剖宫产术后乳房康抚按摩对泌乳效果及乳房胀痛的影响

Effect of the recovery massage on the galactosis and s well pain of breast after cesarean section

目的:探讨产后乳房康抚按摩对剖宫产妇术后泌乳效果及乳房胀痛的影响。方法:选取220例单胎妊娠初产的剖宫产产妇为研究对象,随机数字表法将产妇分为观察组及对照组,各110例,对照组产后行常规护理、早吸吮、母乳喂养指导。观察组在对照组基础上产后12 h内开始行乳房康抚按摩。观察2组产妇乳房胀痛程度、泌乳时间、泌乳量及纯母乳喂养率。结果:观察组乳房胀痛评分产妇产后24、48、72 h均明显低于对照组(P<0.01),2组产后各时间段差异均有统计学意义(P<0.01),产后72h<48 h<24 h(P<0.05~P<0.01)。观察组泌乳量产后第2天、第3天、第7天均明显高于对照组(P<0.01),2组产后各时间段差异均有统计学意义(P<0.01),产后第7天>第3天>第2天>第1天(P<0.01)。观察组平均开始泌乳时间为(16.2±3.8)h,短于对照组的(28.3±4.8)h(P<0.01)。观察组产后24、48、72 h及42 d纯母乳喂养率均明显高于对照组(P<0.01)。结论:产妇乳房康抚按摩能促进乳腺管通畅和泌乳,减少乳房胀痛,提高母乳喂养成功率。

Objective:To investigate the effects of the recovery massage on the galactosis and swell pain of breast after cesarean section.Methods:A total of 220 primiparas with single pregnancy treated with cesarean section were divided into the observation group and control group according to the random number table(110 cases each group).The control group was nursed with routine measure,and guided in early sucking and breastfeeding.The observation group was additionally nursed with breast massage within postpartum 12 h based on the control group.The swell pain,lactation time and volume of breast,and breast-feeding rate in two groups were observed.Results:The pain scores of breast in observation group after 24,48 and 72 h of delivery were significantly lower than those in control group(P<0.01),the difference of which between two groups among postpartum each time-point was statistically significant(P<0.01),and which at postpartum 24,48 and 72 h gradually decreased(P<0.05 to P<0.01).The lactation volume in observation group at postpartum 2,3 and 7 d was significantly higher than that in control group(P<0.01),the difference of which between two groups among postpartum each time-point was statistically significant(P<0.01),and which at postpartum 1,2,3 and 7 d gradually increased(P<0.01).The mean time of lactation in observation group[(16.2±3.8)h]was shorter than that in control group[(28.3±4.8)h](P<0.01).The breastfeeding rates in observation group at postpartum 24,48,72 h and 42 d were significantly higher than those in control group(P<0.01).Conclusions:The recovery massage of breast can promote the breast duct patency,reduce the swell pain of breast,and improve the success rate of breastfeeding.