哺乳期乳腺炎进展为乳腺脓肿的危险因素分析  

Risk factors of breast abscess developed from lactation mastitis

作　　者：冯辉珍[1] 喻其霞[1] 丁嫦英[1] 朱云[1] FENG Huizhen;YU Qixia;DING Changying(Department of Breast Surgery, Jiaxing Traditional Chinese Medicine Hospital, Jiaxing 314000, China)

机构地区：[1]浙江中医药大学附属嘉兴中医院乳腺外科,314000

出　　处：《浙江医学》2016年第24期1986-1988,共3页Zhejiang Medical Journal

摘　　要：目的探讨哺乳期乳腺炎进展为乳腺脓肿的相关危险因素。方法回顾性分析乳腺外科收治的105例哺乳期乳腺炎患者和35例乳腺脓肿患者资料,整理患者年龄、妊娠史、流产史、乳腺疾病/外伤史、发热程度、发热持续时间、婴儿吸乳方式、每次哺乳时间、哺乳后是否清洁乳头、乳头(或乳晕)是否发病、抗生素使用、非医护人员按摩史、睡眠姿势、不良情绪14个方面的信息,采用单因素及多因素非条件logistic回归分析相关危险因素。结果两组患者在乳腺疾病史/外伤史、发热程度、发热持续时间、哺乳后清洁乳头、乳头(或乳晕)是否发病、非医护人员按摩史、睡眠姿势7个方面比较差异均有统计学意义(均P<0.05);多因素分析表明乳腺有疾病史/外伤史、哺乳后未清洁乳头、有非医护人员按摩史和睡眠姿势为平躺是哺乳期乳腺炎进展为乳腺脓肿的独立危险因素,OR值分别为1.923、2.625、1.754和1.252。结论乳腺有疾病史/外伤史、哺乳后未清洁乳头、有非医护人员按摩史、睡眠姿势为平躺可增加哺乳期乳腺炎进展为乳腺脓肿的风险。Objective To analyze the risk factors of the development from lactation mastitis to breast abscess. Methods Clinical information of 105 patients with lactation mastitis and 35 patients with breast abscess was analyzed retrospectively.Information about age of patients, histories of pregnancy, abortion and breast disease or injury, fever and its duration, ways of breast sucking, duration of breastfeeding, cleaning of the nipple after breastfeeding, diseased area, antibiotic use, breast massage by non-medical staff, sleeping posture and negative emotion was collected. Univariate analysis and unconditional logistic regression analysis were used to screen the related risk factors . Results Univariate analysis showed that there are significant differences in the history of breast disease or injury, fever and its duration, cleaning of the nipple, diseased areas,breast massage by non-medical staff and sleeping posture between patients with breast and those with lactation mastitis (all P<0.05). Unconditional logistic regression analysis showed the history of breast disease or injury, not cleaning the nipple after breastfeeding, breast massage by non-medical staff and sleeping on the back were independent risk factors for breast abscess developed fromlactation mastitis (OR=1.923, 2.625, 1.754 and 1.252, all P<0.05). Conclusion The lactation mastitis patients with history of breast disease or injury, not cleaning the nipple after breastfeeding , breast massage by non-medical staff and sleeping on the back are prone to develop breast abscess.

关 键 词：哺乳期乳腺炎 乳腺脓肿 回顾性研究 危险因素 

分 类 号：R655.8[医药卫生—外科学]