针对性护理干预对产妇产后乳房疼痛和乳汁分泌的影响探讨

刘婧

（陕西定边县中医院妇产科，陕西 榆林，718699）

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摘要：

目的 探讨针对性护理干预对缓解产妇产后乳房疼痛和促进产妇乳汁分泌的影响。方法 选择2016 年1 月至2017 年1 月 于我院进行产前检查和分娩的220 例产妇作为研究对象，随机分为观察组和常规组，各110 例。常规组产妇接受产科常规护 理，观察组产妇在常规护理的基础上进行泌乳针对性护理干预，比较两组患者的乳房疼痛和乳汁分泌情况。结果 产后4 d，观察 组产妇乳房胀痛0、I 级比例显著高于常规组，II、III 级比例显著低于常规组，差异均具有统计学意义（P<0.05）。产后24、48、72 h，观察组产妇的泌乳比例均明显高于常规组，差异具有统计学意义（P<0.05），而在96 h 时常规组仍存在1 例产妇未泌乳。观 察组产妇产后24、48、72、96 h 的泌乳量显著多于常规组，差异均具有统计学意义（P<0.05）。结论 对产妇实施针对性护理干预能 够使产妇泌乳始动时间提前，促进乳汁分泌，同时可减轻产妇产后乳房疼痛，值得临床推广。

关键词：针对性护理干预；乳房疼痛；乳汁分泌

中图分类号：R473.5 文献标志码：A文章编号：2096-1413(2018)02-0165-02

Effect of targeted nursing intervention on postpartum breast pain and milk secretion of puerpera
LIU Jing
(Obstetrics and Gynecology Department, Tradition Chinese Medicine Hospital of Dingbian County, Yunlin 718699, China)

ABSTRACT: Objective To explore the effect of targeted nursing intervention on relieving postpartum breast pain and milk secretion of puerpera. Methods A total of 220 puerera in our hospital from January 2016 to January 2017 were selected, and randomly divided into observation group and routine group. The routine group was given routine obstetric nursing, while the observation group was given lactation targeted nursing intervention. The breast pain and milk secretion were compared between the two groups. Results Four days after delivery, the rates of grade 0 and I in the observation group were significantly higher than those in the routine group, the rates of grade II and III in the observation group were significantly were significantly lower than those in the routine group (P <0.05). The percentage of lactation in the observation group at 24, 48 and 72 h postoperatively were significantly higher than those in the routine group (P<0.05), while at 96 h, there was still 1 case without milk secretion in the routine group. The volume of lactation in the observation group at 24, 48, 72 and 96 h after delivery were significantly higher than those in the observation group (P<0.05). Conclusion Targeted nursing intervention can make maternal lactation start time ahead of schedule and promote the milk secretion, reduce maternal postpartum breast pain, and it is worthy of clinical application.
KEYWORDS: targeted nursing intervention; breast pain; milk secretion

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