正常产妇产褥期乳房状况护理评估及护理对策研究刘乙桦，黄李芸(海南.docVIP

正常产妇产褥期乳房状况护理评估及护理对策研究 刘乙桦， 黄李芸　　 ( 海南省第二人民医院 门诊部， 海南 五指山， 572299) 　　 摘 要: 目的 探讨正常产妇产褥期乳房状况护理评估及护理对策。方法 选取正常产妇 98 例作为对照组， 评价产后乳房状况，并根据产妇容易出现的乳房问题提出相应护理对策。另外选取正常产妇 99 例作为观察组，对其进行针对性的乳房护理。对比 2 组产妇产后乳房充盈程度、 乳腺管通畅情况、 乳房胀痛程度以及乳腺炎和乳头皲裂发生率。结果 观察组产后乳房充盈 I 型和乳腺管通畅情况优于对照组( P 0. 05) ; 观察组乳房胀痛程度明显轻于对照组( P 0. 05) ; 对照组患者乳腺炎和乳头皲裂发生率均明显低于对照组( P 0. 05) 。结论 产褥期产妇进行乳房按摩可以通畅乳腺管有利于乳汁排出， 减轻产妇的不适感。　　 关键词: 产妇; 产褥期; 乳房; 护理　　 中图分类号: R 473. 71 文献标志码: A 文章编号: 1672- 2353( 2015)18- 088- 03 DOI: 10. 7619 /jcmp. 201518028 　　 Nursing assessment and nursing countermeasures of puerperal breast status in puerpera 　　 LIU Yihua， HUANG Liyun 　　 ( Outpatient Department， Hainan Second Peoples Hospital， Wuzhishan， Hainan， 572299) 　　 ABSTRACT: Objective To investigate Nursing assessment and nursing countermeasures of puerperal breast status in puerpera. Methods Postpartum breast conditions of 98 puerpera in control group were evaluated and appropriate nursing measures were implemented. And 99 normal women were selected as observation group with targeted breast care. Postpartum breast distention， breast duct 　　patency， and the extent of the incidence of mastitis and crackled nipple were compared. Results Postpartum breast filling I type and breast duct patency in the observation group were significantly better than the control group( P 0. 05) . The degree of breast distention pain in the observation groups were significantly lighter than the control group( P 0. 05) . The incidence of mastitis and crackled nipple in the observation group were significantly lower than the control group( P 0. 05) . Conclusion Maternal postpartum breast massage is conducive to the milk discharge， reduces maternal discomfort. 　　 KEY WORDS: puerpera; puerperal period; breast; nursing 母乳是婴儿的最佳营养来源， 不仅在于其纯天然性，更为重要的是母乳可以为婴儿提供生长发育所需要的营养， 并提高婴儿的抵抗力[ 1] 。但是由于缺乏专业的乳房护理知识和指导， 很多产妇在产褥期会出现各种各样的问题， 不仅影响母乳喂养，还会给产妇带来躯体的不适，并使产妇产生焦虑烦躁等不良情绪， 继而影响母婴健康[ 2] 。本研究对 197 例正常产妇于产褥期实施乳房状况评估，并对部分患者进行了针对性的乳房护理取得不错效果，现报告如下。　　 1 资料与方法　　 1. 1 一般资料　　 选取 2