clinical therapeutic effects were compared between the two groups. Results From the 1st to the 2nd days, the differences were not significant in lactation volume, breast filling and galactostasis score between the two groups （all P〉0.05）. From the 3rd to 5th days, the lactation volume, breast filling and galactostasis score in the observation group were all lower than those in the control group （all P〈0.01）. The difference in milk viscosity was not significant in the first 4 days between the two groups （all P〉0.05）. On the 5th day, the score of milk viscosity in the observation group was lower than that in the control group （P〈0.01）. The cured rate was 64.3%（18/28） in the observation group, which was better than 13.3%（4/30） in the control group （P〈0.05）. Conclusion Massage at the acupoints from the breast related meridians effectively promotes the lactation secretion in puerpera of postpartum hypogalactia and alleviates breast distention.