Breast scraping combined with acupoint massage care in postpartum breast lactation and breast pain
乳房刮痧联合穴位按摩护理在产后乳房泌乳和乳房胀痛中应用

摘要

目的 探讨在产后产妇中实施乳房刮痧+穴位按摩护理方案对乳房泌乳和胀痛的干预效果。方法 选取2023年6月至2024年6月本院收治的100例产妇，根据随机数字表法分组，参照组（采取常规产后护理，50例），观察组（产后乳房刮痧+穴位按摩护理，50例）。对比两组产妇产后24、48、72h的泌乳量和乳房胀痛程度（VAS），并对比两组产妇母乳喂养时间、初乳分泌时间、乳房硬块胀痛消除时间，以及产后乳房相关并发症发生情况。结果 干预后观察组在产后24、48、72h的泌乳量多于参照组，且VAS乳房疼痛评分低于参照组（P＜0.05）；与参照组相比，观察组干预后的母乳喂养、初乳分泌及乳房硬块胀痛消除的时间更短，且产后乳房相关并发症（乳腺堵塞、乳汁淤积、乳房肿胀）总共发生率更低（P＜0.05）。结论 对产妇实施乳房刮痧和穴位按摩的联合护理方案能改善产妇产后的乳房泌乳功能，缓解其乳房胀痛，促进产妇母乳喂养，且有助于保障产妇乳房健康，值得推广。

Abstract

Objective To explore the intervention effect of breast scraping + acupoint massage nursing program on breast lactation and swelling pain in postpartum women.
Methods 100 maternal cases of women admitted to our hospital from June 2023 to June 2024 were selected, grouped according to the random number table method, reference group (routine postpartum care, 50 cases), and observation group (postpartum breast scraping + acupoint massage care, 50 cases). The lactation volume and breast pain degree (VAS) at 24,48 and 72h were compared with the breastfeeding time, colostrum secretion time, elimination time of breast pain, and the occurrence of postpartum breast-related complications.
Results After the intervention, 48 and 72h postpartum than the reference group, and the VAS breast pain score was lower than the reference group (P <0.05); the duration of breastfeeding, colostrum, and the lump was shorter, and the total incidence of postpartum breast-related complications (breast blockage, milk deposition, breast swelling) was lower in the observation group (P <0.05).
Conclusion   The joint nursing program of breast scraping and acupoint massage can improve the postpartum breast lactation function of puerpera, relieve their breast pain, promote maternal breastfeeding, and help to protect the health of maternal breast, which is worth promoting.