袋鼠式护理联合生大黄芒硝外敷预防产后乳汁淤积疗效观察

The Effect of Kangaroo Mother Care Combined with External Application of Rhubarb and Mirabilite to Prevent Postpartum Milk Stasis

目的 研究袋鼠式护理联合生大黄芒硝外敷预防产后乳汁淤积的应用价值。方法 267例顺产初产妇,随机分为对照组133例和观察组134例。对照组产后袋鼠式护理,观察组袋鼠式护理联合生大黄芒硝外敷。评估2组产妇护理后产妇首次开奶时间、乳汁分泌通畅度、乳房硬度、舒适度、乳房充血性肿胀发生率、乳汁淤积发生率、急性乳腺炎发生率、新生儿喂养情况和满意度。结果 观察组产后首次开奶时间明显优于对照组,观察组疗法能有效预防乳房充血性肿胀发生率,乳汁淤积发生率,急性乳腺炎发生率,从而减轻因乳汁淤积等原因引起的母乳喂养中断事件的发生(P<0.05)。同时,观察组新生儿喂养纯母乳喂养率明显高于对照组,产妇满意度测评也明显高于对照组,且差异有统计学意义(P<0.05)。结论 袋鼠式护理联合生大黄芒硝外敷预防产后乳汁淤积,可明显改善泌乳情况,缓解乳房不适,减少并发症发生,提高母乳喂养率,值得临床推广。

Objective To study the application value of kangaroo mother care combined with external application of rhubarb mirabilite to prevent postpartum milk stasis. Methods A total of 267 primiparas were enrolled,and randomly divided into routine group of 133 cases and combined group of 134 cases. The control group received routine postpartum nursing, and the combination group received kangaroo nursing combined with external application of rhubarb mirabilite on the basis of the routine group. The time of first breastfeeding, milk secretion patency, comfort, incidence of milk stasis, and neonatal feeding status and satisfaction were evaluated in the two groups of puerperal. Results The time of first breastfeeding in the combined group was significantly better than that in the conventional group. The combination group can effectively prevent the incidence of breast congestive swelling, milk stasis, and acute mastitis, thereby reducing the occurrence of breastfeeding interruption events caused by milk stasis and other reasons(P<0.05). At the same time, the rate of exclusive breastfeeding for newborns in the combined group was significantly higher than that in the conventional group,and the maternal satisfaction evaluation was also significantly higher than that in the conventional group, and the difference was statistically significant(P<0.05). Conclusion Kangaroo mother care combined with external application of rhubarb and thenardite can prevent postpartum milk stasis, and can significantly improve lactation, relieve breast discomfort, reduce complications, and improve breastfeeding rate. Kangaroo mother care combined with external application of rhubarb mirabilite is worthy of clinical application.