哺乳期乳腺炎临床特点及治疗方法分析
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摘要
目的探讨哺乳期乳腺炎的临床特点及治疗方法。方法 92例哺乳期乳腺炎患者,按照治疗方式的不同分成参照组与观察组,各46例。参照组开展超短波治疗,观察组在超短波治疗基础上开展超声波治疗。对比两组治疗效果及体温恢复正常时间、乳房红肿好转时间、排乳恢复正常时间、住院时间。结果观察组治疗总有效率为97.83%,高于参照组的86.96%,差异有统计学意义(χ~2=3.866, P<0.05)。观察组体温恢复正常时间、乳房红肿好转时间、排乳恢复正常时间及住院时间分别为(1.21±0.31)、(3.10±0.69)、(4.01±0.61)、(6.59±0.29)d,均短于参照组的(3.01±0.36)、(6.55±0.71)、(7.11±1.02)、(12.42±0.45)d,差异有统计学意义(t=25.697、23.634、17.691、73.860, P<0.05)。结论对哺乳期乳腺炎患者应用超声波治疗,不仅可保证整体治疗效果,还可缩短患者治疗时间,及时为新生儿进行哺乳,获得了患者和医师的认可,值得推广。
Objective To discuss the clinical features and treatment methods of lactating mastitis. Methods A total of 92 lactating mastitis patients were divided by different treatment methods into control group and observation group, with 46 cases in each group. The control group received ultrashort wave therapy, and the observation group received ultrasound therapy on the basis of the control group. Comparison were made on treatment effect, body temperature back to normal time, breast redness improvement time, lactation back to normal time and hospitalization time between the two groups. Results The observation group had higher total treatment effective rate as 97.83% than 86.96% in the control group, and the difference was statistically significant(χ2=3.866, P<0.05). The observation group had shorter body temperature back to normal time, breast redness improvement time, lactation back to normal time and hospitalization time respectively as(1.21±0.31),(3.10±0.69),(4.01±0.61) and(6.59±0.29) d than(3.01±0.36),(6.55±0.71),(7.11±1.02) and(12.42±0.45) d in the control group. Their difference was statistically significant(t=25.697, 23.634, 17.691, 73.860, P<0.05). Conclusion Ultrasound therapy for lactating mastitis patients is of high clinical value. It can not only ensure the overall treatment effect, but also shorten treatment time of patients and breast-feeding for newborns in time. It has been recognized by patients and doctors and is worth promoting.
Objective To discuss the clinical features and treatment methods of lactating mastitis. Methods A total of 92 lactating mastitis patients were divided by different treatment methods into control group and observation group, with 46 cases in each group. The control group received ultrashort wave therapy, and the observation group received ultrasound therapy on the basis of the control group. Comparison were made on treatment effect, body temperature back to normal time, breast redness improvement time, lactation back to normal time and hospitalization time between the two groups. Results The observation group had higher total treatment effective rate as 97.83% than 86.96% in the control group, and the difference was statistically significant(χ2=3.866, P<0.05). The observation group had shorter body temperature back to normal time, breast redness improvement time, lactation back to normal time and hospitalization time respectively as(1.21±0.31),(3.10±0.69),(4.01±0.61) and(6.59±0.29) d than(3.01±0.36),(6.55±0.71),(7.11±1.02) and(12.42±0.45) d in the control group. Their difference was statistically significant(t=25.697, 23.634, 17.691, 73.860, P<0.05). Conclusion Ultrasound therapy for lactating mastitis patients is of high clinical value. It can not only ensure the overall treatment effect, but also shorten treatment time of patients and breast-feeding for newborns in time. It has been recognized by patients and doctors and is worth promoting.
引文
[1]张雅娟,张伟清,陈尔英.哺乳期急性乳腺炎分期防治疗效评估.中国妇幼保健, 2014, 29(2):201-203.
[2]高霞,吕钢.哺乳期急性乳腺炎的相关危险因素以及治疗策略.广东医学, 2015, 36(20):3210-3212.
[3]钟春嫦,刘洁玲,郭海云,等.自制中药外敷法对哺乳期急性乳腺炎的疗效观察.中国妇幼保健, 2015, 30(12):1960-1961.
[4]范光荣,陈翠芬,朱志军,等.磁共振表观扩散系数对非哺乳期乳腺炎和乳腺癌的鉴别诊断价值.临床放射学杂志, 2015,34(4):544-547.
[5]季东平,郭惠玲.哺乳期急性乳腺炎不同阶段的最佳治疗方法及四级预防的探讨分析.中国妇幼保健, 2015, 30(14):2179-2181.
[6]钟春嫦,王恩礼,郭海云,等. PDCA循环管理对哺乳期急性乳腺炎初产妇并发症及其负性情绪的影响.护理研究(上旬版),2015, 29(8):2794-2796.
[7]刘颖,钟萍萍,阮利元,等.火针配合中药治疗非哺乳期乳腺炎54例.中医外治杂志, 2016, 25(1):34-35.
[8]冯辉珍,喻其霞,丁嫦英,等.哺乳期乳腺炎进展为乳腺脓肿的危险因素分析.浙江医学, 2016, 38(24):1986-1988.
[9]董明春,叶光荣.抗生素联合强的松治疗急性脓肿型非哺乳期乳腺炎的疗效观察及对外周血CD4+/CD8+比值的影响.河北医学, 2016, 22(1):95-99.
[10]邱美江,孙荃荟.通乳散治疗哺乳期急性乳腺炎郁乳期临床观察.现代中西医结合杂志, 2014, 23(5):522-523.
[11]彭清.针刺联合循经按摩、中药外敷为主治疗哺乳期急性乳腺炎25例.中国针灸, 2014, 34(5):481-482.
[12]李琛琴,武彪,朱佳,等.哺乳期乳腺炎治疗的研究现状.实用临床医学, 2018, 19(1):103-106.
[13]闫智清,马祥君,王青,等.哺乳期急性乳腺炎的致病菌分布及其药敏特点.中国综合临床, 2014, 30(7):732-734.
[14]王爽,张亚英,李亚珍,等.乳腺疏导推拿配合中药外敷治疗哺乳期急性乳腺炎的疗效观察.中国妇幼保健, 2018, 33(6):1216-1218.
[15]朱雪琼,米海霞,林祥,等.瓜蒌牛蒡汤合阳和汤联合中药外敷对哺乳期急性乳腺炎早期患者IL-6、CRP水平的影响研究.中华中医药学刊, 2017, 35(4):819-821.
[16]高海凤,马祥君,汪洁,等.难治性哺乳期乳腺炎的临床特点和治疗方法.中华妇幼临床医学杂志(电子版), 2013, 9(4):475-476.
[17]宁平,刘泽宇,陈军,等.哺乳期乳腺炎临床分型及个体化治疗策略的探讨.中华乳腺病杂志(电子版), 2013, 7(4):7-11.
[18]曹亮,龚根强.哺乳期难治性乳腺炎的特点分析与临床治疗方法探讨.世界最新医学信息文摘(电子版), 2015, 15(19):60.
[19]刘少华.哺乳期乳腺炎临床分型及个体化治疗策略及效果的分析.数理医药学杂志, 2018, 31(11):52-53.
[20]全梦华.哺乳期乳腺炎患者应用消痈通乳汤治疗的临床疗效.黑龙江医药, 2016, 29(2):353-354.
[2]高霞,吕钢.哺乳期急性乳腺炎的相关危险因素以及治疗策略.广东医学, 2015, 36(20):3210-3212.
[3]钟春嫦,刘洁玲,郭海云,等.自制中药外敷法对哺乳期急性乳腺炎的疗效观察.中国妇幼保健, 2015, 30(12):1960-1961.
[4]范光荣,陈翠芬,朱志军,等.磁共振表观扩散系数对非哺乳期乳腺炎和乳腺癌的鉴别诊断价值.临床放射学杂志, 2015,34(4):544-547.
[5]季东平,郭惠玲.哺乳期急性乳腺炎不同阶段的最佳治疗方法及四级预防的探讨分析.中国妇幼保健, 2015, 30(14):2179-2181.
[6]钟春嫦,王恩礼,郭海云,等. PDCA循环管理对哺乳期急性乳腺炎初产妇并发症及其负性情绪的影响.护理研究(上旬版),2015, 29(8):2794-2796.
[7]刘颖,钟萍萍,阮利元,等.火针配合中药治疗非哺乳期乳腺炎54例.中医外治杂志, 2016, 25(1):34-35.
[8]冯辉珍,喻其霞,丁嫦英,等.哺乳期乳腺炎进展为乳腺脓肿的危险因素分析.浙江医学, 2016, 38(24):1986-1988.
[9]董明春,叶光荣.抗生素联合强的松治疗急性脓肿型非哺乳期乳腺炎的疗效观察及对外周血CD4+/CD8+比值的影响.河北医学, 2016, 22(1):95-99.
[10]邱美江,孙荃荟.通乳散治疗哺乳期急性乳腺炎郁乳期临床观察.现代中西医结合杂志, 2014, 23(5):522-523.
[11]彭清.针刺联合循经按摩、中药外敷为主治疗哺乳期急性乳腺炎25例.中国针灸, 2014, 34(5):481-482.
[12]李琛琴,武彪,朱佳,等.哺乳期乳腺炎治疗的研究现状.实用临床医学, 2018, 19(1):103-106.
[13]闫智清,马祥君,王青,等.哺乳期急性乳腺炎的致病菌分布及其药敏特点.中国综合临床, 2014, 30(7):732-734.
[14]王爽,张亚英,李亚珍,等.乳腺疏导推拿配合中药外敷治疗哺乳期急性乳腺炎的疗效观察.中国妇幼保健, 2018, 33(6):1216-1218.
[15]朱雪琼,米海霞,林祥,等.瓜蒌牛蒡汤合阳和汤联合中药外敷对哺乳期急性乳腺炎早期患者IL-6、CRP水平的影响研究.中华中医药学刊, 2017, 35(4):819-821.
[16]高海凤,马祥君,汪洁,等.难治性哺乳期乳腺炎的临床特点和治疗方法.中华妇幼临床医学杂志(电子版), 2013, 9(4):475-476.
[17]宁平,刘泽宇,陈军,等.哺乳期乳腺炎临床分型及个体化治疗策略的探讨.中华乳腺病杂志(电子版), 2013, 7(4):7-11.
[18]曹亮,龚根强.哺乳期难治性乳腺炎的特点分析与临床治疗方法探讨.世界最新医学信息文摘(电子版), 2015, 15(19):60.
[19]刘少华.哺乳期乳腺炎临床分型及个体化治疗策略及效果的分析.数理医药学杂志, 2018, 31(11):52-53.
[20]全梦华.哺乳期乳腺炎患者应用消痈通乳汤治疗的临床疗效.黑龙江医药, 2016, 29(2):353-354.