乳腺导管灌注联合三才疗法治疗早期急性乳腺炎的效果分析

Effect Analysis of Mammary Catheter Perfusion and Triple Therapy in Treatment of Early Stage of Acute Mastitis

目的:研究早期急性乳腺炎患者采取乳腺导管灌注结合三才疗法治疗的临床效果。方法:选择2016年1月-2017年10月本院乳腺科收治的早期急性乳腺炎患者66例作为研究对象,按照不同的治疗方式将其分为观察组(n=34)与对照组(n=32)。观察组在手法按摩排乳基础上采取乳腺导管灌注结合三才疗法治疗,对照组采取静脉滴注抗生素结合手法按摩排乳治疗,比较两组的治疗效果以及治疗前后的体温、疼痛和相关指标变化情况。结果:观察组总有效率为94.12%,明显高于对照组的75.00%,差异有统计学意义(X^2=14.000,P=0.000)。治疗前两组的体温及疼痛评分变化情况比较,差异均无统计学意义(P>0.05);治疗后,观察组的体温及疼痛评分变化情况均明显低于对照组,差异均有统计学意义(t=3.227、6.061,P=0.002、0.000)。治疗前两组各项指标比较,差异均无统计学意义(P>0.05);治疗后,观察组中性粒细胞比值明显高于对照组,超敏C反应蛋白水平明显低于对照组,差异均有统计学意义(P<0.05)。结论:早期急性乳腺炎患者采取乳腺导管灌注联合三才疗法治疗效果显著,明显改善患者相关症状,有效缓解炎症以及疼痛感,促进肿块消退,具有推广及应用价值。

Objective：To study the clinical effect of mammary catheter perfusion and triple therapy in the treatment of early stage of acute mastitis.Method：A total of 66 patients with early stage of acute mastitis treated from January 2016 to October 2017 in breast surgery of our hospital were selected as the study objects.According to different treatment methods,they were divided into observation group（n=34） and control group（n=32）.The observation group was treated with mammary catheter perfusion combined with triple therapy on the basis of manual massage,the control group was treated with intravenous drip of antibiotics combined with manual massage.The therapeutic effect and the changes of body temperature,pain scores and related indicators before and after treatment were compared between the two groups.Result：The total effective rate of the observation group was 94.12%,which was significantly higher than 75.00% of the control group,the difference was statistically significant（X^2=14.000,P=0.000）.There were no significant differences in the changes of body temperature and pain score between the two groups before treatment（P〉0.05）.After treatment,the changes of body temperature and pain score in the observation group were significantly lower than those in the control group,the differences were statistically significant（t=3.227,6.061;P=0.002,0.000）.There were no significant differences in the related indexes between the two groups before treatment（P〉0.05）.After treatment,the ratio of neutrophile granulocyte in the observation group was significantly higher than that in the control group,the level of hypersensitive C-reactive protein was significantly lower than that in the control group,the differences were statistically significant（P〈0.05）.Conclusion：The mammary catheter perfusion and triple therapy has an obvious effect in patients with early stage of acute mastitis,can significantly improve the clinical symptoms,relieve the inflammation conditions and pain degree and promote the regression of the mass,has the value of promotion and application.