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目的探讨针对性护理干预对剖宫产初产妇术后早期泌乳的影响。方法 100例实施剖宫产的产妇,随机分为观察组和对照组,各50例。对照组实施常规护理,观察组在常规护理基础上实施针对性护理干预。观察两组患者的泌乳始动情况、母乳充足情况以及母乳喂养率。结果观察组12 h内开始泌乳的产妇明显多于对照组,差异有统计学意义(P<0.01);12~24 h和25~48 h开始泌乳的产妇明显少于对照组,差异有统计学意义(P<0.01)。观察组产妇有44例(88.0%)母乳充足,多于对照组的29例(58.0%),差异有统计学意义(P<0.01)。观察组母乳喂养的产妇有45例(90.0%),多于对照组的27例(54.0%),差异有统计学意义(P<0.01)。结论针对性护理干预可以促进剖宫产初产妇早期乳汁分泌,使产妇泌乳充足,提高母乳喂养率,值得临床推广应用。
Objective To investigate the effects of targeted nursing intervention on the early postpartum lactation of cesarean section. Methods 100 cases of cesarean section of women were randomly divided into observation group and control group, 50 cases each. Control group to implement routine care, observation group based on routine care based on the implementation of targeted nursing intervention. The onset of lactation, adequate breast-feeding and breastfeeding rates were observed in both groups. Results The number of lactating mothers in the observation group was significantly higher than that in the control group within 12 hours (P <0.01). The number of lactating women who started lactation at 12-24 hours and 25-48 hours was significantly lower than that of the control group Significance (P <0.01). In the observation group, 44 cases (88.0%) had enough breast milk, compared with 29 cases (58.0%) in the control group, the difference was statistically significant (P <0.01). There were 45 cases (90.0%) of breastfeeding mothers in observation group, more than 27 cases (54.0%) in control group, the difference was statistically significant (P <0.01). Conclusions Targeted nursing intervention can promote the early milk secretion of cesarean section primipara, make enough lactation of maternal and raise the rate of breastfeeding, which is worthy of clinical application.