Effect of six-step breast massage nursing combined with low frequency pulse therapy instrument on maternal breast distension and uterine involution
WEI Chongyang1 CHEN Huiping2 WAN Li1▲
1.Department of Obstetrics, Nanjing First Hospital, Nanjing Medical University, Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China; 2.Department of Hematology, Nanjing First Hospital, Nanjing Medical University, Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China
Abstract:Objective To explore the effect of six-step breast massage nursing combined with low frequency pulse therapy instrument on maternal breast distension and uterine involution. Methods A total of 100 parturients who delivered successfully in Nanjing First Hospital, from June 2019 to June 2021 were selected. According to random number table method, the patients were divided into observation group and control group, with 50 cases in each group. The control group received routine nursing, and the observation group received six-step breast massage nursing combined with lowfrequency pulse therapy instrument intervention on the basis of the control group. Both groups were subjected to continuous intervention for three days. The improvement of the degree of breast tenderness, lactation, fundus height, and poor uterine involution were compared between the two groups. Results The improvement of breast tenderness in observation group was better than that in control group (P<0.05); the first lactation time of the observation group was shorter than that of the control group, and the total lactation volume at 48 h postpartum was higher than that of the control group (P<0.05); there was no statistical significance in the first measurement of fundus height between the two groups (P>0.05); the last measurement of fundal height in observation group was lower than that in control group, and the uterine descending index was higher than that in control group (P<0.05); the incidence of adverse uterine involution in observation group was lower than that in control group (P<0.05). Conclusion Six-step breast massage nursing combined with low frequency pulse therapy instrument can improve the degree of maternal breast tenderness, promote postpartum lactation, and uterine involution, and the incidence of uterine involution is low.
韦重洋1 陈慧萍2 万丽1▲. 六步法乳房按摩护理联合低频脉冲治疗仪对产妇乳房胀痛及子宫复旧的影响[J]. 中国医药导报, 2023, 20(2): 181-184.
WEI Chongyang1 CHEN Huiping2 WAN Li1▲. Effect of six-step breast massage nursing combined with low frequency pulse therapy instrument on maternal breast distension and uterine involution. 中国医药导报, 2023, 20(2): 181-184.
[1] 邱静,佟志刚,朱士杰.缩宫催乳汤联合针刺疗法治疗产后乳房胀痛及对产妇泌乳的影响[J].世界中西医结合杂志,2019,14(7):983-986.
[2] Murray Horwitz ME,Molina RL,Snowden JM. Postpartum Care in the United States-New Policies for a New Paradigm [J]. N Engl J Med,2018,379(18):1691-1693.
[3] 汪婕,李霖,王思思.叙事护理联合六步法乳房按摩对产妇泌乳及产后心理状态的影响[J].护理学杂志,2021,36(23):35-37.
[4] 董慧,戴姜,于雪娟,等.低频脉冲治疗仪结合中医穴位按摩对产妇泌乳及乳房胀痛的效果观察[J].河北医药,2016,38(19):3026-3028,3029.
[5] Heller GZ,Manugerra M,Chow R. How to analyze the Visual Analoggue Scale:Myths,truths and clinical relevance [J]. Scand J Pain,2016,15(13):67-75.
[6] Ou Y,Zhou Y,Xiang P. Effect of Obstetric Fine Nursing on Pain during Natural Childbirth and Postpartum Recovery [J]. Iran J Public Health,2018,47(11):1703-1708.
[7] 张贵清,刘俊俐,罗义华,等.剖宫产术后乳房康抚按摩对泌乳效果及乳房胀痛的影响[J].蚌埠医学院学报,2019, 44(6):798-800.
[8] Li JY,Huang Y,Liu HQ,et al. The Relationship of Previous Breastfeeding Experiences and Factors Affecting Breastfeeding Rates:A Follow-Up Study [J]. Breastfeed Med,2020,15(12):789-797.
[9] Axelsson D,Brynhildsen J,Blomberg M. Postpartum infection in relation to maternal characteristics,obstetric interventions and complications [J]. J Perinat Med,2018,46(3):271-278.
[10] 王正平,王玉慧,曹倩倩,等.低强度聚焦超声促进子宫复旧的疗效研究[J].浙江医学,2019,41(9):863-865, 869.
[11] 段燕平.产后综合康复护理对产妇产后抑郁及子宫康复的影响[J].中国药物与临床,2021,21(11):2022-2024.
[12] 郭路,叶朝,张菁,等.实施袋鼠式护理对产妇泌乳、子宫复旧及新生儿疼痛的影响研究[J].中国实用护理杂志,2020,36(18):1383-1388.
[13] 盛佳,夏海鸥,丁焱,等.按摩联合穴位刺激对母婴分离早产儿母亲乳汁分泌量的影响[J].护理学杂志,2020, 35(22):44-48.
[14] 杨丽霞,王晓阳,罗茵,等.六步法乳房按摩促进母婴分离产妇泌乳Ⅱ期启动的效果观察[J].解放军护理杂志,2020,37(2):36-39.
[15] 谭毅,曾祥生,李源,等.丹益片联合低频脉冲治疗仪治疗Ⅲ型前列腺炎伴早泄的临床观察[J].中国性科学,2017,26(11):10-13.
[16] 唐丽珍.5P手法按摩乳房预防剖宫产术后乳汁淤积的临床研究[J].中国医药导报,2018,15(16):174-176.
[17] Armstrong M,Flemming K,Kupeli N,et al. Aromatherapy,massage and reflexology:A systematic review and thematic synthesis of the perspectives from people with palliative care needs [J]. Palliat Med,2019,33(7):757-769.
[18] 杨柳,谢翠云,钟豫,等.低频康复治疗仪对产妇产后子宫复旧及乳房胀痛的影响[J].实用临床医药杂志,2017, 21(8):224-225.
[19] 付潇潇,周兴翠,屈方.中医针刺结合产后康复治疗仪对初产妇产后乳汁淤积的影响[J].海南医学,2021,32(7):878-880.
[20] Coronado RA,Albers HE,Allen JL,et al. Pain-Reducing Effects of Physical Therapist-Delivered Interventions:A Systematic Review of Randomized Trials Among Older Adults With Dementia [J]. J Geriatr Phys Ther,2020,43(3):159-169.
[21] 葛圆,蓝红霞,邓月桂,等.雷火灸联合乳房按摩促进母婴分离产妇乳汁分泌的效果观察[J].广西医学,2018, 40(19):2375-2376,2379.
[22] 李幼香.补血益母丸与加强食疗联合子宫按摩对产后盆底肌功能乳汁分泌及子宫复旧时间的影响[J].中国妇幼保健,2020,35(24):4702-4704.
[23] 陈小宇,谢小文.一种新型电脉冲治疗仪的设计与实现[J].电子测量技术,2018,41(18):15-21.
[24] 白雪.低频康复治疗仪对产妇产后子宫复旧的影响[J].中国医疗设备,2018,33(1):115-116.
[25] 冯春雨,孟珊.穴位针灸疗法联合盆底康复治疗仪对高龄产后压力性尿失禁患者盆底功能及预后的影响[J].现代中西医结合杂志,2020,29(20):2230-2233.
[26] 周林菊,钟素琴,张琪,等.腹部推拿按摩对产后子宫复旧疗效的观察[J].中国现代医生,2020,58(29):67-70.
[27] 胡文莉,赖雨婷,张燕芳.加味生化汤联合揿针促进产后子宫复旧及乳汁分泌的临床研究[J].中国医学创新,2022,19(24):83-86.
[28] 张丽娟,赖春红,赖红.生化汤联合热敏炙对剖宫产后子宫复旧效果的影响[J].当代医学,2022,28(23):81-84.