中医无创疗法治疗哺乳期急性单纯性化脓性乳腺炎的临床观察  

Clinical observation of noninvasive therapy of traditional Chinese medicine in the treatment of acute simple suppurative mastitis in lactation period

作　　者：王争艳 甘玉霞 宋发荣 WANG Zheng-yan;GAN Yu-xia;SONG Fa-rong(Jiangxi Gaoan Hospital of Traditional Chinese Medicine,Gaoan 330800,China)

机构地区：[1]江西省高安市中医院,330800 [2]江西省高安市乳房粉红丝带工作室,330800

出　　处：《中国实用医药》2018年第34期109-111,共3页China Practical Medicine

摘　　要：目的观察中医无创疗法对哺乳期急性单纯性化脓性乳腺炎患者的临床疗效。方法 100例哺乳期急性单纯性化脓性乳腺炎患者,随机分为中医治疗组和对照组,每组50例。中医治疗组采用中医无创疗法(中医手法排脓+中药汤剂+口服常规抗生素)治疗,对照组采用脓肿切开引流术治疗。比较两组患者临床疗效、乳房疼痛情况、乳汁分泌情况、发热时间、乳瘘发生率、恢复母乳喂养所需时间以及>3个月母乳喂养率。结果中医治疗组总有效率为98%,明显高于对照组的86%,差异具有统计学意义(χ~2=4.891, P<0.05)。中医治疗组患者>3个月母乳喂养率为86%,明显高于对照组的46%,差异具有统计学意义(χ~2=17.825, P<0.05)。治疗后,中医治疗组患者乳房疼痛情况及乳汁分泌情况均优于对照组,发热时间、恢复母乳喂养所需时间均短于对照组,差异具有统计学意义(P<0.05)。中医治疗组患者乳瘘发生率低于对照组,差异具有统计学意义(χ~2=11.111, P<0.05)。结论中医无创疗法不仅可以明显改善哺乳期急性单纯性化脓性乳腺炎患者的乳房疼痛情况、乳汁分泌情况,明显缩短发热时间,还可以提高>3个月母乳喂养率,降低乳瘘发生率,值得临床推广使用。Objective To observe the clinical efficacy of noninvasive therapy of traditional Chinese medicine in the treatment of acute simple suppurative mastitis in lactation period. Methods A total of 100 patients with acute simple suppurative mastitis in lactation period were randomly divided into traditional Chinese medicine group and control group, with 50 cases in each group. The traditional Chinese medicine group was treated with noninvasive therapy of traditional Chinese medicine(traditional Chinese medicine method of drainage pus + Chinese medicine decoction + oral conventional antibiotics), and the control group was treated with abscess incision drainage. Comparison were made on clinical efficacy, breast pain, milk secretion, fever time, incidence of breast fistula, time to restore breastfeeding, and >3 months breastfeeding rate between the two groups. Results Traditional Chinese medicine group had obviously higher total effective rate as 98% than 86% in the control group, and the difference was statistically significant(χ~2=4.891, P<0.05). Traditional Chinese medicine group had obviously higher >3 months breastfeeding rate as 86% than 46% in the control group, and the difference was statistically significant(χ~2=17.825, P<0.05). After treatment, traditional Chinese medicine group had better breast pain and milk secretion condition than the control group, and shorter fever time and time to restore breastfeeding than the control group. Their difference was statistically significant(P<0.05). Traditional Chinese medicine group had lower incidence of breast fistula than the control group, and the difference was statistically significant(χ~2=11.111, P<0.05). Conclusion Noninvasive therapy of traditional Chinese medicine can not only significantly improve breast pain and breast secretion, significantly shorten the fever time in patients with acute simple suppurative mastitis during lactation, but also improve >3 months breastfeeding rate and lower the incidence of breast fistula. So it is worthy of clinical promotion

关 键 词：急性单纯性化脓性乳腺炎 哺乳期 中医无创疗法 

分 类 号：R271.9[医药卫生—中西医结合]