New treatment for nipple soreness in breastfeeding mothers: A clinical trial study
New treatment for nipple soreness in breastfeeding mothers: A clinical trial study
复制标题
母乳喂养母亲乳头疼痛的新疗法：临床试验研究
DOI：
10.22038/ijn.2015.4495
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
R. Mazloom
中科院分区：
文献类型：
--
作者：
R. Saeidi;M. Tafazoli;M. Gholami;R. Mazloom
背景：哺乳母亲产后早期的一个常见问题是乳头疼痛。由于羊毛脂缺乏有效的治疗方法和相反的结果，我们决定比较羊毛脂软膏和芦荟凝胶治疗乳头酸痛的效果。方法：这项临床盲法试验于2008年2月至2009年5月在伊朗马什哈德进行。采用非随机、有目的的抽样方法，将样本随机分为两组。在先将该制剂涂在手臂上以检查过敏症状后，母亲们被指示每天在乳头上摩擦该制剂三次，连续七天，每次涂抹都是在喂养婴儿之后进行。母亲们应该让准备好的食物晾干，在下一次喂养之前不要清洗。研究人员在第三天和第七天进行预处理，并通过访谈和考试填写斯托尔量表。母亲和婴儿没有因为药物的使用而出现并发症。数据随后用SPSS11.5和Mann-Whitney、学生t检验和t配对检验进行了分析。结果：共纳入100个样本，羊毛脂组50个样本，芦荟组50个样本。芦荟组第3天乳头酸痛评分较治疗前明显降低(P=0.000)，第7天较治疗前及第3天明显降低(P=0.00)。治疗后第3天乳头酸痛评分较治疗前显著降低(p=0.00)，第7天较治疗前及治疗第3天显著降低(p=0.000，p=0.001)。两组治疗前比较差异有统计学意义(p=0.711)，但治疗后第3天和第7天两组间差异有统计学意义(p=0.048，p=0.003)。结论：芦荟治疗乳头酸痛疗效优于羊毛脂。
Background: A common, early postpartum concern of the breastfeeding mother is nipple pain. Because of a lack of effective treatment and opposing results about lanolin, we decided to compare the effect of lanolin ointment and aloe Vera gel on nipple soreness treatment. Methods: This clinical blind trial was performed in Mashhad, Iran, from February 2008 to May 2009. Sampling was nonrandom and purposive, and then samples were divided randomly into two groups. After first applying the preparation on their arms to check for allergy symptoms, mothers were instructed to then rub the preparation on their nipples three times a day for seven consecutive days, each application performed after feeding the baby. Mothers were to let the preparation dry and not to wash it before the next feeding. Researcher pretreatment at the third and seventh day filled out the Storr scale with interviews and examinations. There were no complications in mothers and infants because of the drug’s usage The data was then analyzed with Spss 11.5 and Mann-Whitney, Student’s t-test, and t-paired tests. Results: A total of 100 samples enrolled with 50 samples in the lanolin group and 50 samples in the aloe vera group. In aloe Vera group Nipple soreness scoring decreased significantly at the third day versus pretreatment (p=0.00) and also at the seventh day versus pretreatment and the third day (p=0.000). Nipple soreness scoring decreased significantly at the third day versus pretreatment (p=0.00) and also at the seventh day versus pretreatment and the third day (p=0.000, p=0.001). The two groups were homogenous at the pretreatment day (p=0.711), but there was a significant difference between the two groups at the third and seventh day (p=0.048, p=0.003). Conclusion: Aloe Vera is more effective than lanolin on nipple soreness healing.