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1、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72h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
2、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(x2=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疲用。【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:AD0I:10.3969/j.issn.10031383.2016.05.0
3、14LAbstract1ObjectiveTostudytheinterventionmodethatpromotinglactationinpucrperawithmaternalseparation.Methods240puerperawithmaternalseparationafterdeliveryfromMarch,2013toMarch,2014wererandomlydividedintogroupA,groupB,andgroupCwith80casesineach.ThegroupAweregi
4、ventraditionalmaternalseparationroutinenursingcare,thegroupBweregivenultraearlybreastcare,andthegroupCweregivenpostpartumrehabilitationinstrument.Andthen,initialtimeoflactation,scrumlevelofprolactin72hafterdelivery,lactationamount72hafterdeliveryandtheincidenc
5、eofbreastswelling72hafterdeliveryinthe3groupswerecomparedafterintervention.ResultsDifferenceoftheinitialtimeoflactationofthe3groupswasstatisticallysignificant(F=49.02,P0.05).Differenceofthescrumlevelsofprolactinofthe3groupswasstatisticallysignificant(F=181.73,
6、P0.05).Differenceofthelactationamountofthe3groupswasstatisticallysignificant(F二98.46,P0.05).Differenceoftheincidenceofbreastswellingofthe3groupswasstatisticallysignificant(x2=8.233,v=2,P=0.016),andincidenceofbreastswellingofthegroupBandgroupCwassignificantlylo
7、werthanthatofthegroupA(allP0.05).ConclusionBothultraearlybreastcareandpostpartumrehabilitationinstrumentcanmakeinitialtimeoflactationinadvance,increaseserumprolactinlevelandlactationamount,alleviatebreastdistendingpainandimprovebreastfeedingsuccessrate.Bothmet
8、hodsaresimpleandnoninvasive,theyshouldbeselectedaccordingtotheneedsofwomenwhogivebirthinclinicalpractice.[Keywords]maternalseparation;lactation;interventionmode母乳含有婴幼儿生长发育必需的各种营养成分