乳腺疏通术治疗产后早期乳腺炎的临床效果观察

Observation of clinical curative effect of breast dredging in treatment of early postpartum mastitis

目的探讨乳腺疏通术治疗产后早期乳腺炎的临床效果。方法选取2014年10月~2015年4月我院门诊收治的128例早期产后乳腺炎的患者,随机分为实验组（64例）和对照组（64例）,实验组采用乳腺疏通术治疗,对照组采用传统的局部湿热敷、吸奶器吸奶、芒硝外敷肿块等方法治疗,治疗时间均为3d。观察两组治疗效果。结果实验组的产妇治疗总有效率为100.0%;对照组的治疗总有效率为87.5%。差异有统计学意义（P〈0.05）;观察后发现,实验组患者的肿块消散、止痛、顺畅排汁缓解时间均明显优于对照组,两组差异有统计学意义（P〈0.05）。结论乳腺疏通术是治疗产后早期乳腺炎有效的无创伤方法,其消肿、止痛、降温效果比采用传统的局部湿热敷、吸奶器吸奶、芒硝外敷肿块等方法明显。

Objective To explore clinical effect of breast dredging in treatment of early postpartum mastitis. Methods 128 patients with early postpartum mastitis who were treated in clinics of our hospital from October 2014 to April 2015 were selected and they were randomly allocated to the experimental group and the control group, with 64 in each. The experimental group was treated by breast dredging while the control group was treated by traditional methods including local hot-wet compression, breast pump to suck milk, mirabilite external compression of mass and so on. Treatment lasted for 3 days. Curative effect of two groups was observed. Results Total effective rates of treatment of puerperal in the experimental group and the control group were 100% and 87.5% respectively. The difference was statistically significant（P〈 0.05）. After observation, it was found that lump dissipation, acesodyne, smooth draining time of the experimental group were all significantly superior to those of the control group. Difference between two groups has statistical significance（P〈 0.05）. And the difference between two groups was statistically significant（P〈 0.05）. Conclusion Breast dredging is an effective non-invasive method to treat early postpartum mastitis. In addition, lump dissipation, acesodyne and the cooling effect of it were more significant than those of traditional methods including local hot-wet compression, breast pump to suck milk, mirabilite external compression of mass and so on.