输卵管结扎术对母乳喂养影响.docVIP

输卵管结扎术对母乳喂养影响 　　[摘要]目的 探?输卵管结扎术对母乳喂养的影响。方法 选取2014年7月～2015年6月180例实施输卵管结扎术的妇女，观察其手术前后生理及心理状况。手术前后测定受术者的催乳素水平，应用焦虑自评量表及抑郁自评量表对受术者心理状况进行评分；并检测手术前后受术者的母乳分泌量及营养成分。结果 妇女术后1个月催乳素分泌水平较术前有所下降，差异有统计学意义（P0.05），且同样在术后2个月恢复正常。手术前后母乳营养成分差异无统计学意义（P0.05）。结论 输卵管结扎术对妇女生理及心理有暂时的影响，但随着时间的延长会逐渐恢复，未对妇女的健康及母乳喂养造成影响 [关键词]输卵管结扎术；母乳喂养；催乳素 [中图分类号] R713.5+4 [文献标识码] A [文章编号] 1674-4721（2016）12（b）-0075-04 Influence of tubal ligation on breastfeeding ZHANG Hui-jie1 LIU Guang-hua1 WANG Cheng-yi1 YE Hong1 LIU Yan-bin2 MIAO Chong1 CHEN Lu-min1 CHEN Qi3 1.Department of Pediatrics，Fujian Provincial Maternity and Children′s Hospital，Fuzhou 350001，China；2.Family Planning Service Station of Fuan City in Fujian Province，Fuan 355000，China；3.Family Planning Service Station of Lianjiang County in Fujian Province，Lianjiang 350500，China [Abstract]Objective To investigate the influence of tubal ligation on breastfeeding.Methods 180 women underwent tubal ligation from July 2014 to June 2015 were selected.The physiological and psychological status of women before and after the operation were observed.The prolactin level was measured before and after the operation.The psychological status of the patients was scored by the self-rating anxiety scale and self-rating depression scale.The secretion volume and nutrient composition of breast milk in women before and after the surgery were detected.Results The level of prolactin secretion in women after 1 month surgery was lower than that before surgery，and the difference was statistically significant （P0.05） and after 2 months surgery，the index was resumed to normal.There was no statistically significant difference of the secretion volume of breast milk before and after surgery （P0.05）.Conclusion Tubal ligation has a temporary effect on women′s physiology and psychology，but it will recover gradually with time.It does not affect women′s health and breastfeeding. [Key words]Tubal ligation；Breastfeeding；Prolactin 　　由于育龄妇女在接受输卵管结扎术后，避孕率高、并发症少，结扎术已经成为了全世界已