中医穴位按摩联合生物电刺激乳房护理在产后乳腺疏通中的应用效果

Application effect of traditional Chinese medicine acupoint massage combined with bioelectric stimulation breast nursing in postpartum breast dredging

目的探讨中医穴位按摩联合生物电刺激乳房护理在产后乳腺疏通中的应用效果。方法选取2019年1月至2020年6月肇庆市端州区妇幼保健院保健科收治的产后出现乳房胀痛需要乳腺疏通的468例产妇作为研究对象,并按照随机数字表法分成对照组和观察组,各234例。对照组采用常规按摩手法,观察组采用中医穴位按摩护理手法,两组产妇在乳房疏通按摩过程中,均辅助低频脉冲生物电刺激。护理干预3 d后,比较两组产妇乳腺疏通效果及护理疗效评价。结果护理干预前,两组产妇的乳房胀痛程度评分比较,差异无统计学意义(P>0.05);护理干预3 d后,观察组的乳房胀痛程度评分低于对照组,两组产妇的乳房胀痛程度评分也均低于本组干预前,差异有统计学意义(P<0.05)。观察组干预3 d后的护理总有效率高于对照组,差异有统计学意义(P<0.05)。结论中医穴位按摩与生物电刺激相结合方式,能够大大提高产妇产后乳腺管疏通度,护理效果值得肯定。

Objective To explore the application effect of traditional Chinese medicine acupoint massage combined with bioelectrical stimulation breast nursing in postpartum breast dredging.Methods A total of 468 cases of postpartum women who had breast swelling and pain requiring breast dredging admitted to Zhaoqing Duanzhou Maternal and Child Health Hospital from January 2019 to June 2020 were selected as the research objects,they were divided into control group and observation group according to random number table method,with 234 cases in each group.The control group used conventional massage nursing and the observation group used traditional Chinese medicine acupoint massage nursing.Both groups were assisted with low-frequency pulse bioelectric stimulation in the process of breast dredging and massage.Three days after nursing intervention,the breast dredging effect and nursing effect of the two groups were compared.Results Before nursing intervention,there was no significant difference in the score of breast swelling and pain between the two groups(P>0.05).Three days after nursing intervention,the breast pain score of the observation group was lower than that of the control group,and the breast pain scores of two groups were also lower than those before intervention,the differences were statistically significant(P<0.05).In terms of nursing effect after 3 days of intervention,the total effective rate of nursing effect in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The combination of traditional Chinese medicine acupoint massage and bioelectrical stimulation can greatly improve the dredging degree of postpartum breast duct,and the nursing effect is worthy of affirmation.