耳穴贴压配合乳房穴位按摩对剖宫产术后母婴分离初产妇泌乳影响的研究

Study on the Effect of Auricular Point Pressing Combined with Breast Point Massage on Lactation of Primipara with Mother Infant Separation after Cesarean Section

摘要: 目的：探讨耳穴贴压配合乳房穴位按摩对剖宫产术后母婴分离初产妇泌乳的影响。方法：选取2021年6月~2022年6月在本院行剖宫产的100例母婴分离初产妇为研究对象，按随机数字表法平均分为对照组和观察组，每组各50例。对照组产妇实施产科母婴分离常规护理，观察组在此基础上进行耳穴贴压配合乳房穴位按摩护理；观察对比两组产妇泌乳启动时间、产后24 h、48 h、72 h泌乳量、产后3 d乳房胀痛发生率及出院时满意度。结果：观察组泌乳启动时间短于对照组(P < 0.05)；干预后观察组产妇产后24 h、48 h、72 h泌乳量明显高于对照组，有显著性差异(P < 0.001)；产后3 d观察组乳房胀痛发生率明显低于对照组(P < 0.05)；出院时观察组产妇满意度高于对照组(P < 0.05)。结论：耳穴贴压配合乳房穴位按摩能促使泌乳启动时间提前，同时明显增加产妇泌乳量，降低产妇产后乳房胀痛发生率，提高产妇满意度。

Abstract: Objective: To investigate the effect of auricular point pressing combined with breast point massage on lactation of primipara with mother infant separation after cesarean section. Methods: 100 primiparas with mother infant separation who underwent cesarean section in our hospital from June 2021 to June 2022 were selected as the study objects, and were divided into control group and observation group on average according to random number table method, with 50 cases in each group. The control group received routine nursing care of maternal infant separation in obstetrics, while the observation group received auricular point pressing and breast point massage on this basis. The start-up time of lactation, the amount of lactation at 24 h, 48 h and 72 h postpartum, the incidence of breast swelling and pain at 3D postpartum and the satis-faction at discharge were observed and compared between the two groups. Results: The start-up time of lactation in the observation group was shorter than that in the control group (P < 0.05); af-ter the intervention, the lactation volume of the observation group was significantly higher than that of the control group at 24 h, 48 h and 72 h postpartum (P < 0.001); the incidence of breast swelling and pain in the observation group was significantly lower than that in the control group on the 3rd day after delivery (P < 0.05); the satisfaction of the observation group was higher than that of the control group (P < 0.05). Conclusion: Ear point pressing combined with breast point massage can promote the start time of lactation, significantly increase the amount of lactation, reduce the in-cidence of postpartum breast swelling and pain, and improve maternal satisfaction.