| Objectives1.To explore the effect of Chu Zhen on milk deficiency symptoms of breast-deficient parturients after cesarean section.2.To explore the effect of Chu Zhen on TCM symptoms of breast-deficient parturients after cesarean section.3.To explore the effect of Chu Zhen on serum prolactin of breast-deficient parturients after cesarean section.4.To explore the suitable Chu Zhen therapy for patients with lactation after cesarean section to increase milk secretion and improve the rate of breast feeding.5.Enrich the clinical practice and promote the clinical application of Chu Zhen.Methods1.In this study,random block digital table method was used for random grouping.A total of 128 patients who met the criteria of study and signed informed consent in the obstetrics department of Sichuan Maternal and Child Health Hospital from August2020 to February 2021 were divided into experimental group(n=64)and control group(n=64).2.Control group: routine treatment and nursing of lactation after cesarean section,lactation guidance and nursing.Treatment group: the Chu Zhen technique was carried out on the basis of syndrome differentiation in the control group.Once a day for 5consecutive times.3.The scores of lactation symptoms of the two groups were recorded before the intervention and from the 2nd day to the 6th day after the intervention.The scores of TCM symptoms and serum prolactin were measured in the two groups before and after the intervention,and the total curative effect of the two groups was evaluated after the intervention.Results1.Comparison of baseline data:There was no significant difference between the two groups in age,syndrome differentiation,newborn sex,occupation,frequency of birth,payment method,accompany condition,monthly percapita household income,education level,gestational age,newborn weight,operation duration and anesthesia duration(P>0.05).There was no significant difference in the scores of lactation symptoms,TCM syndrome scores and serum prolactin between the two groups before intervention(P>0.05),indicating that the baseline data of the two groups were comparable.2.Comparison of the scores of lactation symptoms: There was no significant difference between the test group and the controlgroup at 2 days before intervention(P>0.05),but there was significant difference between the two groups from the third day(P<0.05).The pairwise comparison of the milk yield in the experimental group showed that there was statistical difference in the milk yield in any one or two days in the experimental group(P<0.05).The pairwise comparison of the milk yield in the control group showed that there was no statistical difference in the milk yield before intervention and on the first day of intervention(P>0.05),and there was statistical difference in the pairwise comparison of any other two days(P<0.05).The analysis of variance of repeated measurement showed that there were significant differences in group effect,time effect and interaction between group and time(P<0.05).The intra-group comparison of breast filling at different time points showed that there was no significant difference between the experimental group and the control group on the first day before intervention(P>0.05),but there was significant difference in the second day(P<0.05).The pairwise comparison of breast filling in the experimental group showed that there was no significant difference in breast filling between before and on the first day of intervention(P>0.05),but there was significant difference in any one or two days(P < 0.05).The pairwise comparison of breast filling in the control group showed that there was no significant difference in breast filling between before intervention and on the first day of intervention(P>0.05).There was significant difference in any one or two days(P<0.05).The analysis of variance of repeated measurement showed that there were significant differences in group effect,time effectand interaction between group and time(P<0.05).The intra-group comparison of milk siltation degree at different time points showed that there was no significant difference between the experimental group and the control group in the first 2 days of intervention(P>0.05),but there was significant difference in the third day group(P<0.05).The pairwise comparison of the degree of milk siltation in the experimental group showed that there was no significant difference between the first day of intervention and the first day of intervention and the fifth day of intervention(P>0.05),indicating that the degree of milk siltation in these three days was similar and mild.Therewas no significant difference between the second day of intervention and the third day of intervention(P>0.05).There was no significant difference between the second day of intervention and the third day of intervention(P>0.05).It was the most serious time in the whole intervention process.The pairwise comparison of the degree of milk siltation in the control group showed that there was significant difference between pre-intervention and any day after intervention(P<0.05),indicating that the degree of milk siltation in the control group was more serious than that before intervention.There was no significant difference between the second day of the intervention and the third day of the intervention(P>0.05),and there was no significant difference between the third day of the intervention and the fourth day of the intervention(P>0.05).And the third day of intervention is the time when the predicted degree of milk is the most serious in the whole process.The analysis of variance of repeated measurement showed that there were significant differences in group effect,time effect and interaction between group and time(P<0.05).The intra-group comparison of milk viscosity at different time points showed that there was no significant difference between the experimental group and the control group 3 days before intervention(P>0.05),but there was significant difference between the experimental group and the control group from the 4th day(P<0.05).The pairwise comparison of the milk viscosity in the test group showed that there was a statistical difference in the milk viscosity of the test group for any day or two(P<0.05).The pairwise comparison of the milk viscosity in the control group showed that there was no statistical significance in the milk viscosity comparison between the intervention day 4 and the intervention day 5(P>0.05),and there was statistical difference in the pairwise comparison of any other two days(P<0.05).The analysis of variance of repeated measurement showed that there were significant differences in group effect,time effect and interaction between group and time(P<0.05).3.Comparison of TCM syndrome scores: in the control groupIt was found that after the intervention,the color,loss of appetite,fatigue,phlegm,chest tiredness and total score were lower than those before intervention,while emotional depression and laziness to speak and lots of sleep were not statistically significant.In the experimental group,it was found that the color,loss of appetite,fatigue,depression,phlegm,chest tiredness,laziness to speak and lots of sleep and the total score after the intervention were lower than those beforethe intervention(P<0.05).After intervention,it was found that the scores of TCM symptoms in the test group and the control group decreased significantly in terms of loss of appetite,fatigue,depression and total score(P<0.05).There was no significant difference in facial expression,chest tightness and phlegm,laziness to speak and lots of sleep(P>0.05).4.Comparison of serum prolactin:It was found that the content of serum prolactin in the two groups after intervention was lower than that before intervention(P<0.05).After intervention,it was found that the content of serum prolactin in the test group was significantly higher than that in the control group(P<0.05).Conclusions1.Chu Zhen can improve the lactation symptoms of lactation parturient after cesarean section,such as lactation,breast filling,milk siltation and milk viscosity.2.Chu Zhen can improve the TCM symptoms of loss of appetite,fatigue and depression of breast-deficient parturients.3.After intervention,the content of serum prolactin in the clubbing needle group was significantly higher than that in the control group,and Chu Zhen could promote the secretion of serum prolactin in mechanism.4.Pestle needle treatment of postpartum milk deficiency is effective,the total effective rate of pestle needle group is significantly higher than that of the control group. |
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