背　景
產後乳房腫脹為影響早期母乳成功哺餵的重要因素之一，在臨床能獲得關於減輕脹奶
的方法極為有限。

目　的
探討並比較傳統處理乳房腫脹與運用刮痧療法於減輕乳房腫脹症狀之成效。

方　法
於中部某醫學中心產後病房取樣，收案條件為：⑴自然產及剖腹產產後無任何合併症
的產婦；⑵哺餵母乳且有乳房腫脹現象者。共計收案54名，以臨床隨機分派法將個案
分派至實驗組及對照組，實驗組接受刮痧療法，取胃經膺窗穴、任脈膻中穴、胃經乳
根穴、脾經食竇穴等四穴位，每個穴位分別輕刮7次，共計二個循環；對照組以產科標
準技術進行約20分鐘的熱敷按摩。

結　果
兩組產婦在介入措施前，生理監測及自我評量的結果沒有統計上的差異。在介入措施
後的5分鐘及30分鐘，不管是生理監測及自我評量皆有統計上顯著的差異（p < .001）。
進一步利用廣義估計方程式（GEE）來評估兩組間的差異，在症狀的改善上實驗組仍明
顯的高於對照組（p < .0001）。

結　論／實務應用
本研究結果支持刮痧為處理乳房腫脹的有效方法，臨床上運用刮痧療法可以迅速地解
決因為乳房腫脹所造成的生理及心理上的不舒適。

Background: Breast engorgement is a common problem that affects the initiation and duration of breastfeeding. Limited solutions are available to relieve the discomfort associated with breast engorgement. Thus, further investigation of methods to achieve effective relief of symptoms is critical to promote breastfeeding success.
Purpose: The purpose of this study was to determine the effects of two breast caremethods, that is, scraping (Gua-Sha) therapy (administered
to the experimental group) and traditional breast care(i.e., massage and heating; administered to the control group).
Methods: A randomized controlled trial was conducted on 54 postpartum women at a Level III medical teaching hospital. Participant inclusion criteria included postpartum breastfeeding women (a) who had an uncomplicated delivery and (b) who were experiencing breast engorgement problems. The Gua-Sha protocol selected appropriate acupoint positions, which included ST16, ST18, SP17, and CV17. Each position was lightly scraped seven times in two cycles. For the control group, we used hot packs and massage for 20 min in accordance with recommendations given
in an obstetrical technique textbook.
Results: Results showed no statistical differences between the two groups at baseline. Body temperature, breast temperature, breast engorgement, pain levels, and discomforting levels were statistically different between the two groups at 5 and 30 min after intervention (p G .001). The results of generalized estimating equation analysis indicated that, with the exception of body temperature, all variables remained more significant (p G.0001) to improving engorgement symptoms in the experimental group than those in the control group, after taking related
variables into account. Conclusions and Implications for Practice: Our findings provided empirical evidence supporting that Gua-Sha therapy may be used as an effective technique in the management of breast engorgement. By using Gua-Sha therapy, nurses can handle breast engorgement problems more effectively in primary care and hence help patients both physically and psychologically.