手法通乳联合中药治疗郁滞期急性乳腺炎疗效观察  

Clinical Observation on Treatment of Acute Mastitis Combined with Traditional Chinese Medicine and Manipulative Tongru

作　　者：顾锡冬[1] 韩淼[1] 陈晓洁[1] 汪永坚[1] 楼丽华[1] GU Xidong;HAN Miao;CHEN Xiaojie;WANG Yongjian;LOU Lihua(Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China)

机构地区：[1]浙江省中医院

出　　处：《辽宁中医药大学学报》2018年第9期124-126,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划项目(2016ZA214;2015ZB049)

摘　　要：目的：观察手法通乳联合中药治疗郁滞期急性乳腺炎的疗效。方法：将2015年1月—2016年6月就诊的郁滞期急性乳腺炎120例分为手法通乳组、温通中药组以及手法中药组,每组40例。按疗程方案分别给予手法通乳、温通中药或者手法联合温通中药治疗,以2周为1个疗程,治疗1个疗程后观察。结果：手法通乳组的有效率为92.5%,温通中药组为87.5%,手法中药组为100%,各组间差异均具有统计学意义（P〈0.05）。3组均有皮肤破损发生,其中手法通乳组3/40,温通中药组1/40,手法中药组为3/40;皮下出血在手法通乳组为1/40,温通中药组0/40,手法中药组为1/40;小儿湿疹在手法通乳组为1/40,温通中药组为5/40,手法中药组为4/40,均没有发现小儿腹泻。以上差异均未见统计学意义（P〉0.05）。治疗后乳腺炎再发次数比较,温通中药组较手法通乳组少发生,差异有统计学意义（P〈0.05）;而手法中药组较温通中药组发生率小,差异有统计学意义（P〈0.001）。哺乳维持时间：手法中药组〉手法通乳组〉温通中药组（P〈0.001）。结论：手法通乳或者中药治疗郁滞期急性乳腺炎均有效,而联合使用疗效更佳。Objective：To observe the curative effect of manipulative Tongru technique combined with traditional Chinese medicine in the treatment of acute mastitis. Methods：120 patients with acute mastitis from January 2015 to June 2016 were divided into Tongru group,traditional Chinese medicine group and Tongru-traditional Chinese medicine group,40 cases in each group. According to the course of solution were given manipulative Tongru,or traditional Chinese medicine or manipulative Tongru combined with traditional Chinese medicine for 2 weeks. Results：The effective rate of the Tongru group was 92.5%,the traditional Chinese medicine group was 87.5%,and the Tongru-traditional Chinese medicine group was 100%,and the difference was statistically significant（P〈0.05）. Three groups of patients who had undergone skin damage,which means Tongru group 3/40,traditional Chinese medicine group 1/40,Tongrutraditional Chinese medicine group 3/40. The incidence of subcutaneous hemorrhage in Tongru group was 1/40,the traditional Chinese medicine group was 0/40,Tongru-traditional Chinese medicine group was 1/40;In the Tongru group infantile eczema incidence rate was 1/40,traditional Chinese medicine group was 5/40,Tongru-traditional Chinese medicine group was 4/40,found no diarrhea in children. These differences were not statistically significant（P〉0.05）. Comparison of mastitis recurrence times after treatment,the difference between traditional Chinese medicine group and Tongru group had statistical significance（P〈0.001）. There was also significant difference between traditional Chinese medicine group and Tongru-traditional Chinese medicine group（P〈0.001）. Comparison of lactation time,Tongru-traditional Chinese medicine group〉 Tongru group 〉traditional Chinese medicine group（P〈0.001）. Conclusion：Manipulative Tongru or traditional Chinese medicine for treating acute mastitis were effective,and the combination is better.Combination therapy can reduce recurrence and prolong lactation time.

关 键 词：急性乳腺炎 乳痈 通乳 中药 温通法 

分 类 号：R655.8[医药卫生—外科学]