哺乳期急性乳腺炎患者的乳汁管理研究  

Milk management for patients with acute lactational mastitis

作　　者：郭冀丹[1] 夏樟秀[2] 

机构地区：[1]深圳市宝安区妇幼保健院乳腺科,广东深圳518133 [2]深圳市宝安区人民医院

出　　处：《护理学杂志》2012年第4期33-35,共3页

基　　金：深圳市科技计划项目(201103071);深圳市宝安区科技计划社会公益资助项目(20110630)

摘　　要：目的探讨哺乳期急性乳腺炎患者的乳汁管理效果。方法将84例哺乳期急性乳腺炎患者分成对照组和观察组各42例。对照组采用哺乳期急性乳腺炎常规护理、低频脉冲治疗、微波治疗和静脉滴注抗生素等方法;在此基础上,观察组由经过培训的乳汁管理员对产妇进行乳汁管理。结果观察组患者患侧乳房红肿热痛症状消失时间、体温恢复正常时间、治愈时间显著短于对照组,继发乳腺脓肿发生率显著低于对照组,继续母乳喂养率显著高于对照组(P<0.05,P<0.01)。结论对哺乳期急性乳腺炎患者进行乳汁管理,具有缩短治疗时间、保留生理功能、减轻患者痛苦和促进母乳喂养的优点。Objective To evaluate the effect of milk management for patients with acute lactational mastitis. Methods A total of 84 patients with acute lactational mastitis were randomly and commensurately divided into two groups. The control group were subjected to routine nursing care, low frequency pulse therapy, and microwave physiotherapy, intravenous infusion of antibiotics. The observation group additionally were assigned to milk management. Results The time it took for the redness and swelling of the affected breast to subside, the time needed for the body temperature to turn normal, and the healing length in the observation group were significantly shorter than in the control group; rate of mammary gland abscess secondary to acute lactational mastitis in the observation group was significantly lower than in the control group, and more mothers in the observation group restored breast feeding （P〈 0. 05, P〈 0. 01）. Conclusion Milk management shortens treatment length of acute lactational mastitis, restores the physiological function of breast, attenuates patients＇ suffering, and enables breast feeding.

关 键 词：哺乳期 急性乳腺炎 乳汁管理 母乳喂养 

分 类 号：R473.71[医药卫生—护理学]