胸背部平衡松解术治疗产后缺乳的效果

发布时间：2018-01-12 03:22

本文关键词：胸背部平衡松解术治疗产后缺乳的效果　出处：《广东医学》2017年16期 　论文类型：期刊论文

【摘要】：目的观察胸背部平衡松解术对产后缺乳的临床疗效。方法将96例产后缺乳患者随机分为观察组和对照组各48例,观察组采用胸背部平衡松解术治疗,对照组依照常法操作,通过泌乳量、乳房疼痛VAS评分、血清泌乳素及整体疗效4个指标来观察产后缺乳病征改善情况。结果 1个疗程治疗后,观察组泌乳量显著多于对照组且观察组泌乳量随治疗次数增加而明显增加,乳房疼痛VAS评分显著低于对照组,血清泌乳素(PRL)浓度也显著高于对照组,差异均有统计学意义(P0.05);对照组治愈12例、好转23例、未愈13例,总有效率72.92%,观察组治愈30例、好转12例、未愈6例,总有效率87.50%,观察组总体疗效明显优于对照组(P0.05)。结论胸背部平衡松解术对产后缺乳具有良好的疗效,从神经内分泌反射、体态以及中医整体观和辨证论治的角度治疗,为产后缺乳治疗提供了新思路。
[Abstract]:Objective to observe the clinical effect of thoracolumbar balance release on postpartum lactation. Methods 96 patients with postpartum lactation were randomly divided into observation group (n = 48) and control group (n = 48). In the control group, the improvement of postpartum lactation symptoms was observed by four indexes: lactation volume, breast pain VAS score, serum prolactin and overall curative effect. Results after one course of treatment, the symptoms of postpartum lactation were improved. The amount of lactation in the observation group was significantly higher than that in the control group, and the lactation volume in the observation group increased with the increase of treatment times, and the VAS score of breast pain was significantly lower than that in the control group. The serum prolactin (PRL) concentration was significantly higher than that in the control group (P 0.05). In the control group, 12 cases were cured, 23 cases were improved, 13 cases were not recovered, the total effective rate was 72.922.30 cases were cured, 12 cases were improved, 6 cases were not recovered in the observation group, and the total effective rate was 87.50%. Conclusion Thoracic and back balance release has a good effect on postpartum lactation, from neuroendocrine reflex. The treatment of postpartum lactation with posture, TCM holistic view and syndrome differentiation provides a new idea for postpartum lactation treatment.
【作者单位】：广州中医药大学第一附属医院推拿科;广州中医药大学第一临床医学院;
【分类号】：R244.1
【正文快照】： 产后缺乳是指产妇乳汁分泌不足甚至无乳汁分泌,难以满足婴儿的需要。母乳喂养无论是对母亲还是婴儿都具有积极的作用。调查统计显示,产后4个月哺乳率在我国的20个省(市)中仅44%[1],而产后缺乳者在部分城市医院产科的比例高达20%~30%[2]。广州中医药大学第一附属医院推拿科在临

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