乳房按摩联合仙人掌、芦荟交替冷敷治疗产后乳胀40例-第三军医大学学报.docVIP

乳房按摩联合仙人掌、芦荟冷敷治疗产后 邓青春，孟珊冯春雨 第三军医大学附属西南医院妇产科门诊 【摘要】 目的：分析乳房按摩联合仙人掌、芦荟交替冷敷对治疗产后的影响。方法：选择产后发生单纯，无其他病理因素的产妇，采用乳房按摩联合仙人掌、芦荟交替冷敷治疗单纯乳房按摩。观察对比产妇治疗后母乳喂养情况、乳房胀痛程度和疼痛评分为指标。结果：乳房按摩联合仙人掌、芦荟交替冷敷治疗母乳喂养者显著多于P＜ 0. 0，乳房按摩联合仙人掌、芦荟交替冷敷治疗乳房及疼痛P ＜ 。结论：乳房按摩联合仙人掌、芦荟冷敷治疗。 【关键词】 仙人掌，芦荟， 母乳是新生儿的最佳食品，产后3到7天内的初乳又由于含有丰富的抗体能增强宝宝的免疫力，尤为被广大产妇所重视。但由于产后疲劳，疼痛，精神忧虑，乳房早期刺激不足等因素，导致产妇在产后2到3天内因为乳腺管堵塞，乳汁淤积，过多的乳汁得不到及时排空而出现产后，若乳汁淤积成块，还可能会出现不同程度的乳房胀痛临床表现为乳房逐渐胀实、变硬，触之疼痛。因乳房胀硬，乳头相应变短，婴儿吸吮时不易含住大部分乳晕，造成吸吮困难，母亲也因婴儿吸吮时乳头疼痛不愿哺乳。也使母亲对母乳喂养失去信心。因此，减少产后是母乳喂养成功的关键 已有报道关于治疗乳汁淤积的方法主要有乳房按摩，热敷或者冷敷，针灸，甘蓝叶敷贴，超声理疗等，但是目前尚未有报道关于芦荟和仙人掌外敷减轻乳汁淤积的研究。手法按摩乳腺淤积部位能有效疏通乳腺淤积，而芦荟具有抗炎，消肿，止痛的功效，仙人掌也被公认为可以抗菌和消炎。本将观察手法按摩联合芦荟和仙人掌冷敷治疗乳汁淤积的疗效。 Effects of massage treatment combined with topical cactus and aloe on puerperal milk stasis Abstract. AIM: Puerperal milk stasis is one of the most common puerperal complication that directly affects breastfeeding. Massage treatment with topical cactus and aloe for puerperal milk stasis might be a superior treatment, and it does not affect breastfeeding. METHODS: The intervention group was treated with massages with cactus and aloe cold compresses, and the control group was treated with massage treatment or cactus and aloe cold compresses alone. We evaluated the efficacies of the treatments through comparisons of the feeding patterns, hardness, and pain after treatment between the three groups. RESULTS: We found that breastfeeding rates were significantly increased in the massage combine with combined with cactus and aloe cold compress group (P 0.05 for both). Breast hardness and pain were reduced to greater extents in massage combine with combined with cactus and aloe cold compress group than in the massage or cold compress group (P 0.05). CONCLUSIONS: Massage treatment with topical cactus and aloe topical effectively improved the pain status, hard lump of puerperal milk stasis and increase breastfeeding rate. Keywords: Massage treatment, cactus and aloes, puerperal milk stasis 重庆市科学技术协会项目：孕产妇健