促进母婴分离产妇泌乳干预模式的研究.docVIP

促进母婴分离产妇泌乳干预模式的研究 　　【摘要】目的促?M母婴分离产妇泌乳的干预模式。方法选择2013年3月～2014年3月住院分娩后母婴分离的产妇240例为研究对象，随机分为A组、B组和C组，A组按传统的母婴分离常规护理，B组给予超早期乳房护理干预，C组用产后康复治疗仪干预；干预后比较三组的泌乳始动时间，产后72 h的血清泌乳素水平、泌乳量及乳房肿胀的发生率。结果三组间泌乳始动时间比较有统计学意义（F=49.02，P0.05）；三组间血清泌乳素水平比较差异有统计学意义（F=181.73，P0.05）；三组间泌乳量比较有统计学意义（F=98.46，P0.05）；三组间乳房肿胀发生率比较有统计学意义（χ2=8.233， v=2， P=0.016），两两比较，B组、C组的乳房肿胀发生率远低于A组（P均0.05）。结论超早期乳房护理干预与产后康复治疗仪干预均可使泌乳始动提前，血清泌乳素水平提高，泌乳量增加，乳房胀痛减轻，提高母乳喂养成功率，两种方法均操作简单、无创，临床上可根据产妇的需要选择应用。 　　【关键词】母婴分离；泌乳；干预模式 　　中图分类号：R473.71文献标识码：ADOI：10.3969/j.issn2016.05.014 　　【Abstract】ObjectiveTo study the intervention mode that promoting lactation in puerpera with maternal separation.Methods240 puerpera with maternal separation after delivery from March，2013 to March，2014 were randomly divided into group A，group B，and group C with 80 cases in each.The group A were given traditional maternal separation routine nursing care，the group B were given ultra early breast care，and the group C were given postpartum rehabilitation instrument.And then，initial time of lactation，serum level of prolactin 72 h after delivery，lactation amount 72 h after delivery and the incidence of breast swelling 72 h after delivery in the 3 groups were compared after intervention.ResultsDifference of the initial time of lactation of the 3 groups was statistically significant（F=49.02，P0.05）.Difference of the serum levels of prolactin of the 3 groups was statistically significant（F=181.73，P0.05）.Difference of the lactation amount of the 3 groups was statistically significant（F=98.46，P0.05）.Difference of the incidence of breast swelling of the 3 groups was statistically significant（χ2=8.233，v=2，P=0.016），and incidence of breast swelling of the group B and group C was significantly lower than that of the group A（all P0.05）.ConclusionBoth ultra early breast care and postpartum rehabilitation instrument can make initial time of lactation in advance，increase serum prolactin level and lactation amount，alleviate breast distending pain and improv