国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (18): 3032-3036.DOI: 10.3760/cma.j.cn441417-20250215-18008

• 论著 • 上一篇    下一篇

低频电刺激联合艾灸在产妇中的应用效果

沈丽红  叶冬梅  徐楠楠   

  1. 福州市中医院妇产科,福州 350000

  • 收稿日期:2025-02-15 出版日期:2025-09-15 发布日期:2025-09-26
  • 通讯作者: 叶冬梅,Email:1261124544@qq.com
  • 基金资助:

    福建省省级临床重点专科(中医类)建设项目(闽卫医政函[2022]884号)

Low-frequency electrical stimulation combined with moxibustion for parturient women

Shen Lihong, Ye Dongmei, Xu Nannan   

  1. Department of Obstetrics and Gynecology, Fuzhou Hospital of Traditional Chinese Medicine, Fuzhou 350000, China

  • Received:2025-02-15 Online:2025-09-15 Published:2025-09-26
  • Contact: Ye Dongmei, Email: 1261124544@qq.com
  • Supported by:

    Fujian Provincial Clinical Key Specialty (Traditional Chinese Medicine) Construction Project (No.2022884)

摘要:

目的 观察低频电刺激联合艾灸对产妇泌乳、母乳喂养情况及生活质量的影响。方法 选取2022年6月至2024年11月在福州市中医院妇产科分娩的100例产妇进行随机对照试验。采用随机数字表法将其分为对照组和观察组,各50例。对照组年龄(27.62±3.25)岁,体重(69.78±8.11)kg,孕周(37.27±1.34)周,新生儿体重(3 214.18±249.37)g。观察组年龄(28.73±3.34)岁,体重(68.32±8.48)kg,孕周(38.51±1.29)周,新生儿体重(3 197.01±250.57)g。产后24 h,对照组接受艾灸干预,观察组接受低频电刺激联合艾灸干预。干预3 d后,比较两组心理状态、产后泌乳量、母乳喂养情况、生活质量及不良反应发生率。采用t检验、χ2检验进行统计分析。结果 干预后,观察组爱丁堡产后抑郁量表评分低于对照组[(6.98±0.82)分比(8.01±0.62)分;t=9.223,P<0.001],产后哺乳自我效能感量表评分高于对照组[(130.96±3.49)分比(118.54±3.19)分;t=18.567,P<0.001],产后纯母乳喂养率高于对照组[100%(50/50)比75%(35/50);χ2=17.647,P<0.001],简明健康状况调查量表评分高于对照组[(87.78±3.30)分比(77.90±2.79)分;t=16.166,P<0.001],产后泌乳始动时间短于对照组[(30.02±2.99)h比(41.80±2.46)h;t=21.537,P<0.001],乳房胀痛、乳腺炎发生率低于对照组[2%(1/50)比14%(7/50)、0比12%(6/50);χ2=4.891、6.383,P=0.027、0.012)。结论 低频电刺激联合艾灸能够缓解产妇不良情绪,促进产后泌乳,改善母乳喂养情况,提高产妇生活质量。

关键词:

产妇, 泌乳, 母乳喂养情况, 低频电刺激, 艾灸

Abstract:

Objective To observe the effects of low-frequency electrical stimulation combined with moxibustion on lactation, breastfeeding, and quality of life of parturient women. Methods One hundred parturient women who gave birth in Department of Obstetrics and Gynecology, Fuzhou Hospital of Traditional Chinese Medicine from June 2022 to November 2024 were selected for the randomized controlled trial. They were divided into a control group and an observation group by the random number table method, with 50 cases in each group. The control group were (27.62±3.25) years old; their body weight was (69.78±8.11) kg; they were (37.27±1.34) weeks pregnant when they delivered; the neonates' body weight was (3 214.18±249.37) g. The observation group were (28.73±3.34) years old; their body weight was (68.32±8.48) kg; they were (38.51±1.29) weeks pregnant when they delivered; the neonates' body weight was (3 197.01±250.57) g. Twenty-four hours after delivery, the control group took moxibustion, while the observation group took low-frequency electrical stimulation and moxibustion. After 3 days' intervention, the psychological status, postpartum milk production, breastfeeding situation, quality of life, and incidence rates of adverse reactions were compared between the two groups by t and χ2 tests. Results After the intervention, the scores of Edinburgh Postnatal Depression Scale and Breast Feeding Self-Efficacy Scale, postpartum exclusive breastfeeding rate, score of Short Form 36 Health Survey, onset time of postpartum lactation, and the incidence rates of breast swelling and pain and mastitis in the observation group were better than those in the control group [6.98±0.82 vs. 8.01±0.62, 130.96±3.49 vs. 118.54±3.19, 100% (50/50) vs. 75% (35/50), 87.78±3.30 vs. 77.90±2.79, (30.02±2.99) h vs. (41.80±2.46) h, 2% (1/50) vs. 14% (7/50), and 0 vs. 12% (6/50); t=9.223, P<0.001; t=18.567, P<0.001; χ2=17.647, P<0.001; t=16.166, P<0.001; t=21.537, P<0.001; χ2=4.891 and 6.383, P=0.027 and 0.012]. Conclusion Low-frequency electrical stimulation combined with moxibustion for parturient women can alleviate their adverse emotions, promote lactation, and improve their breastfeeding and quality of life.

Key words:

Parturient women, Lactation, Breastfeeding status, Low-frequency electrical stimulation, Moxibustion