首页|自拟下乳方联合穴位治疗气血两虚型自然分娩产妇的临床研究

自拟下乳方联合穴位治疗气血两虚型自然分娩产妇的临床研究

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目的:探讨自拟下乳方联合穴位治疗在气血两虚型自然分娩产妇中的应用效果.方法:选择2021年6月—2023年3月在本院分娩的132例气血两虚型自然分娩产妇为研究对象,按随机数字表法分为3组,每组44例.其中对采用自拟下乳方治疗为下乳方组,给予穴位治疗为穴位组,采用自拟下乳方联合穴位治疗为联合组,比较3组治疗效果.结果:联合组总有效率(97.7%)显著高于下乳方组和穴位组(86.4%、79.5%,P<0.05).治疗后,3组神疲乏力、面色少华、食欲不振、心悸气短积分均较治疗前降低(P<0.05),联合组低于下乳方组和穴位组(P<0.05).3组产后1、3 d血清PRL水平均显著高于同组产前(P<0.05),联合组高于下乳方组和穴位组(P<0.05).联合组泌乳始动时间显著短于下乳方组和穴位组(P<0.05),产后3d泌乳量显著多于下乳方组和穴位组(P<0.05).联合组产后42d纯母乳喂养率为81.8%,显著高于下乳方组和穴位组(61.4%、52.3%,P<0.05).3组产后42 d新生儿体质量均显著高于出生时(P<0.05),但3组组间比较无统计学差异(P>0.05).3组产妇均无明显不良反应发生.结论:自拟下乳方联合穴位治疗气血两虚型自然分娩产妇可有效改善临床症状,促进体内PRL分泌,加快泌乳,增加泌乳量,提高纯母乳喂养率.
Clinical study on the self-designed promotion of lactation prescription combined with acupoints treatment for parturients with qi-blood deficiency after natural delivery
Objective:To investigate the application effect of the self-designed promotion of lactation prescription com-bined with acupoints treatment for parturients with qi-blood deficiency after natural delivery.Methods:132 parturients women with qi-blood deficiency after natural delivery were selected and were divided into 3 groups(44 cases in each group)according to the random number table method from June 2021 to March 2023.The parturients in group A were given the self-designed promotion of lactation prescription treatment,the parturients in group B were given acupoint treatment,and the parturients in group C were given the self-designed promotion of lactation prescription combined with acupoints treatment.The therapeutic effect of the parturients was compared among the three groups.Results:The total effective rate(97.7%)of the parturients in group C was significantly higher than that(86.4%)of the partu-rients in group A and that(79.5%)of the parturients in group B(P<0.05).After treatment,the scores of fatigues,pale complexion,loss of appetite,palpitation and shortness of breath of the parturients in the three groups were signif-icantly lower than those before treatment(P<0.05),and which of the parturients in group C were significantly lower than those of the parturients in group A and in group B(P<0.05).The serum PRL level of the parturients in the three groups in 1 and 3 days after delivery were significantly higher than those before delivery(P<0.05),and which of the parturients in group C was significantly higher than that of the parturients in group A and that of the parturients in group B(P<0.05).The onset time of lactation of the parturients in group C was significantly shorter than that of the parturients in group A and that of the parturients in group B(P<0.05).The milk lactation yield of the parturients in group C in 3 days after delivery was significantly more than that of the parturients in group A and that of the parturi-ents in group B(P<0.05).The rate of exclusive breastfeeding of the parturients in group C was 81.8%,which was significantly higher than that(61.4%)of the parturients in group A and that(52.3%)of the parturients in group B(P<0.05).The body weight of the newborns in the three groups in the 42th day after delivery was significantly higher than that of the newborns at birth(P<0.05),but there was no significant difference in the body weight of the newbo-rns in the 42th day after delivery among the three groups(P>0.05).There was no obvious adverse reaction of the par-turients in the three groups.Conclusion:The self-designed promotion of lactation prescription combined with acupoints treatment for the parturients with qi-blood deficiency after natural delivery can effectively improve their clinical symp-toms,promote their PRL secretion,accelerate their lactation,increase their lactation yield,and improve their rate of exclusive breastfeeding.

Parturitnts after natural deliveryPromote lactoationQ i-blood deficiency syndromeChinese herbal medicineAcupoints treatment

余雪、张伟平、高妍

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河北省沧州市中心医院(061000)

自然分娩后产妇 泌乳 气血两虚证 中药方剂 穴位疗法

河北省中医药局科研项目

2023452

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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