中医护理方案对剖宫产初产妇产后缺乳情况的影响研究

doi:10.3760/cma.j.issn.1007-1245.2023.04.016

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (4): 508-512.DOI: 10.3760/cma.j.issn.1007-1245.2023.04.016

中医护理方案对剖宫产初产妇产后缺乳情况的影响研究

庞阿桃杜巧婷刘令令

河南中医药大学第一附属医院妇产科，郑州　450000

收稿日期:2022-09-09 出版日期:2023-03-15 发布日期:2023-03-06
通讯作者: 杜巧婷，Email：Xiaotingdudu123@126.com
基金资助:
河南省中医药研究专项课题（2019JDZX2085）；河南省中医管理局国家中医临床研究基地科研专项（2022ZY1034）

Influence of traditional Chinese medicine nursing program based on OPT model on postpartum lactation deficiency of primiparas after cesarean section

Pang Atao, Du Qiaoting, Liu Lingling

Department of Gynaecology and Obstetrics, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450000, China

Received:2022-09-09 Online:2023-03-15 Published:2023-03-06
Contact: Du Qiaoting, Email: Xiaotingdudu123@126.com
Supported by:
Special Project of Traditional Chinese Medicine Research in Tenants (2019JDZX2085);Special Project of Scientific Research of National Clinical Traditional Chinese Medicine Research Foundation of Henan Bureau of Traditional Chinese Medicine Management (2022ZY1034)

摘要/Abstract

摘要：

目的　评价中医护理方案对剖宫产初产妇产后缺乳情况的影响。方法　选取2021年8月至12月河南中医药大学第一附属医院收治的66例产后缺乳的剖宫产初产妇进行前瞻性研究，年龄20～45岁，按照随机数字表法分为干预组34例和对照组32例。干预组使用常规护理联合剖宫产初产妇中医护理方案，对照组给予常规护理。比较两组泌乳素值、泌乳始动时间、各时段泌乳量评分及母乳喂养率。统计学方法采用t检验、χ²检验。结果　干预前，两组产妇泌乳素比较，差异无统计学意义（P>0.05）；干预后，干预组泌乳素明显高于对照组［（316.74±13.99）μg/L比（209.81±9.69）μg/L］，泌乳始动时间明显短于对照组［（11.91±1.83）h比（19.97±1.79）h］，差异均有统计学意义（t=35.878、18.077，均P<0.05）。干预后，干预组24～<48 h、48～<72 h、72～96 h泌乳量评分分别为（1.18±0.67）分、（1.85±0.89）分、（2.88±0.48）分，均高于对照组［（0.69±0.78）分、（1.09±0.82）分、（2.16±0.95）分］，差异均有统计学意义（t=2.737、3.601、3.911，均P<0.05）。实施中医护理干预方案后，干预组纯母乳喂养、混合喂养、人工喂养率分别为94.12%（32/34）、5.88%（2/34）、0.00%（0/34），与对照组［62.50%（20/32）、25.00%（8/32）、12.50%（4/32）］比较，差异均有统计学意义（χ²=7.131、4.687、4.524，均P<0.05）。结论　采用基于OPT模型的中医护理方案进行护理干预，能够提高泌乳素值，缩短泌乳始动时间，增加泌乳量及提高母乳喂养成功率。

关键词:

剖宫产, 初产妇, 产后缺乳, 护理方案

Abstract:

Objective　To evaluate the influence of traditional Chinese medicine nursing program based on optimum perfor mance training model on postpartum lactation deficiency of primiparas after cesarean section. Methods　Sixty-six caesarean primiparas with postpartum lactation deficiency admitted to The First Affiliated Hospital of Henan University of Traditional Chinese Medicine from August to December 2021 were selected and divided into an intervention group (34 cases) and a control group (32 cases) according to the random number table method. They were 20-45 years old.The intervention group used the traditional Chinese medicine nursing program based on OPT model; the control group received conventional nursing. The prolactin values, beginning times of lactation, milk yield scores in each period,and success rates of breast-feeding were compared between the two groups. t and χ² tests were applied. Results　There was no statistical difference in prolactin between these two groups before the intervention (P>0.05). The prolactin value of the intervention group was significantly higher than that of the control group [(316.74±13.99) μg/L vs. (209.81±9.69) μg/L], with a statistical difference (t=35.878, P<0. 05). The beginning time of lactation in the intervention group was shorter than that of the control group [(11.91±1.83) h vs. (19.97±1.79) h], with a statistical difference (t=18.077, P<0. 05). After the intervention, the 24-<48, 48-<72, and 72-96 h milk yield scores in the intervention group were higher than those in the control group [(1.18±0.67) vs. (0.69±0.78), (1.85±0.89) vs. (1.09±0.82), and (2.88±0.48) vs. (2.16±0.95)], with statistical differences (t=2.737, 3.601, and 3.911; all P<0.05). The rates of breast feeding, breast and artificial feeding, and artificial feeding were 94.12% (32/34), 5.88% (2/34), and 0 in the intervention group, and were [62.50% (20/32), 25.00% (8/32), and 12.50% (4/32) in the control group, with statistical differences (χ²=7.131, 4.687, and 4.524; all P<0.05). Conclusion　Nursing intervention based on OPT model can improve the prolactin value, shorten the beginning time of lactation, and increase the amount of lactation and the success rate of breastfeeding.

Key words:

Cesarean section, Primiparas, Postpartum lactation deficiency, Nursing program

庞阿桃杜巧婷刘令令.

中医护理方案对剖宫产初产妇产后缺乳情况的影响研究 [J]. 国际医药卫生导报, 2023, 29(4): 508-512.

Pang Atao, Du Qiaoting, Liu Lingling.

Influence of traditional Chinese medicine nursing program based on OPT model on postpartum lactation deficiency of primiparas after cesarean section [J]. International Medicine and Health Guidance News, 2023, 29(4): 508-512.

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中医护理方案对剖宫产初产妇产后缺乳情况的影响研究

Influence of traditional Chinese medicine nursing program based on OPT model on postpartum lactation deficiency of primiparas after cesarean section

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