耳穴埋豆联合乳房穴位按摩对促进产妇乳汁分泌的效果观察

目的观察耳穴埋豆联合乳房穴位按摩对促进产妇乳汁分泌的效果。方法 200例足月妊娠单胎分娩的产妇,按分娩顺序分为对照组和观察组各100例,对照组进行常规产后护理,观察组在对照组基础上进行耳穴埋豆和乳房穴位按摩,比较两组产妇泌乳时间、泌乳量和乳房胀痛程度。结果观察组泌乳时间早于对照组、产妇泌乳量多于对照组、乳房胀痛程度轻于对照组,经比较,差异均有统计学意义,P0.05。结论耳穴埋豆联合乳房穴位按摩能促进产妇泌乳,增加泌乳量,缓解乳房胀痛感。     

乳房穴位配合全身按摩促进产后乳汁分泌的临床研究

目的 探讨利用乳中、乳根穴位配合全身按摩,促进乳汁分泌,消除乳房胀痛感,尽快恢复产妇体力,树立母乳喂养信心,提高母乳喂养成功率.方法 将212例产妇随机分为实验组104例和对照组108例,实验组在常规产后护理的基础上进行乳房穴位及全身按摩,对照组仅接受常规产后护理,观察和测量2组产妇乳房泌乳时间、泌乳量,并进行比较.结果 实验组产妇较对照组乳房分泌时间提前,泌乳量增加,2组比较差异有统计学意义(P<0.01).结论 乳中、乳根两穴位及全身的的按摩具有提前初产妇泌乳时间,增加泌乳量的作用,还能缓解产后乳房胀痛,保证母乳喂养成功.     

乳房穴位配合全身按摩促进产后乳汁分泌的临床研究

目的探讨利用乳中、乳根穴位配合全身按摩，促进乳汁分泌，消除乳房胀痛感，尽快恢复产妇体力，树立母乳喂养信心，提高母乳喂养成功率。方法将212例产妇随机分为实验组104例和对照组108例，实验组在常规产后护理的基础上进行乳房穴位及全身按摩，对照组仅接受常规产后护理，观察和测量2组产妇乳房泌乳时间、泌乳量，并进行比较。结果实验组产妇较对照组乳房分泌时间提前，泌乳量增加，2组比较差异有统计学意义（P〈0．01）。结论乳中、乳根两穴位及全身的的按摩具有提前初产妇泌乳时间，增加泌乳量的作用，还能缓解产后乳房胀痛，保证母乳喂养成功。     

背部按摩配合乳房按摩促进产后泌乳的效果观察

[目的]探讨背部按摩配合乳房按摩对产后泌乳的影响.[方法]选择2011年1月1日-2011年6月30日在我院分娩的600例产妇,随机分为两组.对照组采用常规的健康宣教方法,实验组在此基础上采用乳房早期按摩方法,配合背部按摩,每日2次.观察两组产妇3 d～7 d泌乳状况.[结果]实验组开始泌乳时间较对照组早(P＜0.01);实验组24 h后开始泌乳例数、乳胀发生率低于对照组(P＜0.01)、产后3 d泌乳量多于对照组(P＜0.05).[结论]背部按摩配合乳房按摩可使产妇泌乳时间提前,乳汁量增加,减轻乳房胀痛.     

背部按摩配合乳房按摩促进产后泌乳的效果观察

[目的]探讨背部按摩配合乳房按摩对产后泌乳的影响。[方法]选择2011年1月1日-2011年6月30日在我院分娩的600例产妇,随机分为两组。对照组采用常规的健康宣教方法,实验组在此基础上采用乳房早期按摩方法,配合背部按摩,每日2次。观察两组产妇3d-7d泌乳状况。[结果]实验组开始泌乳时间较对照组早（P〈0．01）;实验组24h后开始泌乳例数、乳胀发生率低于对照组（P〈0．01）、产后3d泌乳量多于对照组（P〈0．05）。[结论]背部按摩配合乳房按摩可使产妇泌乳时间提前,乳汁量增加,减轻乳房胀痛。     

产后乳房穴位按摩对减轻乳房胀痛及刺激泌乳的临床效果观察

选取2014年3月~2015年5月于我院分娩的200例产妇。随机分为对照组和观察组各100例。对照组行常规产后母乳喂养指导;观察组在此基础上行乳房穴位按摩。记录比较两组产后3d乳房胀痛程度、开始泌乳时间及产后72h泌乳量。结果观察组产妇产后3d乳房胀痛程度较对照组相比,显著减轻(P0.01);观察组开始泌乳时间12.63±6.14h,显著早于对照组(P0.01);且观察组产后72h泌乳量明显多于对照组(P0.01)。产妇产后乳房穴位按摩可有效减轻乳房胀痛,还可促进乳汁提早分泌并及时排出,对母乳喂养更有利,且方法简单易行,值得推广。     

中医穴位按摩对母婴分离产妇的影响

目的:探讨中医穴位按摩对母婴分离产妇的影响。方法:将收治的115名母婴分离产妇随机分为对照组57名和观察组58名,对照组给予常规乳房护理,观察组采用常规护理联合中医穴位按摩;比较两组泌乳开始时间、泌乳量充足时间以及乳房舒适情况。结果:观察组泌乳开始时间和泌乳量充足时间短于对照组(P0.05),乳房舒适情况优于对照组(P0.05)。结论:对母婴分离产妇在常规乳房护理的基础上联合实施中医穴位按摩,可以有效缩短产妇的泌乳时间和泌乳量充足时间,并缓解乳房胀痛情况。     

耳穴贴压配合乳房穴位按摩对初产妇产后乳房胀痛及泌乳功能的影响

目的:探讨耳穴贴压配合乳房穴位按摩对初产妇产后乳房胀痛及泌乳功能的影响。方法:选取2015年9月~2016年9月在我院分娩的176例初产妇作为研究对象,将其随机等分为观察组和对照组,对照组给予乳房穴位按摩,观察组在对照组的基础上给予耳穴贴压治疗,比较两组产妇产后72h内乳房胀痛程度及泌乳情况。结果:观察组72h内泌乳始动例数明显多于对照组(P0.05);平均泌乳始动时间明显短于对照组(P0.05);观察组产妇产后48,72 h的泌乳量综合评分明显高于对照组;观察组产妇产后72 h乳房胀痛程度明显低于对照组,两组比较差异均有统计学意义(P0.05)。结论:耳穴贴压与乳房穴位按摩联合使用可有效缩短泌乳始动时间,促进乳汁分泌,缓解乳房胀痛,值得临床推广应用。     

穴位配合乳房按摩对平、凹乳头产妇乳房胀痛的影响

目的探索穴位配合乳房按摩对平、凹乳头产妇乳房胀痛的影响,以保证母乳喂养的顺利进行。方法将30例产妇随机分为实验组和对照组,实验组除产科常规护理外增加穴位配合乳房按摩,对照组采用产科常规乳房护理方法(热敷,按摩乳房、十字牵拉或使用乳头矫正器纠正乳头),观察和测量两组乳房胀痛情况。结果实验组产妇乳房胀痛程度明显小于对照组,差异具有显著性(P<0.05)。结论穴位配合乳房按摩对平、凹乳头产妇可促进乳腺管的通畅,减轻乳房胀痛的程度。     

穴位配合乳房按摩对平、凹乳头产妇乳房胀痛的影响

目的 探索穴位配合乳房按摩对平,凹乳头产妇乳房胀痛的影响,以保证母乳喂养的顺利进行.方法 将30例产妇随机分为实验组和对照组,实验组除产科常规护理外增加穴位配合乳房按摩,对照组采用产科常规乳房护理方法(热敷、按摩乳房、十字牵拉或使用乳头矫正器纠正乳头).观察和测量两组乳房胀痛情况.结果 实验组产妇乳房胀痛程度明显小于对照组,差异具有显著性(P＜0.05).结论 穴位配合乳房按摩对平、凹乳头产妇可促进乳腺管的通畅,减轻乳房胀痛的程度.     

综合手法减轻产后乳房胀痛

目的 :寻求一种减轻产妇产后乳房胀痛的有效方法。方法 :6 0例产妇随机分为 2组各 30例 ,手法组对乳房采用抓抖法 ,梳篦法、挤奶法等综合治疗 ;对照组采用每日 2次乳房按摩。结果 :产后第 2d ,第 3、5d及第 4d手法组乳房疼痛平均值均明显低于常规组 (分别P <0 .0 0 1,P <0 .0 1,P <0 .0 5 ) ;乳房硬度平均值手法组在产后第2、3、5d与常规组比较差异亦有显著性 (P <0 .0 5 )。结论 :产妇产后乳房局部采用综合手法能使乳汁分泌时间提前 ,乳汁分泌增多 ,促使乳腺管通畅 ,预防乳房胀痛。     

艾灸在初产妇产后初期乳胀护理中的应用

[目的]探讨护理产后乳房肿胀的有效方法。[方法]将产后乳胀的初产妇50例随机分为实验组与对照组。实验组26例采用艾灸疏通乳腺管处理;对照组24例采用传统热敷按摩方法,观察两组乳房胀痛消失时间及24h乳汁排出量情况。[结果]实验组减轻乳房胀痛的效果明显优于对照组(P<0.01);实验组24h乳汁排出量明显多于对照组(P<0.01)。[结论]艾灸护理产后乳房胀痛效果明显优于热敷按摩疏通乳腺管传统方法。     

坎离砂外敷联合电动吸奶器挤奶对产后乳房胀痛的效果观察

目的 探讨坎离砂外敷联合电动吸奶器挤奶对产后乳房胀痛的效果.方法 选择产后乳房胀痛的产妇100例,按照入院单双号分为对照组和观察组,每组各50例.观察组采用坎离砂外敷联合电动吸奶器挤奶,每天4次;对照组采用传统方法,用湿毛巾热敷乳房10～15min后按摩乳房用手挤奶,每天4次.比较两组产妇乳房胀痛程度及硬度分度的差异.结果 观察组产妇乳房胀痛程度及硬度分度低于对照组产妇,两组比较,均P＜0.01,差异具有统计学意义.结论 坎离砂外敷联合吸奶器挤奶可缓解产妇乳房胀痛,减轻乳房硬度,增加产妇母乳喂养的信心.     

Massage or music for pain relief in labour: A pilot randomised placebo controlled trial

Research on massage therapy for maternal pain and anxiety in labour is currently limited to four small trials. Each used different massage techniques, at different frequencies and durations, and relaxation techniques were included in three trials. Given the need to investigate massage interventions that complement maternal neurophysiological adaptations to labour and birth pain(s), we designed a pilot randomised controlled trial (RCT) to test the effects of a massage programme practised during physiological changes in pain threshold, from late pregnancy to birth, on women's reported pain, measured by a visual analogue scale (VAS) at 90min following birth. To control for the potential bias of the possible effects of support offered within preparation for the intervention group, the study included 3 arms – intervention (massage programme with relaxation techniques), placebo (music with relaxation techniques) and control (usual care). The placebo offered a non‐pharmacological coping strategy, to ensure that use of massage was the only difference between intervention and placebo groups. There was a trend towards slightly lower mean pain scores in the intervention group but these differences were not statistically significant. No differences were found in use of pharmacological analgesia, need for augmentation or mode of delivery. There was a trend towards more positive views of labour preparedness and sense of control in the intervention and placebo groups, compared with the control group. These findings suggest that regular massage with relaxation techniques from late pregnancy to birth is an acceptable coping strategy that merits a large trial with sufficient power to detect differences in reported pain as a primary outcome measure.     

两种按摩手法缓解产妇乳胀症状的比较

目的 比较传统乳房按摩手法与一指禅推拿手法对缓解产妇乳胀症状的疗效,探讨更合适缓解乳胀的按摩手法.方法 对 200例乳胀初产妇按摩前进行评估,乳胀程度相同的产妇按就诊顺序编号,双数的100例产妇作为对照组,采用传统乳房按摩手法,即操作者用双手掌大小鱼际按压乳房壁并围绕乳房根部均匀按摩两侧乳房共60 min;单数的100例产妇作为观察组,采用一指禅推拿手法,即操作者用左手托住乳房,右手用大拇指按米字线以螺旋式向乳晕处推拿60 min.根据按摩前乳胀程度、按摩时产妇疼痛情况、按摩后乳胀程度及母乳喂养情况评定疗效.结果 观察组产妇按摩后乳胀程度、按摩时疼痛程度较对照组轻,观察组产妇母乳喂养情况优于对照组,以上差异均有统计学意义(P<0.01).结论 一指禅推拿手法较传统乳房按摩手法更能有效缓解产妇乳胀症状.     

三种方法在产后乳房护理中的应用效果比较

目的:探讨人工按摩、吸奶器及乳房修护治疗仪在产后乳房护理中的应用效果比较.方法:将306例发生泌乳困难的产妇随机分为A、B、C 三组各102例,A组产妇应用人工按摩对产后乳房进行护理,B组产妇应用吸奶器对产后乳房进行护理,C组产妇应用便携式乳房修护治疗仪对产后乳房进行护理.观察三组产妇乳房胀痛程度、乳腺炎发病率、母乳喂养率等指标.结果:出院时A组发生乳房胀痛率为23.53%,B组为21.57%,C组为8.82%,C组乳房胀痛率明显低于A、B组(P＜0.05);C组产妇开始泌乳时间显著早于A、B组(P＜0.05);C组产妇复诊时乳腺炎发生率显著低于A、B组,母乳喂养率显著高于A、B组(P＜0.05).结论:便携式乳房修护治疗仪操作简单、安全舒适,便于长期护理,可作为产后乳房护理方式在临床推广应用.     

光离叠波治疗仪按摩对产妇泌乳效果的影响

目的探讨采用光离叠波治疗仪按摩对产妇泌乳的效果。方法将400例初产妇随机分为对照组与观察组,每组各200例,两组产妇均进行母乳喂养指导,观察组在此基础上采用光离叠波治疗仪对产妇双侧乳房及腰骶部进行按摩。比较两组产妇泌乳的情况。结果观察组产妇泌乳始动时间较对照组提前、泌乳量较对照组充足、母乳喂养率较对照组高,两组比较,均P 〈 0.01,差异具有统计学意义。结论采用光离叠波治疗仪按摩可明显促进产妇泌乳,可增加乳汁分泌量,提高母乳喂养率。     

六步法乳房按摩促进母婴分离产妇泌乳Ⅱ期启动的效果观察

目的观察六步法乳房按摩促进母婴分离产妇泌乳Ⅱ期启动的效果。方法2018年10月至2019年2月,便利抽样法选取广州市某三级甲等综合性医院产科符合入组条件产妇为研究对象,按入院先后将其分为对照组(n=65)和观察组(n=63)。对照组产妇给予常规的母乳喂养指导,观察组产妇在常规母乳喂养指导的基础上进行规范的六步法乳房按摩。观察两组产妇的泌乳Ⅱ期启动时间、产后1周泌乳量及乳房胀痛情况。结果观察组产妇平均泌乳Ⅱ期启动时间较对照组更早,产后1周内泌乳量较对照组上升幅度更大,差异均有统计学意义(均P<0.05)。观察组产妇总体乳房胀痛评分均低于对照组,差异亦有统计学意义(P<0.05);且不同时间点之间的疼痛评分差异有统计学意义(P<0.05)。结论六步法乳房按摩能加快母婴分离产妇泌乳Ⅱ期的启动,有效减轻产妇乳房胀痛的疼痛程度,提高泌乳量,从而提高母乳喂养率。     

The Effect of Aromatherapy Massage on Knee Pain and Functional Status in Participants with Osteoarthritis

This study was conducted to evaluate the effect of aromatherapy massage on knee pain and functional status in subjects with osteoarthritis. The study was designed as a non-randomized interventional study. The study was carried out on patients who referred to the outpatient clinics of the Department of Orthopedics, Physiotherapy and Rehabilitation at Bozok University Research and Application Hospital, and were diagnosed with osteoarthritis. A total number of 95 patients were included in the study, and of those, 33 were allocated to aromatherapy massage group, 30 were allocated to conventional massage group, and 32 were allocated to the control group. The study data were collected using the Patient Identification Form, visual analogue scale, the Western Ontario and McMaster University Osteoarthritis Index. Repeated measures analysis of variance test was used to analyze the outcomes in the aromatherapy, conventional massage and control groups, according to the weeks of follow-up. Bonferroni test was used for further analysis. Baseline mean visual analogue scale score and the Western Ontario and McMaster University Osteoarthritis Index were not significantly different between the groups (p > .05). Visual analogue scale (rest-activity) scores and the scores in the Western Ontario and McMaster University Osteoarthritis Index in the aromatherapy massage group were lower, and the difference compared to the control group was statistically significant (p < .001). Aromatherapy massage performed in patients with osteoarthritis reduced knee pain scores, decreased morning stiffness, and improved physical functioning status. Thus, as long as specific training is provided for aromatherapy massage, aromatherapy can be recommended for routine use in physical therapy units, hospitals and homes.