穴位按摩与冷敷配合电动吸乳器对治疗乳汁淤积的效果观察(1)
摘 要：目的 探讨穴位按摩与冷敷配合电动吸乳器治疗乳汁淤积的效果。方法 选择在我院分娩的发生乳汁淤积的产妇126例，随机分成观察组和对照组，每组63例。对照组督促产妇给婴儿频繁吸吮，观察组在对照组基础上采用穴位按摩、冷敷及配合电动吸奶器打奶。观察两组产妇处理后2 h、12 h、24 h乳汁淤积程度、急性乳腺炎的发生情况以及产妇乳房的舒适度。结果 观察组处理后2 h、12 h、24 h，乳汁淤积程度和产妇的乳房舒适度较对照组均有所改善，差异具有统计学意义(P<0.05)。对照组发生急性乳腺炎3例。结论 采用穴位按摩与冷敷配合电动吸乳器治疗乳汁淤积，可使乳汁淤积尽快消除，减少急性乳腺炎的发生。
关键词：穴位按摩；冷敷；电动打奶器；乳汁淤积
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.059
文章编号：1006-1959(2018)08-0165-03
, 百拇医药
Observation on the Effect of Acupoint Massage and Cold Dressing with Electric Breast Pump on Treating Milk Deposition
JIANG Gui-ying
(Department of Obstetrics，Jiangxi Maternal and Child Health Hospital，Nanchang 330006，Jiangxi，China)
Abstract：Objective To explore the effect of acupoint massage and cold compress combined with electric milking apparatus in the treatment of milk deposition.Methods 126 cases of puerpera with milk deposition in our hospital were randomly divided into observation group and control group with 63 cases in each group.The control group urged the puerpera to suck the baby frequently， and the observation group used acupoint massage，cold compress and electric milk-sucking device on the basis of the control group.The degree of milk deposition，the incidence of acute mastitis and the comfort degree of breasts in two groups after 2 h，12 h，24 h treatment were observed.Results After treatment，2 h，12 h and 24 h were treated in the observation group.The degree of milk deposition and the breast comfort of the parturient were better than those of the control group，the difference was statistically significant(P<0.05).There were 3 cases of acute mastitis in the control group.Conclusion The use of acupoint massage and cold compress combined with electric breast sucking device to treat milk stasis can make breast milk deposition as soon as possible and reduce the incidence of acute mastitis.
, 百拇医药
Key words：Acupressure massage；Cold compress；Electric milk pump；Milk deposition
乳汁淤積(galactostasis)是腺叶乳汁排出不畅，致使乳汁在乳内积存而成，临床表现为乳内硬块，乳房肿胀[1]。乳汁淤积没有得到及时消除，容易导致乳腺感染，引起乳腺化脓性感染，不仅导致产妇的自身痛苦，哺乳困难，而影响新生儿的正常发育。为了降低急性乳腺炎发生，减少乳汁淤积，我院对乳汁淤积的产妇进行穴位按摩、频繁吸吮、冷敷配合电动吸奶器打奶，有效降低了急性乳腺炎的发生，乳汁淤积得到改善，现报道如下。
1资料与方法
1.1一般资料 选择2012年2月～2016年2月在江西省妇幼保健院产科发生乳汁淤积的产妇126例，其中剖宫产116例，产钳产4例，自然分娩6例；Ⅲ度肿胀96例，Ⅱ度肿胀30例。本研究经过医院伦理委员会审核。纳入标准：①妊娠合并症，如重度子痫、心脏病、传染病，未使用对母乳喂养有影响的药物，愿意母乳喂养者；②新生儿出生体重在2.5 kg以上，无先天性、遗传性疾病、Apgar评分≥9分，吸吮力好；③产妇及家属知情同意。据研究对象数字顺序交替分为观察组和对照组，每组63例。两组产妇一般资料比较，差异无统计学意义(P>0.05)，具有可比性，见表1。
, 百拇医药
1.2方法 督促对照组产妇给婴儿频繁吸吮。观察组在对照组基础上采取以下措施：①穴位按摩：操作者洗净双手，用手掌侧面轻按乳房根，向乳头方向按摩，力量与产妇感到舒适为宜，按摩后用右手4指捏住乳房反复牵拉乳头数次，按压乳根、膻中、鹰窗、少泽、每个穴位按摩1 min，反复5次，使局部发热，力度与产妇能耐受，有酸、麻、胀痛感为准。②冷敷：采用老面敷在乳房上，每次2 h。老面制作方法：适量面粉上撒上一些酵母粉(比例大约100∶1)用水把面和均匀，放置2 h后面团成蜂窝状小孔即可。③电动吸乳器：采用德国产美德乐医用负压可调式平衡吸乳器打奶。具体方法：指导产妇操作，在吸乳前用温水清洁双手和乳房，将吸乳器配件清洗并消毒后使用，按压吸乳器开关，先调至按摩档，待适应后逐渐调至产妇适宜的负压频率(一般为2～3档)，使用电动汲乳器每次每侧乳房吸乳5 min，两侧交替进行每个乳房累计打30 min以上或双侧同时打奶20～30 min。, 百拇医药(江桂英)
关键词：穴位按摩；冷敷；电动打奶器；乳汁淤积
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.059
文章编号：1006-1959(2018)08-0165-03
, 百拇医药
Observation on the Effect of Acupoint Massage and Cold Dressing with Electric Breast Pump on Treating Milk Deposition
JIANG Gui-ying
(Department of Obstetrics，Jiangxi Maternal and Child Health Hospital，Nanchang 330006，Jiangxi，China)
Abstract：Objective To explore the effect of acupoint massage and cold compress combined with electric milking apparatus in the treatment of milk deposition.Methods 126 cases of puerpera with milk deposition in our hospital were randomly divided into observation group and control group with 63 cases in each group.The control group urged the puerpera to suck the baby frequently， and the observation group used acupoint massage，cold compress and electric milk-sucking device on the basis of the control group.The degree of milk deposition，the incidence of acute mastitis and the comfort degree of breasts in two groups after 2 h，12 h，24 h treatment were observed.Results After treatment，2 h，12 h and 24 h were treated in the observation group.The degree of milk deposition and the breast comfort of the parturient were better than those of the control group，the difference was statistically significant(P<0.05).There were 3 cases of acute mastitis in the control group.Conclusion The use of acupoint massage and cold compress combined with electric breast sucking device to treat milk stasis can make breast milk deposition as soon as possible and reduce the incidence of acute mastitis.
, 百拇医药
Key words：Acupressure massage；Cold compress；Electric milk pump；Milk deposition
乳汁淤積(galactostasis)是腺叶乳汁排出不畅，致使乳汁在乳内积存而成，临床表现为乳内硬块，乳房肿胀[1]。乳汁淤积没有得到及时消除，容易导致乳腺感染，引起乳腺化脓性感染，不仅导致产妇的自身痛苦，哺乳困难，而影响新生儿的正常发育。为了降低急性乳腺炎发生，减少乳汁淤积，我院对乳汁淤积的产妇进行穴位按摩、频繁吸吮、冷敷配合电动吸奶器打奶，有效降低了急性乳腺炎的发生，乳汁淤积得到改善，现报道如下。
1资料与方法
1.1一般资料 选择2012年2月～2016年2月在江西省妇幼保健院产科发生乳汁淤积的产妇126例，其中剖宫产116例，产钳产4例，自然分娩6例；Ⅲ度肿胀96例，Ⅱ度肿胀30例。本研究经过医院伦理委员会审核。纳入标准：①妊娠合并症，如重度子痫、心脏病、传染病，未使用对母乳喂养有影响的药物，愿意母乳喂养者；②新生儿出生体重在2.5 kg以上，无先天性、遗传性疾病、Apgar评分≥9分，吸吮力好；③产妇及家属知情同意。据研究对象数字顺序交替分为观察组和对照组，每组63例。两组产妇一般资料比较，差异无统计学意义(P>0.05)，具有可比性，见表1。
, 百拇医药
1.2方法 督促对照组产妇给婴儿频繁吸吮。观察组在对照组基础上采取以下措施：①穴位按摩：操作者洗净双手，用手掌侧面轻按乳房根，向乳头方向按摩，力量与产妇感到舒适为宜，按摩后用右手4指捏住乳房反复牵拉乳头数次，按压乳根、膻中、鹰窗、少泽、每个穴位按摩1 min，反复5次，使局部发热，力度与产妇能耐受，有酸、麻、胀痛感为准。②冷敷：采用老面敷在乳房上，每次2 h。老面制作方法：适量面粉上撒上一些酵母粉(比例大约100∶1)用水把面和均匀，放置2 h后面团成蜂窝状小孔即可。③电动吸乳器：采用德国产美德乐医用负压可调式平衡吸乳器打奶。具体方法：指导产妇操作，在吸乳前用温水清洁双手和乳房，将吸乳器配件清洗并消毒后使用，按压吸乳器开关，先调至按摩档，待适应后逐渐调至产妇适宜的负压频率(一般为2～3档)，使用电动汲乳器每次每侧乳房吸乳5 min，两侧交替进行每个乳房累计打30 min以上或双侧同时打奶20～30 min。, 百拇医药(江桂英)