早期急性乳房炎患者哺乳期乳房管理促进母乳喂养的相关性研究  

Study on Promotion of Breast Feeding Through Breast Nursing Management in the Patients with Early Acute Mastitis During Lactation

作　　者：黄琪[1] 葛菲 杨巧云 杨学芳[1] HUANG Qi;GE Fei;YANG Qiao-yun;YANG Xue-fang(Dept.of Breast Surgery,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第一附属医院乳腺外科,云南昆明650032

出　　处：《昆明医科大学学报》2020年第2期49-53,共5页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2017FE468)。

摘　　要：目的探讨通过哺乳期乳房管理护理模式减少产后急性乳腺炎的发生,缓解患者的负性不良情绪,提高母乳喂养率。方法选取2017年1月至2018年12月在昆明医科大学第一附属医院进行治疗的处于哺乳期并患有急性乳腺炎92例患者为研究对象,随机分为研究组和对照组46例。对照组患者实施常规治疗,研究组患者在常规治疗基础上,由受过专业培训的乳腺专科护士对产妇开展手法按摩排空乳汁,结合乳房外治、物理治疗等正确的乳房管理。治疗期结束后比较2组临床治疗疗效、继发乳腺脓肿的发生率以及继续母乳喂养率状况。结果研究组临床治疗有效率明显高于对照组,继发乳腺脓肿的发生率明显低于对照组,此外研究组的继续母乳喂养率也明显优于对照组,差异有统计学意义(P<0.05)。结论对早期哺乳期急性乳腺炎患者采取乳房管理护理模式可提高临床治疗效果,继发乳腺脓肿发生率显著低,缓解患者的负性不良情绪,继续母乳喂养率显著提高。Objective To research the nursing mode of breast management during lactation aiming to reduce the incidence of postpartum acute mastitis,alleviate the negative emotion of patients and improve the breast-feeding rate.Methods Ninety-two patients with acute mastitis during lactation who had been treated in our hospital from January 2017 to December 2018 were randomly divided into study group and control group with 46 patients in each group.The patients in the control group received routine treatment.Except for routine treatment,the patients in the study group were treated by mammary specialized nurses trained specially with manipulative massage to empty the breast,combined with breast external treatment,physical therapy and other correct breast management.At the end of the treatment period,the clinical efficacy,the incidence of secondary breast abscess and the status of continued breast feeding were compared between the two groups.Results The effective rate of clinical treatment in the study group was significantly higher than that in the control group,and the incidence of secondary breast abscess was significantly lower than that in the control group.In addition,the rate of continued breast feeding in the study group was also significantly better than that in the control group,with statistical significance(P<0.05).Conclusion Breast management nursing mode can improve the clinical therapeutic effect for patients with early lactation acute mastitis.The incidence of secondary breast abscess is significantly lower,the negative emotion of patients is alleviated,and the rate of continued breast feeding is significantly increased.

关 键 词：乳房管理 早期哺乳期 急性乳腺炎 母乳喂养 

分 类 号：R714.61[医药卫生—妇产科学]