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目的探讨影响母婴离产妇乳汁分泌的主要因素。方法选取2013年3月-2014年1月间该院产科住院分娩的母婴分离产妇226例,采用问卷调查的方法,对可能影响母婴分离产妇乳汁分泌的9个影响因素进行单因素和多因素分析。结果自然分娩、产后2 h内刺激乳头、24 h挤奶次数增加、每次挤奶时间10~30 min、夜间挤奶1~3次、抑郁评分<9分等因素有利于产妇乳汁分泌,差异均有统计学意义(P<0.01);年龄、孕次、是否用麻醉药物与产妇乳汁分泌之间差异无统计学意义(P>0.05)。多因素Logistic回归分析显示,分娩方式、刺激乳头时间、24 h挤奶次数、每次挤奶时间、夜间挤奶次数、抑郁评分为母婴分离产妇乳汁分泌的独立影响因素。结论自然分娩、早期刺激乳头和挤奶、增加挤奶次数,重视母婴分离产妇产后的心理支持,有助于促进乳汁分泌。
Objective To explore the main factors affecting maternal and infant maternal milk secretion. Methods A total of 226 maternal and child mothers were delivered in hospital from March 2013 to January 2014. Nine influencing factors that could affect the milk secretion of maternal and infant isolated mothers were investigated by questionnaire. Factor analysis. The results of natural childbirth, stimulation of the nipple within 2 h postpartum, 24 h milking increased, each milking time 10 ~ 30 min, milking 1 to 3 times at night, depression score <9 score factors conducive to maternal milk secretion, differences (P <0.01). There was no significant difference in the age, pregnancy time, whether or not the anesthesia was used and the maternal milk secretion (P> 0.05). Multivariate logistic regression analysis showed that delivery mode, stimulation of nipple time, 24 h milking time, each milking time, night milking frequency and depression score were independent influencing factors of maternal milk secretion. Conclusion Natural delivery, early stimulation of the nipple and milking, increasing the number of milking, emphasis on mothers and mothers separated postpartum psychological support, helps to promote milk secretion.