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目的分析乳旁加奶诱导婴儿吸吮促进母乳分泌的效果,旨在更好地指导临床护理工作,促进母乳喂养,提高人口素质。方法选取2014年1月-2016年1月,在桂林市妇女儿童医院住院分娩后4 h乳汁分泌不足的产妇及婴儿200例为研究对象,采用随机法分为试验组和对照组,各100例。两组均实行早接触、早吸吮、早开奶、母婴同室及按需哺乳。对照组采用常规哺乳法,试验组在常规哺乳法的基础上加用乳旁加奶法,观察两组婴儿吸吮的适应性、婴儿吸吮时间、产妇耐受性、母乳充盈时间及完全母乳喂养时间等情况。结果乳头错觉,对照组42例,试验组1例,两组比较差异有统计学意义(P<0.05);对照组开始有效吸吮时间(7.98±0.57)h,明显长于试验组的(4.24±0.31)h,两组比较差异有统计学意义(P<0.05)。两组分娩当天母乳喂养自信心量表(BSES)评分差异无统计学意义(P>0.05)。产后2 d以及产后30 d,对照组BSES评分(93.21±8.05)分、(86.45±7.68)分,低于试验组的(128.35±11.05)分、(133.36±21.02)分(P<0.05);对照组母乳充盈时间(58.32±12.08)h、完全母乳喂养时间(52.37±10.02)h,明显长于试验组母乳的充盈时间(36.84±11.57)h、完全母乳喂养时间(28.39±8.54)h(P<0.05);试验组持续母乳喂养情况明显优于对照组(P<0.05)。结论乳旁加奶法能够有效诱导婴儿吸吮,促进母乳分泌,安全简便、经济有效。
OBJECTIVE: To analyze the effect of breastfed milk induction on infant sucking to promote the secretion of breast milk in order to better guide clinical nursing work, promote breastfeeding and improve the population quality. Methods From January 2014 to January 2016, 200 maternal and infant lactating women at 4 hours after inpatient delivery at Guilin Women’s and Children’s Hospital were enrolled. The patients were divided into experimental group and control group randomly . Early exposure to both groups, early sucking, early milk, maternal and child room and breast-feeding on-demand. In the control group, conventional breast-feeding method was adopted. The experimental group was given breast-feeding and breast-feeding method on the basis of routine breast-feeding method. Suckling adaptability, infant sucking time, maternal tolerance, breastfilling time and complete breastfeeding time And so on. Results In the control group, there were 42 patients in the control group and 1 in the test group. The difference between the two groups was statistically significant (P <0.05). The effective sucking time (7.98 ± 0.57) h in the control group was significantly longer than that in the test group (4.24 ± 0.31 ) h, the difference between the two groups was statistically significant (P <0.05). There was no significant difference in BSES scores between the two groups on delivery day (P> 0.05). The scores of BSES in the control group (93.21 ± 8.05) and (86.45 ± 7.68) points lower than the experimental group (128.35 ± 11.05) and (133.36 ± 21.02) points (P <0.05) on the 2nd and 3rd postpartum. The breastfeeding time of the control group (58.32 ± 12.08 h), complete breastfeeding time (52.37 ± 10.02 h) was significantly longer than that of the test group (36.84 ± 11.57 h) and the complete breastfeeding time (28.39 ± 8.54 h) <0.05). The continuous breastfeeding in the experimental group was significantly better than that in the control group (P <0.05). Conclusion Breast milk plus milk method can effectively induce infant sucking, promote breast milk secretion, safe and simple, cost-effective.