低频穴位电刺激联合六步法乳房按摩对剖宫产产妇母乳喂养、泌乳功能和产后心理状态的影响

Effects of low-frequency acupoint electrical stimulation combined with six-step breast massage on breastfeeding,lactation function and postpartum psychological state of parturients undergoing cesarean section

目的:探讨低频穴位电刺激联合六步法乳房按摩对剖宫产产妇母乳喂养、泌乳功能和产后心理状态的影响。方法:选取2022年9月~2022年12月在我院产科剖宫产分娩的120名产妇为研究对象。随机分为观察组和对照组,各60例。对照组予以六步法乳房按摩,观察组予以低频穴位电刺激联合六步法乳房按摩。采用母乳喂养测量工具(breast-feeding assessment tool,BAT)、母乳喂养自我效能量表(breastfeeding self-efficacy scale,BSES)及产后42d纯母乳喂养率评估母乳喂养情况;记录产妇泌乳始动时间、泌乳量、产后48h乳房胀痛程度及产后24、48、72h血清泌乳素(prolactin,PRL)水平;于产后72h、42d采用爱丁堡产后抑郁量表(edinburgh postnatal depression scale,EPDS)评估产妇产后心理状态。结果:观察组BAT评分、首次母乳喂养成功率、产后42d纯母乳喂养率以及产后72h、42d BSES评分均高于对照组(P<0.05)。观察组产妇泌乳始动时间早于对照组(P<0.05),泌乳量以及产后24、48、72h PRL水平均高于对照组(P<0.05),产后48h乳房胀痛程度低于对照组(P<0.05)。观察组产后72h、42d EPDS评分均低于对照组(P<0.05)。结论:低频穴位电刺激联合六步法乳房按摩可提高剖宫产产妇母乳喂养率和母乳喂养自信心,改善乳房胀痛,促进泌乳功能和产后心理健康,是一种值得推广的产后乳房护理方法。

Objective To explore the effect of low-frequency acupoint electrical stimulation combined with six-step breast massage on breastfeeding,lactation function and postpartum psychological state of parturients undergoing cesarean section.Methods 120parturients who underwent cesarean section in our hospital from September 2022to December 2022were selected as the research objects.They were randomly divided into observation group and control group,60cases in each group.The control group was given six-step breast massage,and the observation group was given low-frequency acupoint electrical stimulation combined with six-step breast massage.Breast-feeding assessment tool(BAT),breastfeeding self-efficacy scale(BSES)and exclusive breastfeeding rate at 42days postpartum were used to evaluate breastfeeding.The initial time of lactation,the amount of lactation,the degree of breast distending pain at 48h after delivery and the serum prolactin(PRL)levels at 24,48and 72h after delivery were recorded.The edinburgh postnatal depression scale(EPDS)was used to evaluate the postpartum psychological status at 72h and 42d after delivery.Results The BAT score,the success rate of first breastfeeding,the rate of exclusive breastfeeding at 42days postpartum,and the BSES score at 72hours and 42days postpartum in the observation group were higher than those in the control group(P<0.05).The initial time of lactation in the observation group was earlier than that in the control group(P<0.05).The amount of lactation and the levels of PRL at 24,48and 72hours after delivery were higher than those in the control group(P<0.05).The degree of breast tenderness at 48hours after delivery was lower than that in the control group(P<0.05).The EPDS scores of the observation group at 72h and 42d after delivery were lower than those of the control group(P<0.05).Conclusion Low-frequency acupoint electrical stimulation combined with six-step breast massage can improve the breastfeeding rate and breastfeeding self-confidence of cesarean section women,improve breast distending pain,and promote lactation function and postpartum mental health.It is a postpartum breast nursing method worthy of promotion.