超声电导仪治疗急性哺乳期乳腺炎的疗效分析  

Clinical efficacy of ultrasound conductimeter in treatment of acute lactational mastitis

作　　者：李东霞[1] 李宗晏 黄丽华 蒋博 李海燕[1] Li Dongxia;Li Zongyan;Huang Lihua;Jiang Bo;Li Haiyan(Department of Breast Surgery,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院乳腺外科,广州510655

出　　处：《新医学》2020年第11期846-849,共4页Journal of New Medicine

基　　金：国家自然科学基金(81602331);广东省教学基地改革项目(2017JD009);广东省教育厅本科教学改革项目(88000-18832551)。

摘　　要：目的分析超声电导仪治疗急性哺乳期乳腺炎的效果,评估其临床应用价值。方法将220例急性哺乳期乳腺炎患者分为对照组(110例)和治疗组(110例),对照组采用常规“吸奶器排乳-红外线治疗-手法排乳”顺序进行治疗,治疗组采用“吸奶器排乳-红外线治疗-超声电导仪治疗-手法排乳”顺序进行治疗,分析超声电导仪治疗急性哺乳期乳腺炎的效果。结果2组基线特征包括年龄、发病时间、初/经产妇比例、乳房红肿范围、肿块大小、疼痛视觉模拟评分法(VAS)评分差异无统计学意义(P均>0.05)。疗程结束后,治疗组和对照组VAS评分降低绝对值分别为5.67±1.36和4.06±1.32(P<0.01)。相比于对照组,治疗组总有效率更高(97.3%vs.89.1%),疗程更短[(5.13±1.45)d vs.(3.24±1.23)d],哺乳率更高(95.5%vs.85.5%),2组比较差异均有统计学意义(P均<0.05)。结论采用超声电导仪治疗急性哺乳期乳腺炎可有效缓解患者疼痛、提高总有效率、缩短治疗时间及有效提高治疗后哺乳率,值得临床应用和推广。Objective To evaluate the clinical efficacy of ultrasound conductimeter in the treatment of acute lactational mastitis and assess its application value in clinical practice.Methods Two hundred and twenty patients diagnosed with acute lactational mastitis were divided in the control group(n=110)and study group(n=110).In the control group,patients were treated with breast pump,infrared heating and manipulation,those in the study group received breast pump,infrared heating,ultrasound conductimeter and manipulation.The clinical efficacy of ultrasound conductimeter in treating acute lactational mastitis was evaluated.Results Baseline data including age,onset time,proportion of primiparity,inflamed area,size of mass,visual analogue scale score did not significantly differ between two groups(all P>0.05).After corresponding therapy,the visual analogue scale score in the study and control groups were signficantly decreased by 5.67±1.36 and 4.06±1.32,respectively(both P<0.01).Compared with the control group,the overall effective rate(97.3%vs.89.1%)and breastfeeding rate(95.5%vs.85.5%)were significantly higher,and the duration of treatment((5.13±1.45)d vs.(3.24±1.23 d))was remarkably shorter in the study group(all P<0.05).Conclusion Ultrasound conductimeter can relieve pain,enhance the overall effective rate and breastfeeding rate and shorten the duration of treatment,which deserves widespread application in clinical practice.

关 键 词：急性哺乳期乳腺炎 超声电导仪 总有效率 

分 类 号：R655.8[医药卫生—外科学]