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腕踝针治疗减轻产后生理性乳房胀痛的疗效观察

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目的:分析产后生理性乳房胀痛产妇接受腕踝针治疗对减轻其不适感与促进其泌乳所发挥的作用.方法:将200例自2021年1月-2022年12月进行治疗的产后生理性乳房胀痛产妇作为研究对象,随机将产妇分成对照组(n=100)和观察组(n=100),对照组产妇采用中药冷敷联合乳房穴位按摩疗法,观察组产妇在对照组治疗基础上联合应用腕踝针治疗,对比两组临床疗效以及治疗前后乳房胀痛度、炎性因子水平及乳房硬度与乳汁分泌量,统计并对比并发症情况.结果:观察组产妇临床治疗总有效率高于对照组(P<0.05).治疗前产妇乳房疼痛数字评分法(NRS)评分差异不具有统计学意义(P>0.05),治疗24h后、治疗48h后及治疗72h后观察组产妇乳房NRS评分均显著较对照组产妇低(P<0.05).治疗前两组产妇炎性因子指标水平差异不具有统计学意义(P>0.05),治疗3d后观察组产妇白细胞介素-6(IL-6)、C反应蛋白(CRP)水平均显著较对照组低(P<0.05).治疗前两组产妇乳房硬度及乳汁分泌量比较差异不具有统计学意义(P>0.05),治疗后观察组产妇乳房硬度明显更低且乳汁分泌量明显更多(P<0.05).观察组产妇并发症总发生率显著较对照组产妇低(P<0.05).结论:为产后生理性乳房胀痛产妇实施腕踝针治疗可有效减轻乳房胀痛感,还能够发挥抗炎作用,有助于促进泌乳,减少并发症.
Objective:To analyze the effect of wrist and ankle acupuncture treatment on alleviating discomfort and promoting lactation in postpartum women with physiological breast swelling and pain.Method:200 postpartum women with physiological breast swelling and pain who underwent treatment from January 2021 to December 2022 were randomly divided into a control group(n=100)and an observation group(n=100).The control group received traditional Chinese medicine cold compress combined with breast acupoint massage therapy.The observation group received wrist and ankle acupuncture treatment on the basis of the control group.The clinical efficacy and breast swelling and pain degree before and after treatment were compared between the two groups The levels of inflammatory factors,breast hardness,and milk secretion were measured and compared for complications.Result:The total effective rate of clinical treatment in the observation group was higher than that in the control group(P<0.05).There was no statistically significant difference in the scores of Breast pain digital scoring system(NRS)before treatment(P>0.05).After 24 hours of treatment,48 hours of treatment and 72 hours of treatment,the NRS scores of the observation group were significantly lower than those of the control group(P<0.05).There was no significant difference in the levels of inflammatory factors between the two groups before treatment(P>0.05).After 3 days of treatment,the levels of Interleukin 6(IL-6)and C-reactive protein(CRP)in the observation group were significantly lower than those in the control group(P<0.05).There was no statistically significant difference in breast hardness and milk secretion between the two groups of pregnant women before treatment(P>0.05).After treatment,the observation group had significantly lower breast hardness and significantly more milk secretion(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Implementing wrist and ankle acupuncture treatment for postpartum women with physiological breast pain can effectively alleviate breast pain,exert anti-inflammatory effects,promote lactation,and reduce complications.

postpartum physiological breast swelling and painWrist ankle needleFeeling of bloating and painInflammatory factorsLactationComplications

林宝惜

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厦门市中医院 福建厦门 369000

产后生理性乳房胀痛 腕踝针 胀痛感 炎性因子 泌乳 并发症

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(4)
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