目的：探讨生物反馈联合电刺激疗法在医护合作治疗产妇产后重度乳房疼痛中的效果观察方法将进入研究的112例产妇按照随机数字表分为干预组和对照组。干预组接受生物反馈联合电刺激治疗，并按摩挤奶；对照组接受常规按摩挤奶。评估医护合作状况、疼痛治疗满意度，比较治疗后3、7 d 及产后42 d 乳房疼痛程度、肿胀程度、母乳喂养状态。结果干预组与对照组治疗后3 d 乳房肿胀程度比较，Z=-5.91，P＜0.05（其中Ⅰ度肿胀19例比1例）；母乳喂养状态比较， Z=-4.18，P＜0.01（其中纯母乳喂养6例比1例）。干预组与对照组治疗后7 d 乳房疼痛评分比较[（2.34±0.78）分比（4.79±0.92）分]，t=16.84，P＜0.01；乳房肿胀程度比较，Z=-3.97，P＜0.01（其中Ⅰ度肿胀37例比18例）；母乳喂养状态比较，Z=-6.23，P＜0.01（其中纯母乳喂养23例比0例）。产后42 d 回访，干预组与对照组乳房疼痛评分比较[（1.22±0.47）分比（2.12±0.81）分]，t=6.82，P＜0.01；乳房肿胀程度比较，Z=-4.74，P＜0.01（其中Ⅰ度肿胀43例比21例）；母乳喂养状态比较， Z=-4.05，P＜0.01（其中纯母乳喂养39例比20例）。医护合作状况评分（98.66±2.96）分，产妇对乳房疼痛治疗的总体满意度为94%（47/50）。结论标准化医护合作关系下，生物反馈联合电刺激治疗能显著改善重度乳房疼痛产妇乳房疼痛程度及乳房肿胀度，提高母乳喂养状态，提高疼痛治疗满意度。%Objective To study the influence of biofeedback combined electrical stimulation therapy in parturients occurred breast pain under the cooperation between doctors and nurses. Methods Method of randomized controlled study was adopted. 112 puerperants were randomized chosen to experimental group (56 cases) and control group (56 cases). Diagnosed by doctors and confirmed that was normal. One group received biofeedback combined electrical stimulation therapy, the other group received regular therapy. Results There were great differences in breast hardness and milk volume ,when 3 days after the intervention, Z=5.91, P<0.01 (the cases of one degree of swelling in the two groups was 19 and 1 respectively). There were great differences in breast swelling and the hardness and milk volume, when 7 days after therapy and postpartum 42 days. The score of cooperation between doctors and nurses were (98.66±2.96) points, the satisfaction to this therapy was 94%(47/50). Conclusions Biofeedback combined electrical stimulation therapy can reduce breast pain and hardness in puerperants, it has great difference in breastfeeding status under the cooperation between doctors and nurses.
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