目的：探讨早期护理干预对母婴分离后产妇泌乳效果的影响。方法：将160例母婴分离产妇以掷币法分为试验组和对照组，各80例，对照组给予常规护理，试验组采取早期定时模仿早吸吮、新型探视制度等护理干预。观察两组产妇不同时间的泌乳率、乳汁分泌量。结果：试验组母亲产后在24 h内的泌乳率明显高于对照组(χ2=9.135，P＜0.05)；而在48 h和72 h内试验组和对照组泌乳率比较，差异无统计学意义(χ2值分别为1.231和2.058，P均＞0.05)；试验组在产后第1天、第2天和第3天的乳汁量均明显多于对照组，差异有统计学意义(P均＜0.05)。结论：对母婴分离的产妇采用早期护理干预能有效促进其泌乳，提高早产儿纯母乳喂养的成功率。%Objective:To explore the effect of early nursing intervention on lactation of maternal after maternal separation. Methods:160 cases of maternal with maternal separation were divided into the experimental group and the control group with 80 cases in each group with toss method.The control group were given conventional care,and the experimental group were given nursing intervention,such as early timing mimic early sucking,new visit system and so on.We observed the rate of lactation,milk secretion at different time of the two groups.Results:In the experimental group,milk secretion rate within 24 hours after delivery was significantly higher than that of the control group(χ2=9.135,P=0.006);in 48 hours and 72 hours,in the experimental group and the control group,there was no significant difference in the rate of lactation( χ 2values were 1.231 and 2.058 respectively,the Pvalues were 0.186 and 0.097 respectively);in the experimental group,the amount of postpartum milk at the first day,second day and third day were significantly more than those in the control group,and the difference was statistically significant(P values were respectively 0.011,0.001 and 0.023).Conclusion:Early nursing intervention for maternal with maternal separation can effectively promote lactation and improve the success rate of pure breast feeding in premature infants.
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