早期急性哺乳期乳腺炎中医综合治疗方案的临床研究

Clinical Study on Comprehensive Chinese Medicine Regimen in Treating Early Acute Mastitis

【目的】通过研究不同方法治疗早期急性哺乳期乳腺炎的临床效果,制定出一套方便有效的早期急性哺乳期乳腺炎中医综合治疗方案,以提高母乳喂养自我效能。【方法】将120例早期急性哺乳期乳腺炎(气滞热壅证)患者随机分为治疗组和对照组,每组各60例。治疗组给予中医综合治疗方案(包括中药汤剂瓜蒌牛蒡汤加减内服、双柏油膏外敷及手法通乳等)治疗,对照组给予西医常规治疗,5 d为1个疗程。疗程结束后,观察2组患者的临床疗效和母乳喂养自我效能,并于治疗后1个月观察2组的回乳情况。【结果】(1)治疗5 d后,治疗组的总有效率为93.33%,对照组为90.00%,组间比较,差异无统计学意义(P>0.05)。(2)治疗5 d后,治疗组的母乳喂养自我效能评分明显高于对照组,差异有统计学意义(P<0.05)。(3)治疗后1个月,治疗组的回乳率明显低于对照组,差异有统计学意义(P<0.05)。【结论】中医综合治疗方案治疗早期急性哺乳期乳腺炎疗效确切,治疗过程不影响哺乳,有利于提高母乳喂养成功率。

Objective The clinical effects of different methods in the treatment of early acute mastitis were compared for establishing a convenient and effective comprehensive Chinese medicine regimen for early mastitis so as to improve the self- efficacy of breastfeeding. Methods A total of 120 cases of early acute mastitis at lactation stage with the syndrome of Qi stagnation and heat accumulation were randomly divided into trial group and control group, 60 cases in each group. The trial group was treated with comprehensive Chinese medicine regimen including oral use of modified Gualou Niubang Decoction, external application of Shuangbo Ointment and promoting lactation with manipulation. The control group was treated with conventional western medicine. Five days constituted one course of treatment. At the end of the treatment, the clinical efficacy of the two groups and the selfefficacy of breastfeeding were evaluated. One month after treatment, the incidence of delactation in the two groups was compared. Results (1) After treatment, the total effective rate of the trial group was 93.33%, and that of the control group was 90.00%, the difference between the two groups being insignificant (P > 0.05).(2) After treatment for 5 days, the self-efficacy of breastfeeding in the trial group was superior to that in the control group, the difference being significant(P < 0.05).(3) After treatment for one month, the incidence of delactation in the trial group was lower than that in the control group, the difference being significant (P < 0.05). Conclusion Comprehensive Chinese medicine regimen is effective for the treatment of early acute mastitis, and the regimen does not affect breastfeeding but is beneficial to the increase of successful breastfeeding.