H2H院内营养指导下催乳术联合婴儿早吸吮对初产后乳汁分泌时间及母乳喂养情况的影响(1)
【摘要】 目的：探讨分析H2H院内营养指导下催乳术联合婴儿早吸吮对初产后乳汁分泌时间及母乳喂养情况的影响。方法：选择2018年5月-2019年5月本院收治的110例初产妇作为研究对象，依照随机数字表法将产妇分为对照组与研究组，每组55例。对照组采用常规产后护理，研究组采用H2H院内营养指导下催乳术联合婴儿早接触、早吸吮。对比两组乳汁分泌时间、血清泌乳素水平与母乳喂养等情况。结果：研究组产妇泌乳始动时间显著短于对照组，母乳喂养率显著高于对照组(P<0.05);研究组泌乳量显著优于对照组，血清泌乳素水平显著高于对照组(P<0.05);研究组乳房胀痛分级与新生儿等级评价均优于对照组(P<0.05)。结论：初产后产妇采用H2H院内营养指导下催乳术联合婴儿早吸吮可显著加快初乳分泌时间，产妇泌乳量更多，可满足新生儿早期母乳需求，提高母乳喂养率，缓解乳房胀痛，对提高产妇及新生儿生命健康具有临床价值。
【关键词】 H2H院内营养 催乳术 早吸吮 乳汁分泌时间 母乳喂养
[Abstract] Objective： To explore and analyze the effect of prolactin combined with infant early suckling on milk secretion time and breastfeeding under the guidance of H2H in-hospital nutrition. Method： A total of 110 primipara admitted to our hospital from May 2018 to May 2019 were selected as the research objects. According to the random number table method， they were divided into the control group and the study group， 55 cases in each group. The control group treated with routine postpartum nursing， and the research group was given prolactin combined with infant early suckling on milk secretion time and breastfeeding under the guidance of H2H in-hospital nutrition. The milk secretion time， serum prolactin level and breast-feeding of two groups were compared. Result： The milk secretion time in the study group was significantly lower than that in the control group， and the breastfeeding rate was significantly higher than that in the control group (P<0.05). The lactation volume in the study group was significantly better than that in the control group (P<0.05). The serum prolactin level in the study group was significantly higher than that in the control group (P<0.05). The grade of breast pain and the grade of newborn in the study group were better than those in the control group (P<0.05). Conclusion： In the early postpartum maternal using prolactin combined with infant early suckling on milk secretion time and breastfeeding under the guidance of H2H in-hospital nutrition can significantly accelerate the early milk secretion， maternal lactation quantity is more， can meet the demand of neonatal early breast milk， increase the rate of breastfeeding， alleviate the mothers breast tenderness， to improve maternal and newborn health has clinical value.
H2H營养管理模式是由四川大学华西医院在国内首先提出的一种连续性营养管理模式，意在将患者营养治疗由院内指导至院外，由单一治疗方法转变以患者为中心的多模式治疗方案[1]。而H2H院内营养指导是本院根据H2H营养管理模式改良优化后适合于本院产科的一种营养护理模式。中心思想为以产妇为核心，建立护士、营养师、医师在内的营养护理模式，改善产妇营养状态，提高产妇母乳分泌情况。母乳为新生儿最佳的营养来源，母乳中含有丰富的抗体及免疫因子，在为新生儿提供营养的同时也会促进患儿的生长发育[2]。相关调查研究资料显示，我国30%初产妇存在缺乳现象，该分析还指出，造成该现象的原因与哺乳方法不当、产妇情绪异常、乳房刺激不足具有一定的相关性[3]。目前临床中西医对于产后缺乳尚无特效解决办法。本次研究中采用H2H院内营养联合中医催乳术与婴儿早吸吮对初产妇进行系统化干预。现报告如下。, 百拇医药(孙继伟)
【关键词】 H2H院内营养 催乳术 早吸吮 乳汁分泌时间 母乳喂养
[Abstract] Objective： To explore and analyze the effect of prolactin combined with infant early suckling on milk secretion time and breastfeeding under the guidance of H2H in-hospital nutrition. Method： A total of 110 primipara admitted to our hospital from May 2018 to May 2019 were selected as the research objects. According to the random number table method， they were divided into the control group and the study group， 55 cases in each group. The control group treated with routine postpartum nursing， and the research group was given prolactin combined with infant early suckling on milk secretion time and breastfeeding under the guidance of H2H in-hospital nutrition. The milk secretion time， serum prolactin level and breast-feeding of two groups were compared. Result： The milk secretion time in the study group was significantly lower than that in the control group， and the breastfeeding rate was significantly higher than that in the control group (P<0.05). The lactation volume in the study group was significantly better than that in the control group (P<0.05). The serum prolactin level in the study group was significantly higher than that in the control group (P<0.05). The grade of breast pain and the grade of newborn in the study group were better than those in the control group (P<0.05). Conclusion： In the early postpartum maternal using prolactin combined with infant early suckling on milk secretion time and breastfeeding under the guidance of H2H in-hospital nutrition can significantly accelerate the early milk secretion， maternal lactation quantity is more， can meet the demand of neonatal early breast milk， increase the rate of breastfeeding， alleviate the mothers breast tenderness， to improve maternal and newborn health has clinical value.
H2H營养管理模式是由四川大学华西医院在国内首先提出的一种连续性营养管理模式，意在将患者营养治疗由院内指导至院外，由单一治疗方法转变以患者为中心的多模式治疗方案[1]。而H2H院内营养指导是本院根据H2H营养管理模式改良优化后适合于本院产科的一种营养护理模式。中心思想为以产妇为核心，建立护士、营养师、医师在内的营养护理模式，改善产妇营养状态，提高产妇母乳分泌情况。母乳为新生儿最佳的营养来源，母乳中含有丰富的抗体及免疫因子，在为新生儿提供营养的同时也会促进患儿的生长发育[2]。相关调查研究资料显示，我国30%初产妇存在缺乳现象，该分析还指出，造成该现象的原因与哺乳方法不当、产妇情绪异常、乳房刺激不足具有一定的相关性[3]。目前临床中西医对于产后缺乳尚无特效解决办法。本次研究中采用H2H院内营养联合中医催乳术与婴儿早吸吮对初产妇进行系统化干预。现报告如下。, 百拇医药(孙继伟)