中药外敷治疗肿块郁滞期哺乳期乳腺炎的临床应用研究

Clinical application study on external application of Chinese medicine in treatment of lactation mastitis during mass stagnation stage

目的探讨中药外敷治疗肿块郁滞期哺乳期乳腺炎的临床应用价值。方法选取2017年8月30日~2019年8月30日南昌大学第一附属医院收治的200例肿块郁滞期哺乳期乳腺炎患者作为研究对象,采用随机数字表法将其分为传统治疗组和中药外敷组,每组各100例。传统治疗组实施中医手法通乳和抗生素治疗,中药外敷组在传统治疗的基础上实施中药如意金黄散外敷治疗。比较两组患者的总有效率、治疗前后的疼痛视觉模拟量表(VAS)评分、肿块大小及回乳率。结果中药外敷组患者的总有效率高于传统治疗组,差异有统计学意义(P<0.05)。治疗后中药外敷组患者的VAS评分低于传统治疗组,差异有统计学意义(P<0.05);中药外敷组患者的肿块范围小于传统治疗组,差异有统计学意义(P<0.05)。中药外敷组患者的回乳率低于传统治疗组,差异有统计学意义(P<0.05)。结论对肿块郁滞期哺乳期乳腺炎患者在传统治疗的基础上联合局部中药外敷治疗具有良好的临床应用价值,可有效缓解患者疼痛状况,改善患者肿块范围,降低回乳率。

Objective To explore the clinical application value of external application of Chinese medicine in the treatment of lactation mastitis during mass stagnation stage.Methods A total of 200 cases of lactation mastitis patients during mass stagnation stage in the First Affiliated Hospital of Nanchang University from August 30,2017 to August 30,2019 were selected as the research objects.The patients were divided into the traditional treatment group and the Chinese medicine external application group by the random number table method,with 100 patients in each group.The traditional treatment group was treated with milking of traditional Chinese medicine method and antibiotics,and the Chinese medicine external application group was treated with Ruyi Golden Powder on the basis of the traditional treatment.The total response rate,visual analogue scale(VAS)score before and after treatment,mass size and rate of breast reflux were compared between the two groups.Results The total effective rate in the Chinese medicine external application group was higher than that in the traditional treatment group,and the difference was statistically significant(P<0.05).The VAS score in the Chinese medicine external application group was lower than that in the traditional treatment group,and the difference was statistically significant(P<0.05).The mass range of the Chinese medicine external application group was lower than that of the traditional treatment group,and the difference was statistically significant(P<0.05).The rate of breast reflux of the Chinese medicine external application group was lower than that of the traditional treatment group,and the difference was statistically significant(P<0.05).Conclusion It has good clinical application value for patients with lactation mastitis during mass stagnation stage to add local external application of Chinese medicine treatment on the basis of traditional treatment,which can effectively relieve the pain of patients,improve the mass range of patients,and reduce the rate of milk regurgitation.