乳腺导管灌注联合电刺激治疗哺乳期乳腺炎疗效探讨

Therapeutic Effect of Breast Ductal Perfusion Combined with Electrical Stimulation on Lactating Mastitis

目的探讨乳腺导管灌注联合电刺激治疗在哺乳期乳腺炎的疗效。方法方便收集2016年5月-2018年5月就诊并确诊哺乳期乳腺炎的患者114例,随机分为灌注组(乳腺导管灌注联合电刺激组)及对照组(普通理疗组)。比较两者的疗效。结果灌注组的总有效率为95.0%(χ2=3.890),明显高于对照组;其中脓肿形成率为5.0%,平均治愈时间(4.01±1.38)d(t=-0.953),回乳率为8.3%(χ2=6.333),均低于对照组(P<0.05)。灌注组和对照组治疗前的白细胞计数及CRP值两组间差异无统计学意义(P>0.05),灌注组患者在治疗后第3天复查白细胞计数(8.73±1.08)×10^9/L、CRP(27.88±14.39)mg/L;治疗后第7天白细胞计数(7.65±0.77)×10^9/L、CRP(11.21±4.31)mg/L;两次复查数值均较对照组低,差异有统计学意义(P<0.05)。结论乳腺导管灌注联合电刺激疗法优于普通理疗法。

Objective To investigate the efficacy of breast ductal perfusion combined with electrical stimulation in the treatment of mastitis in lactation. Methods Convenient select a total of 114 patients with breast mastitis diagnosed between May2016 and May 2018 were enrolled. They were randomly divided into the perfusion group(mammary duct perfusion combined with electrical stimulation group) and the control group(common physiotherapy group). Compare the efficacy of both. Results The total effective rate of the perfusion group was 95.0%(χ2=3.890), which was significantly higher than that of the control group. The abscess formation rate was 5.0%, and the average healing time was(4.01±1.38) d(t=-0.953). The delactation rate was 8.3%(χ2=6.333) were lower than the control group(P<0.05). There was no significant difference in white blood cell count and CRP between the two groups(P>0.05). The perfusion group reviewed the white blood cell count on the third day after treatment(8.73±1.08)×10^9/L, CRP(27.88±14.39)mg/L;white blood cell count(7.65±0.77)×10^9/L, CRP(11.21±4.31)mg/L on the 7 th day after treatment;the two review values are lower than the control group,the difference was statistically significant(P<0.05). Conclusion Breast ductal perfusion combined with electrical stimulation is superior to common therapy.