产后康复治疗仪联合乳房穴位按摩对产妇产后子宫复旧、泌乳功能及血清泌乳素水平的影响

Effect of postpartum rehabilitation therapy instrument combined with breast acupoint massage on postpartum uterine involution,lactation function and serum prolactin level in puerpera

目的:探讨产后康复治疗仪联合乳房穴位按摩对产妇产后子宫复旧、泌乳功能及血清泌乳素(prolactin,PRL)水平的影响。方法:选取2021年2月~2022年12月在我院产科分娩的124名产妇为研究对象。根据随机数字表法,将其分为观察组和对照组,每组各62例。观察组接受产后康复治疗仪联合乳房穴位按摩干预,对照组接受乳房穴位按摩干预。以子宫入骨盆时间、产后72h宫底高度和恶露持续时间评估产妇产后子宫复旧情况;记录产妇泌乳始动时间、泌乳量和产后24h、48h、72h血清PRL水平;于产后72h,评估产妇乳房胀痛程度与乳房硬度情况;于产后42d,统计两组母乳喂养情况;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:观察组产妇子宫入骨盆时间和恶露持续时间均短于对照组(P<0.05),产后72h宫底高度低于对照组(P<0.05)。观察组产妇泌乳始动时间早于对照组(P<0.05),泌乳量和产后24h、48h、72h PRL水平均高于对照组(P<0.05)。产后72h,观察组产妇乳房胀痛程度与乳房硬度均低于对照组(P<0.05)。产后42d,观察组纯母乳喂养率高于对照组(P<0.05)。产后72h、42d,观察组EPDS评分均低于对照组(P<0.05)。结论:产后康复治疗仪联合乳房穴位按摩能够促进产妇子宫复旧,改善泌乳功能,缓解乳房胀痛,提高纯母乳喂养率,有利于产妇产后心理健康,是一种有效的产后康复手段,值得在临床实践中推广应用。

Objective:To explore the effect of postpartum rehabilitation therapy instrument combined with breast acupoint massage on postpartum uterine involution,lactation function and serum prolactin(PRL)level.Methods A total of 124parturients who gave birth in our hospital from February 2021to December 2022were selected as the research objects.According to the random number table method,they were divided into observation group and control group,62cases in each group.The observation group received postpartum rehabilitation therapy combined with breast acupoint massage,and the control group received acupoint massage.The postpartum uterine involution was evaluated by the time of uterus entering pelvis,the height of uterine fundus at 72hours after delivery and the duration of lochia.The initial time of lactation,lactation volume and serum PRL levels at 24h,48h and 72h after delivery were recorded.At 72hours after delivery,the degree of breast pain and breast hardness were evaluated.At 42days after delivery,the breastfeeding status of the two groups was counted.The edinburgh postnatal depression scale(EPDS)was used to evaluate the postpartum psychological status at 72h and 42d after delivery.Results The time of uterus entering pelvis and duration of lochia in the observation group were shorter than those in the control group(P<0.05),and the height of uterine fundus at 72h after delivery was lower than that 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),and the lactation volume and PRL levels at 24h,48h and 72h after delivery were higher than those in the control group(P<0.05).At 72h after delivery,the degree of breast pain and breast hardness in the observation group were lower than those in the control group(P<0.05).At 42days after delivery,the exclusive breastfeeding rate in the observation group was higher than that in the control group(P<0.05).At 72h and 42d after delivery,the EPDS scores of the observation group were lower than those of the control group(P<0.05).Conclusion Postpartum rehabilitation therapy instrument combined with breast acupoint massage can promote maternal uterine involution,improve lactation function,relieve breast distending pain,improve exclusive breastfeeding rate,and is conducive to maternal postpartum mental health.It is an effective means of postpartum rehabilitation and is worthy of popularization and application in clinical practice.