子午流注针法配合辨证取穴针刺对产后乳房充盈度及泌乳量的影响

Effect of meridian flow acupuncture combined with acupoint selection based on syndrome differentiation on postpartum breast filling and lactation

目的探讨子午流注针法配合辩证取穴针刺对产妇乳房充盈度与泌乳量的影响。方法选取2020年1月1日~2021月8月1日我院诊治的产后缺乳产妇156例,按照随机数字表法分为按摩组、针刺组及观察组,每组52例。按摩组采用普通的按摩手法以及中医常规疗法进行治疗,针刺组采用穴位针刺疗法,观察组则采用子午流注针配合辨证取穴针刺进行治疗,观察3组治疗前后胸肋胀痛、神色、饮食、情志状态以及泌乳量和配方奶粉使用量情况,并进行乳房充盈度评分。结果治疗前,3组患者的胸肋胀痛情况、神色情况、饮食情况、情志状态等相关的中医症状及乳房充盈度、泌乳量及婴儿的配方奶粉使用量差异无统计学意义(P>0.05)。治疗后,3组患者的胸肋胀痛情况、神色情况、饮食情况、情志状态得到较为显著的改善,观察组效果优于观察组和按摩组,3组组间比较差异均有统计学意义(P<0.05);3组患者乳房充盈度、泌乳量均得到显著的提升,婴儿的配方奶粉使用量均减少,针刺组和观察组优于按摩组,观察组优于针刺组(P<0.05)。且观察组总有效率高于针刺组和按摩组(P<0.05)。结论子午流注针配合辩证取穴针刺能够有效提升产妇的乳房充盈度,增加其泌乳量。

Objective The effect of dialectical acupoint acupuncture on maternal breast filling and lactation was discussed.Methods 156 women treated in our hospital from January 12020 to August 12021,which were divided into massage group,acupuncture group and observation group according to random digital table,with 52 in each group.The massage group used ordinary massage techniques and traditional Chinese medicine;acupuncture group used acupoint acupuncture,and meridian acupuncture with syndrome differentiation to observe chest rib pain,look,diet,mood and lactation and formula usage before and after the three groups,and scored breast filling.Results Before the experiment,no maternal indicators between the three groups(P<0.05),after treatment,the data in the massage group were not obvious,the acupuncture and observation groups increased significantly,and the rise level and overall efficiency were higher than the acupuncture group(P<0.05).Conclusion Meridian flow injection needle combined with dialectical acupoint selection acupuncture can effectively improve maternal breast filling and increase milk yield.