摘要
目的:观察产妇产后缺乳、失眠的体质分布特点,为体质干预促进乳汁分泌、提高睡眠质量提供依据。方法:选取产后缺乳者232例为观察组,正常泌乳者200例为对照组,通过王琦教授的体质九分法进行体质分析,应用SPSS 22.0统计软件对偏颇体质与产后缺乳及失眠的关系进行分析。结果:232例产后缺乳者患中,气郁质、阴虚质、气虚质占体质分布的前三位;产妇的分娩方式与产后缺乳有密切的关系(P<0.05),剖宫产比顺产者能更易出现产后缺乳;血红蛋白值与产后乳汁分泌有较密切的关系(P<0.05)。结论:不同体质人群中产后缺乳人数分布存在差异,以气郁体质最为多见。剖宫产者比顺产者更易出现产后缺乳,分娩方式应尽量选择顺产;血红蛋白值与产后乳汁分泌有较密切的关系,在围产保健工作中对孕产妇的血红蛋白值早评估,早治疗,可最大限度地预防或减少产后缺乳的发生;产后失眠以气郁体质最为多见。日后应重视气郁体质的调理。
Objective:To observe the relationship between the constitution bias and postpartum milk deficiency and insomnia,and provide the evidence for the physical intervention to promote milk secretion and improve sleep quality.Methods:232 cases with postpartum hypogalactia were selected as observation group,and 200 cases with normal lactation were selected as control group.Constitution analysis was carried out through the nine TCM Constitution by Professor Wang Qi,and the relationship between biased constitution and postpartum hypogalactia as well as insomnia was analyzed by SPSS 22.0 statistical software.Results:Among 232 cases with postpartum hypogalactia,constitution of qi stagnation,constitution of yin asthenia and constitution of qi asthenia accounted for the top 3 in constitution distribution.There was a close relationship between delivery mode and postpartum hypogalactia(P<0.05),and cesarean section was more likely to suffer from postpartum hypogalactia than natural delivery;there was a close relationship between hemoglobin value and postpartum milk secretion(P<0.05).Conclusion:There are differences in the incidence of postpartum milk deficiency among different constitution groups,and the people with qi depression are most likely to have postpartum milk deficiency.Cesarean section is more likely to cause postpartum milk deficiency than natural labor so natural labor should be made a priority.Hemoglobin level is closely related to the secretion of postpartum milk.When conducting perinatal health care work,the hemoglobin level of pregnant women should be evaluated early,and early treatment should be given to prevent or reduce the occurrence of postpartum milk deficiency.Postpartum insomnia is most likely to occur in people with qi depression.In the future,we should pay attention to the body conditioning of people with qi depression.
作者
杨宇
YANG Yu(Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital,Beijing 101300,China)
出处
《世界睡眠医学杂志》
2021年第8期1339-1342,共4页
World Journal of Sleep Medicine
关键词
产后缺乳
失眠
气虚质
阴虚质
气郁质
血红蛋白
Postpartum milk deficiency
Insomnia
Qi deficiency
Yin deficiency
Qi depression
Hemoglobin
