摘要
目的 观察分析穴位按摩结合中医辨证施膳护理对于促进初产妇产后泌乳的应用效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的60例初产妇（样本纳入例数：60例；样本纳入时间：2023年5月至2024年5月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，穴位按摩结合中医辨证施膳护理。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（穴位按摩结合中医辨证施膳护理）的产后初次泌乳时间更短，泌乳量更高，生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能/总体健康）更高，急性乳腺炎发生率更低，（P<0.05）。结论 穴位按摩结合中医辨证施膳护理可以有效促进初产妇产后泌乳，有助于促进初产妇生活质量提升，降低急性乳腺炎发生风险，改善预后，有较高应用价值。
关键词： 初产妇；穴位按摩；中医辨证施膳；护理效果
Abstract
Objective To observe and analyze the application effect and application value of acupoint massage combined with TCM syndrome differentiation for promoting postpartum lactation. Methods Using a retrospective study method, 60 cases of primipara were selected (60 cases; sample inclusion time: May 2023 to May 2024), which were divided into control and experimental groups based on random touch and ball, and the number of observation was highly consistent. Routine nursing, acupoint massage combined with traditional Chinese medicine syndrome differentiation and diet nursing. Collect and analyze the nursing effect. Results Compared with the control group (usual care), the experimental group (acupressure combined with TCM syndrome) had shorter first lactation, higher lactation, higher quality of life score (role / emotional / cognitive / social / somatic / overall health), and lower incidence of acute mastitis (P <0.05). Conclusion acupoint massage combined with TCM syndrome differentiation and nursing can effectively promote postpartum lactation, promote the quality of life, reduce the risk of acute mastitis, improve the prognosis, and have high application value.
Key words： Primipara; Acupoint massage; Chinese medicine syndrome differentiation; Nursing effect
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