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草药热敷对产后产妇乳房胀痛的影响:一项随机对照试验。

Effect of Herbal Compresses for Maternal Breast Engorgement at Postpartum: A Randomized Controlled Trial.

作者信息

Ketsuwan Sukwadee, Baiya Nongyao, Paritakul Panwara, Laosooksathit Wipada, Puapornpong Pawin

机构信息

1 Obstetrics and Gynecology Nursing Department, HRH Princess Maha Chakri Sirindhorn Medical Center , Nakhon Nayok, Thailand .

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University , Nakhon Nayok, Thailand .

出版信息

Breastfeed Med. 2018 Jun;13(5):361-365. doi: 10.1089/bfm.2018.0032. Epub 2018 Apr 24.

Abstract

BACKGROUND

Maternal breast engorgement is one of the most common problems in the postpartum period. There are several alternative treatments, but there have not been any randomized controlled trial studies about the effects of herbal compresses for breast engorgement.

OBJECTIVE

The objective is to investigate the effects of herbal compresses for maternal breast engorgement.

MATERIALS AND METHODS

A randomized controlled trial was conducted. The postpartum mothers who had breast engorgement were randomly assigned to herbal or hot compress treatments. The breast engorgement pain scores were assessed by visual analog scales pre- and post-treatment. The pain reduction scales of the herbal compress treatments were analyzed and compared with the hot compress treatments. The adverse effects of each treatment were recorded and collected after 24 hours from treatments.

RESULTS

The data from 500 postpartum mothers with breast engorgement were available for analyses, 250 from the herbal compress group and 250 from the hot compress group. The baseline characteristics of both groups were similar except baseline breast engorgement pain score (herbal compress group higher than hot compress group). There were statistically significant mean differences of breast engorgement pain before and after treatment between the herbal and hot compress groups. No serious complications were found after treatment from herbal compresses.

CONCLUSION

Among the postpartum mothers who had breast engorgement, the herbal compresses could decrease breast engorgement pain. The pain reduction after herbal compresses was found to be greater than with the hot compresses.

摘要

背景

产妇乳房胀痛是产后最常见的问题之一。有几种替代治疗方法,但尚未有关于草药热敷对乳房胀痛影响的随机对照试验研究。

目的

研究草药热敷对产妇乳房胀痛的影响。

材料与方法

进行了一项随机对照试验。将有乳房胀痛的产后母亲随机分配到草药热敷组或热敷组。在治疗前后通过视觉模拟量表评估乳房胀痛疼痛评分。分析草药热敷治疗的疼痛减轻量表,并与热敷治疗进行比较。在治疗24小时后记录并收集每种治疗的不良反应。

结果

有500名有乳房胀痛的产后母亲的数据可供分析,草药热敷组250名,热敷组250名。除基线乳房胀痛疼痛评分(草药热敷组高于热敷组)外,两组的基线特征相似。草药热敷组和热敷组治疗前后乳房胀痛疼痛的平均差异有统计学意义。草药热敷治疗后未发现严重并发症。

结论

在有乳房胀痛的产后母亲中,草药热敷可减轻乳房胀痛。发现草药热敷后的疼痛减轻程度大于热敷。

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