何旭　徐玉巧　杜俊

【摘 要】目的：评价产后针灸联合按摩治疗产妇缺乳的临床疗效。方法：选取2012年1月至2013年2月我院收治的产后缺乳患者41例，随机分为两组，其中观察组22例，选用针灸联合按摩进行治疗，对照组19例，单纯选用按摩进行治疗，观察并比较两组患者临床疗效以及泌乳量变化。结果：观察组临床疗效明显优于对照组，比较差异有统计学意义（P<0.05）；观察组泌乳量明显高于对照组，比较差异有统计学意义（P<0.05）。结论：产后针灸联合按摩治疗产妇产后缺乳的临床疗效好，能有效提高产后缺乳产妇的泌乳量，值得在临床上予以推广。

【关键词】产后缺乳；针灸；催乳按摩

Clinical efficacy of acupuncture combined massage treatment of Ganyuqizhi kind of postpartum hypogalactia

He Xu Xu Yuqiao Du Jun

West Air Port Community Health Center，Shuangliu County， Chengdu City，Sichuan Province 610209

[Abstract]Objective： To evaluate the clinical efficacy of acupuncture combined massage treatment of Ganyuqizhi kind of postpartum hypogalactia. Methods： 41 patients with postpartum hypogalactia from January 2012 to February 2013 admitted to our hospital were randomly divided into two groups. For 22 cases in the observation group， chose acupuncture combined with massage therapy； for 19 cases in the control group， chose only massage physiotherapy treatment. The two groups were observed and compared the clinical efficacy and changes in amount of lactation. Results： The clinical efficacy was significantly better than that in the control group， the difference was statistically significant （P <0.05）； the amount of lactation was significantly higher than that in the observation group， the difference was statistically significant （P <0.05）. Conclusion： Acupuncture combined massage treatment of postpartum hypogalactia has good clinical efficacy， can effectively improve lactation of patients with postpartum hypogalactia and deserves to be used in clinical practice.

[Key words]Postpartum hypogalactia；Acupuncture； Prolactin massage

產后缺乳是指产后母乳量较少或全无，不能满足正常哺乳需要，多发生在产后15天以内，据中国卫生部统计数据显示：我国产后缺乳发病率约占全部产妇的20%左右，且仍有上升趋势[1]。由于母乳中含有丰富的营养物质以及多种抗感染物质，使用代乳品会一定程度上影响婴儿生长发育，且无法起到协助婴儿抗感染、抗过敏的作用。近年来，我院通过对收治的病人进行分组研究，评价产后针灸辅助治疗产妇产后缺乳的临床疗效，取得了较好的效果，报道如下。

1 资料与方法

1.1 一般资料

选取2012年1月至2013年2月我院收治的产后缺乳患者41例，随机分为两组，其中观察组22例，年龄（25.7±3.5）岁，病程（3.7±1.1）d，分娩方式：自然分娩6例，剖宫产16例，对照组19例，年龄（26.5±2.7）岁，病程（3.4±0.6）d，分娩方式：自然分娩5例，剖宫产14例，两组患者均符合《中医妇科学》中关于产后缺乳所述的诊断标准，即：主症：产后乳汁分泌少或全无，乳房胀硬、疼痛，乳汁稠；次症：伴胸胁胀满，情志抑郁，食欲不振。舌质正常或暗红，苔薄黄，脉弦或弦滑者。主症必备，次症具备1项以上，参照舌脉即可诊断，排除乳房器质性病变患者[2]。……