按摩联合穴位刺激对母婴分离早产儿母亲乳汁分泌量的影响
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女,本科,主管护师

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复旦大学复星科研基金(FNF202020)


Effect of breast massage combined with acupoint stimulation on milk volume of mothers separated from their preterm neonates
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    摘要:

    目的 探讨乳房按摩联合穴位刺激对母婴分离的早产儿母亲乳汁分泌量的影响。方法 将母婴分离的160例早产儿母亲随机分为乳房按摩、穴位刺激、乳房按摩联合穴位刺激和常规护理组,每组40例。分娩后24 h内根据分组给予母亲相应指导,直至婴儿回归母亲身边。比较四组母亲的泌乳Ⅱ期启动时间,产后7 d内乳汁分泌量和30 d纯母乳喂养率。结果 四组母亲泌乳Ⅱ期启动时间、产后7 d乳汁分泌量和30 d纯母乳喂养率比较,差异有统计学意义(均P<0.01), 其中联合组最优,对照组最差。结论 乳房按摩和穴位刺激,无论是单独还是联合使用均可以提早泌乳Ⅱ期启动时间,增加产后初期乳汁分泌,提升产后1个月的纯母乳喂养率。其中联合使用效果佳。

    Abstract:

    Objective To explore the effect of breast massage combined with acupoint stimulation on milk volume of mothers of premature infants. Methods Totally, 160 mothers separated from their preterm neonates were randomized into 4 groups (respectively receiving breast massage alone, acupoint stimulation alone, breast massage plus acupoint stimulation, and routine nursing care) of 40 cases each. Within 24 hours after delivery, according to the results of random grouping, the mothers were given corresponding guidance until the baby returned to the mother. The time to reach phase Ⅱ lactation, milk volume in the first seven days and exclusive breastfeeding rate in 30 days were compared among the four groups. Results There were significant differences in the start-up time of phase Ⅱ lactation, milk volume of the first 7 days and exclusive breastfeeding rate in 30 days among the four groups (P<0.01 for all). Conclusion Breast massage and acupoint stimulation, either alone or in combination, can accelerate the start-up time of phase Ⅱ lactation, increase milk secretion in early postpartum period and exclusive breastfeeding rate 1 month postpartum. The effect of combined use is better than breast massage alone or acupoint stimulation alone.

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盛佳,夏海鸥,丁焱,王靖,张俊平.按摩联合穴位刺激对母婴分离早产儿母亲乳汁分泌量的影响[J].护理学杂志,2020,35(22):44-48

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  • 收稿日期:2020-07-12
  • 最后修改日期:2020-08-23
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  • 在线发布日期: 2022-09-06