产后缺乳患者采用以需求为导向护理联合子午流注针治疗的临床效果

Clinical Effect of Demand-oriented Nursing Combined with Meridian Injection in Patients with Postpartum Hypogalactia

目的探讨产后缺乳患者采用以需求为导向护理联合子午流注针治疗的临床效果。方法方便选取2018年10月—2019年12月在该院门诊或住院病房接受治疗的产后缺乳患者102例,随机分为两组,各51例。对照组护理方式为常规护理,观察组在对照组上基础运用以需求导向的护理联合子午流注治疗模式,比较两组护理方式的护理满意率、乳房充盈度、人工喂养量、乳汁初次分泌时间等。结果观察组产妇护理满意率为94.12%,高于对照组的78.43%,差异有统计学意义(χ^(2)=5.299,P<0.05)。护理后,观察组产妇的乳汁初次分泌时间短于为(55.89±2.57)h,对照组的(62.34±2.19)h,差异有统计学意义(t=13.642,P<0.05)。观察组的乳房充盈度评分为(2.89±0.24)分高于对照组的(1.72±0.31)分,差异有统计学意义(t=21.312,P<0.05)。观察组人工喂养量为(89.38±6.14)mL,低于对照组的(112.25±5.49)mL,差异有统计学意义(t=19.829,P<0.05)。结论以需求为导向护理联合子午流注针治疗显著促进乳汁分泌,护理满意率优于对照组,安全性高,可作为中医诊断与治疗的依据并推广针刺治疗产后缺乳,为临床上应用针刺疗法提供依据。

Objective To explore the clinical effect of demand-oriented nursing combined with meridian injection for postpartum hypogalactia patients.Methods 102 patients with postpartum agalactia admitted to the outpatient or inpatient department of the hospital from October 2018 to December 2019 were conveniently selected and randomly divided into two groups,with 51 cases in each group.The control group received routine nursing care.On this basis,demand-oriented nursing care combined with meridian flow injection therapy was used to observe the nursing satisfaction rate,breast fullness,artificial feeding volume and initial milk secretion time between the two groups.Results The satisfaction rate of maternal care in the observation group was 94.12%,which was higher than 78.43% in the control group,and the difference was statistically significant(χ^(2)=5.299,P<0.05).After nursing,the first time of milk secretion in the observation group was(55.89±2.57)h,which was shorter than that in the control group(62.34±2.19)h,and the difference was statistically significant(t=13.642,P<0.05).The breast filling score of the observation group was(2.89±0.24)points,which was significantly higher than that of the control group(1.72±0.31)points,and the difference was statistically significant(t=21.312,P<0.05).The artificial feeding amount of the observation group was(89.38±6.14)mL,which was lower than that of the control group(112.25±5.49)mL,and the difference was statistically significant(t=19.829,P<0.05).Conclusion The observation group significantly promoted nursing satisfaction rate,with better nursing efficacy than the control group and the safety was high,which can be used as the basis for the diagnosis and treatment of traditional Chinese medicine and the promotion of acupuncture in the treatment of puerpera with postpartum hypogalactia,providing a basis for the clinical application of acupuncture therapy.