通乳法治疗早期外吹乳痈53例疗效观察  

Effects of Dredging Therapy on Acute Mastitis: A Report of 53 Cases

作　　者：吴晶晶[1] 陈红风[1] 郑蔚[1] 胡升芳[1] 孙霃平[1] 叶媚娜[1] 

机构地区：[1]上海中医药大学附属龙华医院乳腺科,上海200032

出　　处：《上海中医药大学学报》2012年第2期36-38,共3页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家"十一五"科技支撑计划基金资助项目(2008BAI53B083);上海市浦东新区科技发展创新基金资助项目(PKJ2008-Y10)

摘　　要：目的:观察"通乳法("耳穴贴压+手法排乳+金黄膏外敷+瓜蒌牛蒡汤加减内服)治疗早期外吹乳痈的临床疗效。方法:选择早期外吹乳痈患者53例,给予"通乳法"综合治疗,观察治疗后1 d、治疗后2 d患者的临床疗效、患乳排乳情况、乳房结块情况及症状体征积分改善情况。结果:治疗后1 d,所有患者的综合疗效总有效率为79.25%,积分改善疗效总有效率为83.02%;治疗后2 d,综合疗效总有效率为90.57%,积分改善疗效总有效率为88.68%。治疗后,患者的患乳排乳情况明显改善(P<0.001),症状体征积分明显降低(P<0.001),乳房结块明显减少(P<0.001)。结论:通乳法治疗早期外吹乳痈起效快,疗效确切,可维持哺乳。Objective： To observe the clinical effects of ＂dredging therapy＂（auricular acupressure ＋ massage ＋ patching ＂Golden Plaster＂ ＋Chinese herbs） on acute mastitis.Methods： Fifty-three cases with acute mastitis were collected,and all the cases were treated by ＂dredging therapy＂.The clinical effects,rowing of milk,agglomerations in the breasts and the scores of symptoms and signs were observed one day and two days after treatment.Results： One day after treatment,the total effective rates of comprehensive effect and score improvement were 79.25% and 83.02% respectively;two days after treatment,the total effective rates of comprehensive effect and score improvement were 90.57% and 88.68% respectively.After treatment,the rowing of milk was obviously improved（P0.001）,the scores of symptoms and signs were significantly decreased（P0.001）,and the number of the agglomerations in the breasts was reduced（P0.001）.Conclusion： Dredging therapy has quick and exact effects on acute mastitis and can maintain lactation.

关 键 词：外吹乳痈 通乳法 中医药疗法 

分 类 号：R271.4[医药卫生—中医妇科学]