Zheng Juan-Juan, Zhao Yi, Lu Ping, Wang Xiao-Yu
College of Acupuncture and Massage, Shanghai University of TCM, Shanghai 201203, China.
Zhongguo Zhen Jiu. 2012 Feb;32(2):159-61.
To explore the efficacy of Tuina for postpartum lactation and work out a optimal protocol involved.
With a randomized, controlled and clinical method, 84 primiparas were divided into a Tuina group and a control group. While patients in the control group received rooming-in conventional managements, those in the Tuina group were additionally treated with Tuina, including local manipulations on breasts combined with acupoint manipulations. The colostrum-time, lactation quantity and prolactin were observed to make the comparisons between two groups.
The scores of lactation quantity after 1th, 2nd, 3rd of the treatment were 1.660 +/- 0.785, 2.530 +/- 1.030, 2.880 +/- 1.171 in Tuina group and 1.270 +/- 0.533, 1.460 +/- 0.811, 1.500 +/- 0.583 in control group respectively, where there were significant differences in each time stage between two groups (all P < 0.001). The time of colostrum was (21.6 6 +/- 10.508) h in the Tuina group and (22.5 +/- 9.762) h in the control group, in which the difference was not statistically significant (P > 0.05). The levels of prolactin (314.35 +/- 110.37) ng/mL and (321.56 +/- 109.61) ng/mL in Tuina group, (385.78 +/- 85.19) ng/mL and (340.12 +/- 103.10) ng/mL in control group before and after treatment, there were no significant differences (both P > 0.05).
Postpartum Tuina on breasts could increase the quantity of lactation and delay the decreasing of the levels of prolactin, which contributes primiparas to lactate more and sooner.
探讨推拿促进产后泌乳的疗效并制定最佳方案。
采用随机对照临床研究方法，将84例初产妇分为推拿组和对照组。对照组产妇采用母婴同室常规护理，推拿组产妇在常规护理基础上增加推拿治疗，包括乳房局部推拿及穴位推拿。观察两组初产妇的初乳分泌时间、泌乳量及催乳素水平并进行比较。
治疗第1、2、3天，推拿组泌乳量评分分别为1.660±0.785、2.530±1.030、2.880±1.171，对照组分别为1.270±0.533、1.460±0.811、1.500±0.583，两组各时间点比较差异均有统计学意义（均P<０.００１）。推拿组初乳分泌时间为（21.66±10.508）h，对照组为（22.5±9.76762）h，差异无统计学意义（P>0.05）。推拿组治疗前后催乳素水平分别为（314.35±110.37）ng/mL、（321.56±109.61）ng/mL，对照组分别为（385.78±85.19）ng/mL、（340.12±103.10）ng/mL，差异均无统计学意义（均P>0.05）。
产后乳房推拿可增加泌乳量，延缓催乳素水平下降，有助于初产妇早泌乳、多泌乳。
