Zhu Yunfei, Liu Yuling, Quan Xiaoming
Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.
the First Affiliated Hospital of Guangzhou University of CM, Guangdong 510405, Guangdong Province.
Zhongguo Zhen Jiu. 2018 Jan 12;38(1):33-7. doi: 10.13703/j.0255-2930.2018.01.007.
To evaluate the effects of acupoint massage for postpartum hypogalactia in puerpera.
A total of 60 puerpera of cesarean section were randomized into an observation group and a control group, 30 cases in each one. In the observation group, 2 cases were dropped out. Finally, there were 28 cases in the observation group and 30 cases in the control group. In the control group, the routine nursing after operation in obstetrics department was given, guiding maternal breastfeeding and postpartum health education. In the observation group, on the basis of the treatment as the control group, the corresponding acupoints were selected from the breast related meridians for massage. Acupoint massage was given since the 3rd day after operation, 8:00 am to 9:00 am, once a day, 1 min at one acupoint, continuously for 5 days. The lactation volume, breast filling, galactostasis and milk viscosity were compared in the parturient of the two groups. The clinical therapeutic effects were compared between the two groups.
From the 1st to the 2nd days, the differences were not significant in lactation volume, breast filling and galactostasis score between the two groups (all >0.05). From the 3rd to 5th days, the lactation volume, breast filling and galactostasis score in the observation group were all lower than those in the control group (all <0.01). The difference in milk viscosity was not significant in the first 4 days between the two groups (all >0.05). On the 5th day, the score of milk viscosity in the observation group was lower than that in the control group (<0.01). The cured rate was 64.3% (18/28) in the observation group, which was better than 13.3% (4/30) in the control group (<0.05).
Massage at the acupoints from the breast related meridians effectively promotes the lactation secretion in puerpera of postpartum hypogalactia and alleviates breast distention.
评估穴位按摩对产妇产后缺乳的影响。
将60例剖宫产产妇随机分为观察组和对照组，每组30例。观察组失访2例，最终观察组28例，对照组30例。对照组给予产科术后常规护理，指导产妇母乳喂养及产后健康教育。观察组在对照组治疗的基础上，选取与乳房相关经络的相应穴位进行按摩。术后第3天开始进行穴位按摩，每天上午8:00至9:00，每个穴位按摩1分钟，连续5天。比较两组产妇的泌乳量、乳房充盈度、乳汁淤积及乳汁黏稠度。比较两组的临床治疗效果。
第1至2天，两组产妇的泌乳量、乳房充盈度及乳汁淤积评分差异均无统计学意义（均P>0.05）。第3至5天，观察组的泌乳量、乳房充盈度及乳汁淤积评分均低于对照组（均P<0.01）。两组前4天乳汁黏稠度差异无统计学意义（均P>0.05）。第5天，观察组乳汁黏稠度评分低于对照组（P<0.01）。观察组治愈率为64.3%（18/28），优于对照组的13.3%（4/30）（P<0.05）。
对与乳房相关经络的穴位进行按摩能有效促进产后缺乳产妇的乳汁分泌，减轻乳房胀痛。
