电针少泽穴对产后缺乳者乳汁量及成分的影响

Effect of electroacupuncture at Shaoze(SI 1) on breast milk volume and composition in postpartum hypogalactia

目的:观察电针少泽穴对产后缺乳患者乳汁分泌量及乳汁营养成分的影响。方法:将62例产后缺乳妇女随机分为观察组(31例,脱落3例)和对照组(31例,脱落3例)。观察组电针少泽穴,对照组电针商阳穴,频率10 Hz,每次30 min,每天1次,5次为一疗程,疗程间休息2 d,共治疗3个疗程。对两组患者治疗前、1个疗程及3个疗程结束后进行乳汁量测定及成分分析,观察两组患者乳汁量、乳汁营养成分(乳糖、脂肪、蛋白)、乳汁能量及密度变化情况,并于治疗后比较两组临床疗效。结果:观察组经1个疗程治疗后乳汁量、乳汁中乳糖量和蛋白量较治疗前增加,乳汁能量及密度较治疗前升高(均P<0.05);经3个疗程治疗后乳汁量、乳汁营养成分(乳糖、脂肪、蛋白)含量较治疗前明显增加,乳汁能量及密度较治疗前明显升高(均P<0.05)。对照组经1、3个疗程治疗后仅乳汁量较治疗前明显增加(均P<0.05)。经1个疗程治疗后,观察组乳汁营养成分(乳糖、蛋白)、乳汁能量及密度均高于对照组(均P<0.05);经3个疗程治疗后,观察组乳汁量、乳汁营养成分(乳糖、脂肪、蛋白)含量、乳汁能量及密度均高于对照组(均P<0.05)。观察组有效率为92.9%(26/28),高于对照组的17.9%(5/28,P<0.05)。结论:电针少泽穴能增加产后缺乳患者乳汁分泌量,促进乳汁中营养成分生成,并能提高乳汁能量及密度。

Objective To observe the effect of electroacupuncture at Shaoze(SI 1) on breast milk volume and nutrient composition in postpartum hypogalactia. Methods A total of 62 women with postpartum hypogalactia were randomized into an observation group(31 cases, 3 cases dropped off) and a control group(31 cases, 3 cases dropped off). Electroacupuncture was exerted at Shaoze(SI 1) in the observation group and at Shangyang(LI 1) in the control group, 10 Hz in frequency, 30 min each time, once a day. The treatment for 5 times as one course and 3 courses of treatment were required totally. Separately, before treatment and at the end of 1 course and 3 courses of treatment, the breast milk volume was measured and the composition was analyzed. The breast milk volume, nutrient composition(lactose, fat and protein), breast milk energy and density were observed in the two groups. After treatment, the clinical effect was compared between the two groups. Results In the observation group, after 1 course of treatment, the breast milk volume and the values of lactose and protein in the breast milk were increased as compared with those before treatment, the breast milk energy and density were increased as compared with those before treatment(all P<0.05). After 3 courses of treatment, the breast milk volume and the values of nutrient composition(lactose, fat and protein) were improved as compared with those before treatment, and the breast milk energy and density were increased obviously as compared with those before treatment in the observation group(all P<0.05). In the control group, after 1 course and 3 courses of treatment, only breast milk volume was increased obviously as compared with that before treatment(both P<0.05). After 1 course of treatment, the nutrient composition(lactose and protein), breast milk energy and density in the observation group were higher than those in the control group(all P<0.05). After 3 courses of treatment, the levels of breast milk volume, nutrient composition(lactose, fat and protein), breast milk energy and density in the observation group were all higher than those in the control group(all P<0.05). The effective rate was 92.9%(26/28) in the observation group, which was higher than 17.9%(5/28) in the control group(P<0.05). Conclusion Electroacupuncture at Shaozhe(SI 1) increases breast milk volume in patients with postpartum hypogalactia and promotes the production of the nutrient composition in breast milk, as well as the breast milk energy and density.