5P手法按摩乳房预防剖宫产术后乳汁淤积的临床研究

Clinical study of the prevention of galactostasis after cesarean section by 5P manual massage

目的探讨5P手法按摩乳房对剖宫产术后乳汁分泌的影响。方法选取2016年1~11月柳铁中心医院200例剖宫产产妇,采用随机数字表法分为按摩组(100例)和对照组(100例)。对照组给予常规乳房护理,按摩组在对照组基础上实施5P手法按摩乳房。比较两组产妇乳汁排出量、乳汁淤积率以及母乳喂养情况。结果产后48、72、96 h按摩组产妇乳汁排出量明显高于对照组,差异有统计学意义(P<0.05);产后72、96 h,按摩组产妇乳汁淤积发生率均明显低于对照组,差异有统计学意义(P<0.05);产后5 d,按摩组产妇母乳喂养充足率明显高于对照组,差异有统计学意义(P<0.05)。结论 5P手法按摩可有效提高剖宫产产妇乳汁排出量,预防乳汁淤积发生,提高母乳喂养,值得临床在推广。

Objective To study the influence of 5 P manual massage on breasts to eliminate postoperative galactostasis after cesarean section.Methods From January to November 2016,200 cases of patients underwent cesarean section in Liutie Central Hospital of Liuzhou City were selected and divided into massage group（n = 100） and control group（n =100）.The control group was received routine breast care,and the massage group was implemented 5 P manual massage on the basis of breast massage.The lactation yield,deposition rate and breast-feeding situation were compared between the two groups.Results Postpartum 48,72,96 h,the lactation yield of massage group were significantly higher than the control group,with statistically significant differences（P〈0.05）.Postpartum 72 h and 96 h,the incidence of breast deposition in massage group were significantly lower than the control group,with statistically significant differences（P 0.05）.5 days postpartum,the rate of breast feeding adequacy of the parturient in the massage group was obviously higher than that of the control group,with statistically significant difference（P 0.05）.Conclusion 5 P manual massage can effectively improve the amount of lactation yield,prevent the incidence of galactostasis,and improve breast feeding in cesarean section.It is worthy of clinical promotion.