四黄散箍围疗法联合循经手法通乳治疗哺乳期急性乳腺炎临床研究  

Clinical Study on Sihuang Powder Hoop Therapy Combined with Manipulation of Promoting Lactation Along Meridians for Acute Mastitis During Lactation Period

作　　者：张斌斌 郑惠芹 邓丽君 王超鹏 金丽丽 ZHANG Binbin;ZHENG Huiqin;DENG Lijun;WANG Chaopeng;JIN Lili(Obstetrics and Gynecology Department,Tiantai Branch of Zhejiang Provincial Hospital of Traditional Chinese Medicine,Tiantai Zhejiang 317200,China)

机构地区：[1]浙江省中医院天台分院妇产科,浙江天台317200

出　　处：《新中医》2024年第23期73-78,共6页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2023ZL796)。

摘　　要：目的:观察四黄散箍围疗法联合循经手法通乳治疗哺乳期急性乳腺炎的临床疗效。方法:选取126例哺乳期急性乳腺炎患者作为研究对象,采用随机数字表法分为联合组、对照A组、对照B组各42例。3组均采用头孢呋辛治疗,在此基础上对照A组采用四黄散围疗法治疗,对照B组采用循经手法通乳治疗,联合组采用四黄散箍围疗法联合循经手法通乳治疗。比较3组临床疗效、疼痛程度、血常规水平、炎症因子水平以及安全性。结果:联合组临床疗效优于对照A组和对照B组(P<0.05)。治疗1 d、治疗3 d、治疗5 d后,3组视觉模拟评分法(VAS)评分均呈下降趋势(P<0.05);联合组VAS评分均低于同时间点对照组A组和对照B组(P<0.05)。治疗后,3组白细胞计数、中性粒细胞百分比较治疗前降低(P<0.05);且联合组白细胞计数、中性粒细胞百分比低于对照A组和对照B组(P<0.05)。治疗后,3组血清C-反应蛋白(CRP)、降钙素原(PCT)、肿瘤坏死因子-α(TNF-α)水平较治疗前降低(P<0.05),且联合组血清CRP、PCT、TNF-α水平低于对照A组和对照B组(P<0.05)。3组不良反应比较,差异无统计学意义(P>0.05)。结论:四黄散箍围疗法联合循经手法通乳对哺乳期急性乳腺炎患者具有良好的治疗效果,可改善血常规指标,降低炎症因子水平,减轻疼痛程度,具有较高的安全性。Objective:To observe the clinical effect of Sihuang Powder hoop therapy combined with manipulation of promoting lactation along meridians on acute mastitis during lactation period.Methods:A total of 126 cases of patients with acute mastitis during lactation period were selected as the research subjects and divided into the combination group,the control group A,and the control group B,with 42 cases in each group,using a random number table method.All the three groups were treated with Cefuroxime.On this basis,the control group A was treated with Sihuang Powder hoop therapy,the control group B was treated with manipulation of promoting lactation along meridians,and the combination group was treated with Sihuang Powder hoop therapy combined with manipulation of promoting lactation along meridians.The followings were compared in the three groups:clinical effect,pain levels,blood routine levels,inflammatory factor levels,and safety.Results:The clinical effect in the combination group was superior to that in the control group A and the control group B(P<0.05).After treatment for one day,three days,and five days,the Visual Analogue Scale(VAS)scores in all the three groups showed a decreasing trend(P<0.05);the VAS score in the combination group was lower than those in the control group A and the control group B at the same time points(P<0.05).After treatment,the white blood cell count and neutrophil percentage in the three groups were decreased when compared with those before treatment(P<0.05);the white blood cell count and neutrophil percentage in the combination group were lower than those in the control group A and the control group B(P<0.05).After treatment,the levels of C-reactive protein(CRP),procalcitonin(PCT),and tumor necrosis factor-α(TNF-α)in serum in the three groups were decreased when compared with those before treatment(P<0.05),and the levels of serum CRP,PCT,and TNF-αin the combination group were lower than those in the control group A and the control group B(P<0.05).There was no significant difference

关 键 词：急性乳腺炎 四黄散箍围疗法 循经手法通乳 炎症因子 血常规 

分 类 号：R655.8[医药卫生—外科学]