中医辨证施护在促进初产妇乳汁分泌中的应用

Application of TCM Syndrome Differentiation in Promoting Milk Secretion of Primiparas

目的分析在初产妇中运用中医辩证施护对乳汁分泌的促进价值。方法择取2018年1月—2019年1月医院180例分娩后1周之内的初产妇,将其按数字随机分为对照组和研究组,每组90例,对照组实施常规护理,研究组实施中医辩证施护,对照分析两组护理效果。结果从泌乳始动时间来看,研究组早于对照组,P<0.05;从母乳分泌量来看,研究组母乳分泌量多的产妇占比高于对照组,分泌量少的产妇占比低于对照组,P<0.05;从母乳喂养自我效能评分来看,产前两组对比,差异无统计学意义,P>0.05,产后研究组评分高于对照组,P<0.05。结论在初产妇中运用中医辩证施护可促进乳汁分泌,不仅泌乳始动时间缩短,母乳分泌量增多,而且母乳喂养自我效能得到改善。

Objective To analyze the value of promoting milk secretion by dialectical nursing of traditional Chinese medicine in puerpera.Methods 180 cases of primiparas within 1 week after delivery in our hospital from January 2018 to January 2019 were randomly divided into the control group and the research group,with 90 cases in each group.Results From the starting time of lactation,the study group was earlier than the control group(P<0.05).From the perspective of breast milk secretion,the proportion of mothers with more breast milk secretion in the study group was higher than that in the control group,and the proportion of mothers with less breast milk secretion was lower than that in the control group(P<0.05).From the perspective of self-efficacy score of breast-feeding,there was no statistical difference between the two groups before and after the birth(P>0.05),and the score of the postpartum study group was higher than that of the control group(P<0.05).Conclusion The dialectical nursing of traditional Chinese medicine can promote the milk secretion,not only shorten the starting time of lactation,increase the amount of milk secretion,but also improve the self-efficacy of breastfeeding.