节段式乳房按摩结合低频脉冲治疗产后乳房胀痛的临床效果及对泌乳量的影响

Clinical effect of segmental breast massage combined with the lowfrequency pulse in the treatment of postpartum breast tenderness and pain and its influence on lactation amount

目的 探讨节段式乳房按摩结合低频脉冲治疗产后乳房胀痛的临床价值。方法 选取2019年3月至2020年9月收治的98例产后乳房胀痛患者,采用随机数字表法分为对照组和观察组,每组各49例。对照组行常规治疗,观察组采用节段式乳房按摩结合低频脉冲治疗,观察两组临床疗效,治疗前、治疗3 d后泌乳量、疼痛程度、母乳喂养自我效能变化及相关并发症发生情况。结果 观察组治疗总有效率为95.92%,对照组为81.63%,差异有统计学意义(P<0.05);治疗3 d后,观察组泌乳量较对照组增加更明显,差异有统计学意义(P<0.001);治疗3 d后,观察组视觉模拟评分法(VAS)评分较对照组下降更明显,母乳喂养自我效能简式量表(BSES-SF)评分较对照组提升更明显,差异有统计学意义(P<0.001);观察组相关并发症发生率为2.04%,对照组为10.02%,差异有统计学意义(P<0.05)。结论 节段式乳房按摩结合低频脉冲治疗产后乳房胀痛,效果确切,可明显改善疼痛,提高泌乳量,增强母乳喂养自我效能,预防相关并发症,值得推广。

Objective To explore the clinical value of segmental breast massage combined with the low-frequency pulse in the treatment of postpartum breast pain.Methods According to the random number table method,98postpartum breast pain patients admitted from March 2019 to September 2020 were divided into 49 cases in the control group and 49 cases in the observation group.The control group received conventional treatment.The observation group adopted segmental breast massage combined with low-frequency pulse therapy.The clinical efficacy,changes in lactation amount,pain degree and breastfeeding self-efficacy,and the occurrence of related complications before and three days after treatment in the two groups were compared.Results The total effective rate of treatment in the observation group was 95.92%,which was significantly higher than 81.63%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in lactation amount between the groups before treatment(P>0.05).After three days of treatment,the lactation amount of the observation group was significantly larger than that of the control group,and the difference was statistically significant(P<0.001).There was no significant difference in visual analog scale(VAS)and breastfeeding self-efficacy scale(BSES-SF)scores between the two groups before treatment(P>0.05).After three days of treatment,the VAS score of the observation group was significantly lower than that of the control group in the same period.The BSES-SF score of the observation group was significantly higher than that of the control group.The difference was statistically significant(P<0.001).The incidence of related complications in the observation group was 2.04%,which was significantly lower than that of the control group 10.02%,and the difference was statistically significant(P<0.05).Conclusion Segmental breast massage combined with the low-frequency pulse is effective in treating postpartum breast tenderness and pain.It can significantly improve pain,increase lactation,enhance breastfeeding self-efficacy,and prevent related complications.It is worthy of promotion.