微波治疗仪联合电动吸乳器刺激乳房对母婴分离早产儿母乳喂养的影响

摘要

目的 探讨微波治疗仪联合电动吸乳器刺激乳房对母婴分离早产儿母乳喂养情况的影响.方法 选择符合条件的母婴分离早产儿母亲80例,按时间先后顺序分为两组各40例,对照组给予常规产后护理,干预组在常规产后护理基础上从产后第1天开始,采用普林格尔产后微波治疗仪对早产儿母亲的乳房进行早刺激,每天1次,每次20 min,直至患者出院;使用微波治疗仪以后,运用美德乐(Medela)心韵(Symphony)电动吸乳器将母婴分离产妇乳汁吸出,每隔2～3 h或乳房有胀痛感时吸乳1次,以保持早产儿母亲正常泌乳状态;出院前,教会早产儿母亲及其照护者正确有效的乳房护理方法,保证其出院后能够进行正确有效的自我乳房护理,直至早产儿出院后其母亲的乳房得到自然吸吮.追踪回访产后42 d两组母乳喂养情况并进行统计学分析比较.结果 两组早产儿产后第42天母乳喂养情况比较差异有统计学意义,干预组早产儿的纯母乳喂养率高于对照组(P<0.05),干预组无1例早产儿人工喂养.结论 对母婴分离产妇运用微波治疗仪催乳及电动吸乳器吸乳,有效提高了早产儿母乳喂养成功率,且省时省力,值得在临床推广.%Objective To explore the influence of microwave instrument,combined with electronic breast pump on breast-feeding of premature infants in moiher-infant separation period.Methods 80 mothers of premature infants were divided into control group with routine postnatal nursing and intervention group in which besides routine postnatal nursing,systematic breast nursing including the application of microwave instrument and electronic breast pump was provided.Results There was significant difference of breastfeeding cases between in control group and in intervention group and there were more breast-feeding cases in intervention group (P< 0,05),Conclusion The application of microwave instrument and electronic breast pump is effective and convenient in breastfeeding for mothers separated from their premature infants.