艾灸配合穴位按摩对高龄产妇产后泌乳量和乳房胀痛的影响-《西部中医药》

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Title:: Effects of Moxibustion Combined with Acupoint Massage on Postpartum Lactation and Breast Distending Pain in Elderly Parturient Women

作者:: 薛立梅, 董燕, 唐连敏, 姚莉芸; 邢台市第三医院，河北邢台 054000

Author(s):: XUE Limei, DONG Yan, TANG Lianmin, YAO Liyun; Xingtai Central Hospital, Xingtai 054000, China

关键词:: 乳房胀痛; 泌乳量; 艾灸; 高龄产妇

Keywords:: breast distending pain; lactation; moxibustion; elderly parturient women

分类号:: R271.43

DOI:: 10.12174/j.issn.2096-9600.2024.07.30

文献标志码:: B

摘要:: 目的探讨艾灸配合穴位按摩对高龄产妇产后泌乳量和乳房胀痛的影响。方法将196例高龄产妇按随机数表法分为观察组和对照组，各98例。两组均给予常规西医护理，观察组同时给予艾灸配合穴位按摩，均治疗3天。治疗后比较两组产妇产后12、72 h乳房疼痛程度、乳房肿胀硬度、胸肋胀痛情况、饮食情况、情志状态及泌乳量。结果产后12 h，两组产妇乳房疼痛程度、乳房肿胀硬度、胸肋胀痛情况、饮食情况、情志状态均无明显差异（P＞0.05），观察组泌乳量高于对照组（P＜0.05），对照组神色情况得分高于观察组（P＜0.05）；产后72 h，两组产妇乳房疼痛程度与肿胀程度均降低（P＜0.05），胸肋胀痛情况、饮食情况、神色情况与情志状态得分均降低（P＜0.05）；产后72 h，与对照组治疗后比较，观察组乳房疼痛与乳房肿胀缓解程度高于对照组（P＜0.05），胸肋胀痛情况、饮食情况、神色情况与情志状态得分高于对照组（P＜0.05），泌乳量较对照组提高（P＜0.05）；两组患者不良事件发生率无明显差异（P＞0.05）；观察组总有效率为92.86%（91/98），高于对照组的81.63%（80/98）（P＜0.05）。结论艾灸配合穴位按摩可增加高龄产妇产后泌乳量，减轻乳房胀痛程度。

Abstract:: ObjectiveTo discuss the influence of moxibustion combined with acupoint massage on posto-perative milk yield and breast distending pain in elderly parturient women. MethodsAll 196 elderly parturient women were allocated to the observation group and the control group using random number table method, both groups accepted conventional care of Western medicine, and the observation group received moxibustion combined with acupoint massage, for three days. After the treatment, to compare breast pain degrees, breast engorgement and hardness, thoracic and costal distending pain, diet, emotion and milk yield 12 hours and 72 hours after the delivery between both groups. ResultsThere was no significant difference in breast pain degrees, breast engorgement and hardness, thoracic and costal distending pain, diet and emotion12 hours after the delivery between both groups (P>0.05) of the observation group were higher than these of the control group(P<0.05), the control group was higher than the observation group in the scores of complexion (P<0.05); 72 hours after the delivery, breast pain degrees, breast engorgement were relieved in both groups (P<0.05), the scores of thoracic and costal distending pain, diet, complexion and emotion were reduced (P<0.05). 72 hours after the delivery, the relief from breast pain and engorgement of the observation group were higher than these of the control group when it was compared with the control group after the treatment (P<0.05), the scores of thoracic and costal distending pain, diet, complexion and emotion were higher than these of the control group (P<0.05), milk yields were higher than these of the control group (P<0.05). No obvious difference happened in the incidences of adverse reaction between both groups (P>0.05). Total effective rate of the observation group was 92.86%(91/98), higher than 81.63%(80/98) of the control group (P<0.05). ConclusionMoxibustion combined with acupoint massage could increase postoperative milk yield and relieve breast disten-ding pain in elderly parturient women.

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

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