消痈汤联合手法通乳治疗哺乳期郁滞型急性乳腺炎的效果分析  

Effect analysis of Xiaoyong decoction combined with breast massage in the treatment of lactational stagnation-type acute mastitis

作　　者：曲冬梅[1] 杨真[1] QU Dongmei;YANG Zhen(Mammary Gland Department,Lishui Hospital of Traditional Chinese Medicine,Lishui 323000,Zhejiang,China)

机构地区：[1]丽水市中医院乳腺病科,浙江丽水323000

出　　处：《中国现代医生》2024年第27期17-21,共5页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2023ZL802)。

摘　　要：目的 探讨消痈汤联合手法通乳治疗哺乳期郁滞型急性乳腺炎患者的效果。方法 前瞻性选取2023年1月至10月丽水市中医院收治的80例哺乳期郁滞型急性乳腺炎患者,按随机数字表法分为消痈汤组和联合组,每组40例。消痈汤组患者口服消痈汤治疗,联合组患者在口服消痈汤的基础上进行手法通乳。比较两组患者的临床疗效及治疗前、治疗1个疗程及治疗2个疗程后的疼痛、肿块大小、肿块数量评分及炎症因子水平;比较两组患者的脓肿、停乳及复发远期疗效。结果 消痈汤组的临床总有效率为80.00%,联合组为95.00%,联合组高于消痈汤组,差异有统计学意义(χ^(2)=4.114,P=0.043)。治疗2个疗程后,联合组患者的视觉模拟评分法评分、肿块大小及肿块数量评分低于消痈汤组,差异有统计学意义(P<0.05);联合组患者的降钙素原、C反应蛋白均低于消痈汤组,差异有统计学意义(P<0.05);联合组患者的白细胞及中性粒细胞计数均低于消痈汤组(P<0.05);联合组的复发率为5.00%低于消痈汤组的20.00%(χ^(2)=4.114,P=0.043)。结论 哺乳期郁滞型急性乳腺炎患者经消痈汤联合手法通乳治疗可显著提高近期及远期疗效,可减轻疼痛、消除肿块、抑制炎症、减少复发,值得临床推广应用。Objective To explore the curative effect of Xiaoyong decoction combined with breast massage on patients with lactational stagnation-type acute mastitis.Methods Eighty patients with lactational stagnation-type acute mastitis admitted to Lishui Hospital of Traditional Chinese Medicine from January to October 2023 were prospectively selected and divided into Xiaoyong decoction group and combined group according to random number method,with 40 cases in each group.Xiaoyong decoction orally was taken in Xiaoyong decoction group,combined group was given breast massage on the basis of Xiaoyong decoction group,and the clinical efficacy of two groups was compared.Pain,mass size,mass number and inflammatory factors before treatment,after 1 course of treatment and after 2 courses of treatment in two groups were compared;The long term curative effect of abscess,lactation and recurrence were compared between two groups.Results The total clinical effective rate was 80.00%in Xiaoyong decoction group and 95.00%in combined group,which in combined group was higher than that in Xiaoyong decoction group(χ^(2)=4.114,P=0.043).Visual analogue scale score,mass size score and mass number score in combined group were lower than those in Xiaoyong decoction group(P<0.05),after 2 courses of treatment.Procalcitonin and C-reactive protein in combined group were lower than those in Xiaoyong decoction group(P<0.05).The leukocyte and neutrophil counts in combined group were lower than those in Xiaoyong decoction group(P<0.05).The recurrence rate of combined group(5.00%)was lower than that of Xiaoyong decoction group(20.00%)(χ^(2)=4.114,P=0.043).Conclusion The combination of Xiaoyong decoction and breast massage can significantly improve the short-term and long-term curative effect,reduce pain and eliminate lumps,inhibit inflammation and reduce recurrence in the treatment of lactational stagnation-type acute mastitis patients,which is worthy of application.

关 键 词：哺乳期急性乳腺炎 郁滞型 消痈汤 手法通乳 炎症因子 肿块 

分 类 号：R446[医药卫生—诊断学]