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目的:探讨缩宫素鼻喷雾剂对产妇产后促排乳的作用。方法:将500例晚期妊娠正常分娩的初产妇随机分为对照组200例、正常试验组200例和非正常试验组100例,试验组使用缩宫素鼻啧雾剂,对照组使用安慰剂,根据中医妇科产后缺乳病症诊断为疗效标准。结果:正常试验组产妇泌乳始动时间比对照组显著提前,泌乳充足率显著高于对照组,差异有统计学意义(P<0.05);非正常试验组治疗后可达到对照组水平。试验组与对照组中均未出现子宫复旧不全的情况。结论:缩宫素鼻喷雾剂能够促进产后早泌乳,泌乳量增多,并可以改善产妇不利的哺乳条件,产后2个月的纯母乳喂养率提高。此法方便、安全、无不良反应,可在临床推广使用。
Objective: To investigate the effect of oxytocin nasal spray on maternal postpartum milk-promoting activity. Methods: 500 primiparous women with normal delivery of late pregnancy were randomly divided into control group (n = 200), normal group (n = 200) and non-normal group (n = 100). Oxytocin- According to TCM gynecological diagnosis of postpartum malnutrition efficacy standards. Results: The onset time of lactation in the normal experimental group was significantly earlier than that in the control group, and the adequate lactation rate was significantly higher than that in the control group (P <0.05). The abnormal experimental group could reach the level of control group after treatment. The experimental group and the control group did not appear in cases of uterine involution. Conclusion: Oxytocin nasal spray can promote postpartum early lactation, increased milk yield, and can improve maternal adverse lactation conditions, postpartum 2 months of exclusive breastfeeding increased. This method is convenient, safe, no adverse reactions, can be used in clinical promotion.