手法按摩治疗哺乳期急性乳腺炎疗效观察

The effectiveness of manipulation massage in the treatment of acute lactation mastitis

目的探讨手法按摩治疗乳腺炎的临床疗效。方法采用随机数字表法将2015-05至2016-07在武警总医院乳腺科就诊的260例哺乳期乳腺炎患者分为手法按摩+常规治疗组(n=140)和单一常规治疗组(n=120)。比较两组治疗有效率、脓肿形成率、继续哺乳情况、复发率、疼痛缓解时间及发热缓解时间。结果手法按摩+常规治疗组总有效率为92.86%(130/140),脓肿形成率6.43%(9/140),平均疼痛缓解时间为(3.33±1.56)d,平均发热缓解时间为(2.79±1.46)d,继续哺乳率为100%(140/140),复发率为3.57%(5/140)。常规治疗组总有效率为80.83%(97/120),脓肿形成率12.67%(15/120),平均疼痛缓解时间为(5.88±1.65)d,平均发热缓解时间为(4.48±1.44)d,继续哺乳率为60.0%(72/120),复发率为16.67%(20/120)。手法按摩+常规治疗组总治愈率、继续哺乳率高于常规治疗组,差异具有统计学意义(P<0.05);脓肿形成率、平均疼痛缓解时间、发热时间和复发率均明显低于常规治疗组,差异具有统计学意义(P<0.05)。结论乳腺炎的治疗关键在于排空乳房和减轻疼痛。手法按摩+常规治疗乳腺炎可以提高治愈率、继续哺乳率及降低复发率。

Objective The objective of this study was to investigate the effectiveness of manipulation massage therapy on mastitis during lactation. Methods A total of 260 patients with lactation mastitis admitted in General Hospital of Chinese People＇s Armed Police Force between May 2015 and July 2016 were selected in this study. The patients were divided into a manipulation massage plus conventional therapy group （n=140） and a single conventional therapy group （n=120） by means of random number table. The total effective rate, rate of abscess formation, continuity of breast-feeding, recurrence rate and time taken for pain relief and fever remission were compared between the two groups. Results Total rate of effectiveness of manipulation massage plus conventional therapy group was 92.86% （130/140）, with an abscess formation rate of 6.43% （9/140）, average time for pain relief （3.33±1.56） d, average time for fever relief （2.79±1.46） d, rate of continuous breast-feeding 100% （140/140）, and recurrence rate 3.57% （5/140）. In the conventional therapy group, total effective rate was 80.83% （ 97/120 ）, with an abscess formation rate of 12.67% （15/120）, average time for pain relief （5.88 ~ 1.65） d, average time for fever relief （4.48±1.44） d, rate of continuous breast-feeding 60.0% （72/120）, and recurrence rate 16.67% （20/120）. The total effective rate and rate of continuous breast-feeding of the manipulation massage plus conventional therapy group were higher than those of the conventional therapy group, and the differences were statistically significant （P〈0.05）. The abscess formation rate, average time for pain relief, average time for fever relief and the recurrence rate of the manipulation massage plus conventional therapy group were significantly lower than those in the conventional therapy group, and the differences were statistically significant （P 〈 0.05）. Conclusions Emptying the breast and relieving pain are the key aims of treatment in lactation mastitis. Manipulation massage plus conventional therapy can improve rate and outcome of treatment, reduce interruptions in breast-feeding and reduce the rate of recurrence.