理气疏通汤对产后乳汁淤积患者乳汁淤积程度及疗效的影响  

Clinical effect of TCM Liqi Dredge Decoction on postpartum galactostasis

作　　者：黄冬梅 从静[2] 张卉[2] 李丽蓉[2] HUANG Dong-mei;CONG Jing;ZHANG Hui(Department of Obstetrics and Gynecology, General Hospital of Pingdingshan Coal Grop （ Ltd）. Co, Pingdiagshan, Heaaa 467000, Chin)

机构地区：[1]平煤神马医疗集团总医院妇产科,河南平顶山467000 [2]河南省黄淮学院临床医学系,河南驻马店463000

出　　处：《中华全科医学》2018年第8期1368-1371,共4页Chinese Journal of General Practice

基　　金：河南省2014年重点科技攻关项目(142102310216)

摘　　要：目的探究中药理气疏通汤对产后乳汁淤积患者的疼痛程度、乳汁淤积程度及临床疗效的影响。方法研究选取2015年1月—2017年1月平煤神马医疗集团总医院妇科门诊乳汁淤积产妇70例,随机分为对照组和中药组各35例。对照组采用热敷加乳腺穴位按摩的方法治疗,每次按摩30 min,1次/d,连续治疗3 d。中药组采用中药汤剂——理气疏通汤联合乳腺穴位按摩治疗,乳腺穴位按摩同对照组,每日口服理气疏通汤,每付药煎3次,混合后分3次服用,每日1剂,连服3 d。观察2组患者乳汁淤积处的疼痛程度、乳汁淤积程度及临床疗效。结果治疗后2组患者乳汁淤积处的VAS评分均较前下降(P<0.01),且中药组的评分[(2.26±1.12)分]明显低于对照组[(3.11±1.08)分],差异有统计学意义(P<0.05)。2组患者的乳汁淤积程度也均较治疗前减轻,且中药组患者乳汁淤积程度比对照组下降更明显,差异有统计学意义(P<0.05)。中药组总有效率为97.14%,优于对照组的82.86%,差异有统计学意义(P<0.05)。结论理气疏通汤联合乳腺穴位按摩治疗产后乳汁淤积能有效疏通产后积乳患者的乳腺管,消散结块,减轻乳汁淤积程度,显著降低VAS评分,减轻患者痛苦,比单纯采用热敷加乳腺穴位按摩的治疗方法效果更加明显,值得临床推广。Objective To explore the effect of TCM Liqi Dredge Decoction on pain, milk deposition and treatment in the patients with postpartum galactostasis. Methods Seventy cases of postpartum galactostasis in our hospital between January, 2015 and January, 2017 were enrolled into this study and were randomly divided into control group and TCM group with 35 cases in each group. The control group received hot compress treatment and breast point massage, 30 minutes each time, 1 time a day for 3 days; while the TCM group received TCM Liqi Dredge Decoction （a dose of herbal medicine each day for 3 days） and breast point massage therapy （same as the control group）. The pain, milk deposition and therapeutic efficacy were observed and compared. Results After the treatment, VAS decreased in both groups, and VAS （2.26 ± 1.12） in TCM group was obviously lower than that （3.11 ± 1.08） in the control group, the difference was statistically significant （P 〈 0.05 ）. The milk deposition in both groups was improved, more significantly in the TCM group when compared with the control group, the difference was statistically significant （P 〈 0.05）. The total effective rate of TCM group was 97.14%, which was higher than 82.86% of the control group, and the difference was statistically significant （P 〈 0.05 ）. Conclusion TCM Liqi Dredge Decoction combined with breast point massage therapy for postpartum galactostasis can effectively dredge the duct milk deposition, dissipate agglomeration, improve the milk deposition, reduce VAS, and relieve the pain of patients. It is more effective for postpartum galactostasis as compared with hot compress combined breast point massage therapy, which is worthy to be popularized.

关 键 词：中药 理气疏通汤 产后乳汁淤积 

分 类 号：R271.43[医药卫生—中医妇科学] R244.1[医药卫生—中医学]