李新连

摘 要：目的 探討人工乳头配合手法在乳头凹陷产妇哺乳中的临床应用效果。方法 选取2017年5月～ 12月在本院收治接受治疗的120例乳头凹陷的产妇，按照随机数字表法将其分为研究组和对照组，每组60例。研究组采用人工乳头配合手法进行治疗，对照组仅采用人工乳头进行治疗。观察两组患者发生乳汁淤积和乳腺炎的情况，比较两组母乳喂养效果和患者满意度。结果 研究组发生乳汁淤积（3.34% vs18.34%）和乳腺炎（1.67% vs 15.00%）的人数较对照组少，差异具有统计学意义（P<0.05）。研究组60例产妇中有56例产妇成功的进行了母乳喂养，4例患者由于新生儿哭闹以及家属配合力不高终止母乳喂养，其母乳喂养成功率（93.34%）高于对照组（65.00%），研究组产妇满意度（96.67%）高于对照组（78.34%），两组比较差异有统计学意义（P<0.05）。结论 对乳头凹陷产妇实施人工乳头配合手法按摩在母乳喂养中临床疗效显著，有效提高了母乳喂养的成功率，降低产妇乳腺炎的发生，提高了患者的满意度。

关键词：人工乳头；手法按摩；乳头凹陷；母乳喂养

中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.22.057

文章编号：1006-1959（2018）22-0187-03

Clinical Application of Artificial Nipple Combined with Manual Manipulation to Assist Parturient Breast-feeding with Nipple Depression

LI Xin-lian

（Department of Obstetrics and Gynecology，Shangli County People's Hospital，Shangli 337009，Jiangxi，China）

Abstract：Objective To explore the clinical application of artificial nipple combined with manual manipulation in parturient with nipple depression. Methods 120 cases of parturient with nipple depression who were treated in our hospital from May to December 2017 were selected and divided into study group and control group with 60 cases in each group.The study group was treated with artificial nipple combined with manual manipulation， while the control group was treated only with artificial nipple. To observe the occurrence of milk siltation and mastitis in the two groups， and compare the effect of breast feeding and patients' satisfaction.Results The number of patients with milk deposition （3.34% vs 18.34%） and mastitis （1.67% vs 15.00%） was lower in the study group than in the control group，the difference was statistically significant（P<0.05）. 56 of the 60 women in the study group were successfully breastfed， and 4 patients stopped breastfeeding due to neonatal crying and low family coordination. The success rate of breastfeeding （93.34%） was higher than that of the control group （65.00%）， the maternal satisfaction rate of the study group（96.67%） was higher than that of the control group （78.34%）， the difference between the two groups was statistically significant （P<0.05）. Conclusion The artificial nipple combined with manual massage in the nipple depression has a significant clinical effect in breastfeeding， which effectively improves the success rate of breastfeeding， reduces the incidence of maternal mastitis， and improves patient satisfaction.

Key words：Artificial nipple；Manual manipulation；Nipple depression；Breast feeding

母乳喂养（breast feeding）是人类最原始也是最科学有效的喂养方法，它不仅对婴儿有利而且对母亲也有利[1]，能够保护婴儿健康使婴儿免受感染、腹泻、耳炎、过敏性疾病的侵袭，预防肥胖、高血压、糖尿病等，还能促进母亲子宫恢复，减少产后出血[2，3]。然而一些产妇因为乳头凹陷不能进行母乳喂养，这不仅造成资源浪费而且还导致乳房胀痛和乳腺炎，并且影响女性美观[4]。乳头凹陷是较为常见的女性乳房畸形，其发病率约为10%[5，6]。现目前临床上有各种治疗的手法和器具，比如：乳头保护贴、自制乳头隆起器和抽吸奶嘴等。但是实践证明这些方法的治疗效果不甚理想。所以为了纠正产妇乳头凹陷问题，提高母乳喂养率，本研究对人工乳头配合手法在乳头凹陷产妇中的临床应用效果进行总结，报告如下。

1资料与方法

1.1一般资料 选取2017年5月～12月在江西省上栗县人民医院妇产科收治接受治疗的120例乳头凹陷的产妇，按照随机数字表法将其分为研究组和对照组，每组60例。……