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低水平激光治疗与电针对产后乳汁分泌不足的影响:一项随机对照试验。

Effect of Low-Level Laser Therapy versus Electroacupuncture on Postnatal Scanty Milk Secretion: A Randomized Controlled Trial.

机构信息

Department of Obstetrics and Gynecology, Cairo University, Cairo, Egypt.

Department of Women Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

出版信息

Am J Perinatol. 2020 Oct;37(12):1243-1249. doi: 10.1055/s-0039-1693428. Epub 2019 Jul 21.

Abstract

OBJECTIVE

Postnatal scanty milk secretion is a common complaint. Some physical and medical interventions were advocated to help milk production. These interventions should be effective and safe for the mother and the infant. This study aimed to compare the effects of low-level laser therapy and electroacupuncture on postnatal scanty milk secretion.

STUDY DESIGN

A randomized controlled study conducted on 60 healthy primiparous mothers with insufficient lactation. They were randomly divided into three equal groups: group A (control), group B (those who received low-power He-Ne laser beam on both breasts), and group C (those who received faradic current stimulation at Spleen 6, Liver 3, and Small Intestine 1 acupuncture points on both sides). All participants received 10 mg Domperidone three times a day and were given advice about lactation, nutrition, and fluid intake. Evaluation was done before and after the treatment program.

RESULTS

The mean serum prolactin, infant weight, and visual analog scale (VAS) score were significantly increased in the three groups posttreatment when compared with their corresponding levels pretreatment. Posttreatment serum prolactin was significantly elevated in group C more than the other two groups ( = 0.001 and 0.012, respectively). Also, it was significantly elevated in group B more than in group A ( = 0.001). The mean value of infant weight was significantly elevated in group C when compared with its corresponding values in both groups A ( = 0.001) and B ( = 0.029). The VAS score was significantly increased in both groups B and C when compared with group A ( = 0.001).

CONCLUSION

Electroacupuncture is more effective than low-level laser therapy in increasing postnatal scanty milk secretion.

CLINICAL TRIAL REGISTRATION

NCT03806062.

摘要

目的

产后乳汁分泌不足是一种常见的抱怨。一些物理和医疗干预措施被提倡来帮助乳汁分泌。这些干预措施应该对母亲和婴儿有效且安全。本研究旨在比较低水平激光治疗和电针对产后乳汁分泌不足的影响。

研究设计

这是一项在 60 名乳汁分泌不足的健康初产妇中进行的随机对照研究。他们被随机分为三组:A 组(对照组)、B 组(接受双乳低功率氦氖激光束照射)和 C 组(接受双侧脾 6、肝 3 和小肠 1 穴位的交流电刺激)。所有参与者每天接受 10mg 多潘立酮,接受哺乳、营养和液体摄入方面的建议。在治疗前后进行评估。

结果

与治疗前相比,三组治疗后血清催乳素、婴儿体重和视觉模拟量表(VAS)评分均显著升高。治疗后 C 组血清催乳素明显高于其他两组(分别为 P=0.001 和 0.012)。B 组也明显高于 A 组(P=0.001)。C 组婴儿体重的平均值与 A 组(P=0.001)和 B 组(P=0.029)相比显著升高。B 组和 C 组的 VAS 评分均明显高于 A 组(P=0.001)。

结论

电针对产后乳汁分泌不足的效果优于低水平激光治疗。

临床试验注册号

NCT03806062。

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