目的 探讨仙人掌捣烂外敷配合手法按摩治疗剖宫产后乳胀的效果.方法 将150例剖宫产后乳胀患者随机分为三组.治疗组用仙人掌捣烂外敷配合手法按摩,芒硝外敷组予芒硝外敷,热敷按摩组予热敷、按摩及吸奶器抽吸处理乳胀.比较三组乳胀消退效果、泌乳量、乳房疼痛程度及疗效.结果 治疗组与芒硝外敷组的有效率明显高于热敷按摩组.治疗组有效率与芒硝外敷组差异无统计学意义,但显效例数明显多于芒硝外敷组.三组产妇治疗后泌乳量比较,治疗组较芒硝外敷组及热敷按摩组泌乳量明显增多,差异有统计学意义(P＜0.01).结论 仙人掌捣烂外敷配合手法按摩疗法对产后乳胀有明显疗效,值得临床推广.%Objective To investigate the effects of combined usage of cactus topical treatment with massage on the post-partum breast distention after cesarean section. Methods One hundred and fifty patients of post-partum breast distention after cesarean section were randomly assigned into 3 groups. The stifty udy group was given cactus topical treatment with massage. The control group A was given compressing of Glauber's salt. The control group B was given hot compress, massage and breast pump suction. The regression of breast distention, the amount of breast milk secretion, degree of breast pain and the effect were compared between the three groups. Results The regression rate of breast distention in the study group and control group A were significantly higher than those in the Control group B; compared with control group A and B, the amount of breast milk secretion in study group was higher, with Statistically significant difference (P<0.01). Conclusion Combined usage of cactus topical treatment with massage has significant effects on the post-partum breast distention after cearean section.
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