乳房局部推拿对产后泌乳的影响

目的:探讨推拿促进产妇泌乳的有效性,拟定促进产妇产后泌乳的有效推拿手法.方法:以84例足月初产妇为研究对象,随机分为推拿组(58例)和对照组(26例),推拿组以乳房局部推拿为主,配合经穴推拿；对照组予母婴同室常规护理.观察推拿对产妇始乳时间、产妇泌乳量、血清泌乳素等指标的影响,并与正常未推拿产妇进行比较对照.结果:推拿组产妇的泌乳量积分在治疗1次后、2次后、3次后分别为1.660±0.785、2.530±1.030、2.880±1.171,而对照组在相应时间段则分别为1.270±0.533、1.460±0.811、1.500±0.583,推拿组泌乳量积分高于对照组(均P＜0.01)；两组始乳时间分别为(21.6±10.5)h和(22.5±9.8)h,差异无统计学意义(P＞0.05)；推拿组治疗前血清泌乳素为(314.35±110.37)ng/mL,治疗后上升为(321.56±109.61)ng/mL,而对照组血清泌乳素前后分别为(385.78±85.19)ng/mL和(340.12±103.10) ng/mL,但两组前后比较差异均无统计学意义(均P＞0.05).结论:产后乳房推拿能明显增加产妇的泌乳量,能延缓血清泌乳素下降水平,有利于产妇早泌乳、多泌乳.

Effect of Tuina at the breasts on postpartum lactation

ObjectiveTo explore the efficacy of Tuina for postpartum lactation and work out an optimal protocol involved.MethodsWith a randomized, controlled and clinical method, Eighty-four full-term primiparas were divided into a Tuina group (58 cases) and a control group (26 cases). While the patients in the control group received rooming in conventional nursing, those in the Tuina group were additionally treated with Tuina, including local manipulations at the breasts combined with acupoint manipulations. The colostrum time, lactation volume and serum prolactin were observed to make the comparisons between the two groups.ResultsThe scores of lactation quantity after the 1st, 2nd, 3rd of the treatment were 1.660±0.785, 2.530±1.030, 2.880±1.171 in the Tuina group and 1.270±0.533, 1.460±0.811, 1.500±0.583 in the control group respectively, where there were significant differences in each time stage between the two groups (all P<0.001). The time of colostrum was (21.6±10.5) h in the Tuina group and (22.5±9.7) h in the control group, in which the difference was not statistically significant (P>0.05). The levels of prolactin were (314.35±110.37) ng/mL and (321.56±109.61) ng/mL in the Tuina group, (385.78±85.19) ng/mL and (340.12±103.10) ng/mL in the control group before and after treatment respectively, suggested that there were no significant difference (both P>0.05).ConclusionPostpartum Tuina at the breasts could increase the quantity of lactation and delay the decreasing of the levels of prolactin, which contributes primiparas to lactate more and sooner.