按摩点穴配合刺络放血治疗产后急性乳腺炎的临床效果  

Clinical therapeutic efficacy of massage acupoint pressing plus bloodletting in the treatment of postpartum acute mastitis

作　　者：陈鹏典[1] 陈秋兰 宁艳 贝剑宏[1] 刘芳[1] 凌文丽[1] 朱月明[2] 陈继龙[2] 

机构地区：[1]南方医科大学附属深圳市妇幼保健院中医科,广东深圳518028 [2]广州中医药大学第四临床医学院,广东深圳518033

出　　处：《中国医药导报》2017年第31期84-87,共4页China Medical Herald

基　　金：广东省省级科技计划项目(2016A020215186)

摘　　要：目的探讨按摩点穴配合刺络放血治疗产后急性乳腺炎的临床效果。方法将2016年1月~2017年1月于南方医科大学附属深圳市妇幼保健院中医科就诊的200例产后急性乳腺炎患者按照随机数字表法分为治疗组和对照组,每组100例。对照组给予按摩点穴进行治疗,治疗组给予按摩点穴配合刺络放血治疗,疗程为2周。比较两组患者的乳房肿块大小、症状积分和临床疗效。结果治疗组痊愈率为86.00%,对照组为67.00%,差异有高度统计学意义(P<0.01)。治疗组总有效率为93.00%,对照组为90.00%,两组比较差异无统计学意义(P>0.05)。治疗后两组乳房肿块大小和症状积分均较治疗前明显减少,差异均有高度统计学意义(P<0.01),且治疗组治疗后乳房肿块大小和症状积分均明显少于对照组,差异有统计学意义(P<0.05、P<0.01)。结论按摩点穴配合刺络放血治疗产后急性乳腺炎效果确切,可有效改善产后妇女临床症状积分和乳房肿块大小,提高生活质量,且优于单纯按摩点穴治疗。Objective To explore the clinical therapeutic effects of massage acupoint pressing plus bloodletting in the treatment of postpartum acute mastitis. Methods Total 200 cases of patients with postpartum acute mastitis treated in Department of Traditional Chinese Medicine, Shenzhen Maternity ＆ Child Heahhcare Hospital Affiliated to Southern Medical University from January 2016 to January 2017 were randomized into treatment group and control group by random number table method, with 100 cases in each group. In the control group, massage acupoint pressing was applied; in the treatment group, massage acupoint pressing plus bloodletting was used, with the therapeutic sessions as two weeks. The mass sizes, symptom scores and the clinical therapeutic effects between the two groups were compared. Results The cured rate was 86.00% in the treatment group, and 67.00% in the control group, with highly significant differences be- tween the two groups （P 〈 0.01）. The total effective rate was 93.00% in the treatment group, and 90.00% in the control group, with no significant difference between the two groups （P 〉 0.05）. After treatment, the mass sizes and the symp- tom scores in both groups were obviously decreased compared with those before treatment, with significant differences （P 〈 0.01）. After treatment, the mass sizes and the symptom scores in the treatment group were apparently lower than those in the control group, with significant differences （P 〈 0.05, P 〈 0.01）. Conclusion Massage acupoint pressing plus bloodletting has definite effects in the treatment of postpartum acute mastitis, which can obviously improve the clinicalsymptom scores and the breast mass sizes, enhance the quality of life, with better effects than the simple mas- sage acu-point pressing therapy.

关 键 词：按摩点穴 刺络放血 产后 急性乳腺炎 

分 类 号：R271.19[医药卫生—中医妇科学]