BACKGROUND Breast abscess during lactation is a severe complication of acute mastitis,which can lead to discomfort,high fever,breast fistula,sepsis,septic shock,breast damage,disease persistence and frequent hospitali...BACKGROUND Breast abscess during lactation is a severe complication of acute mastitis,which can lead to discomfort,high fever,breast fistula,sepsis,septic shock,breast damage,disease persistence and frequent hospitalization.Breast abscesses may also lead the mother to discontinue breastfeeding,thereby harming the infant’s health.The predominant pathogenic bacteria are Staphylococcus aureus,Staphylococcus epidermidis and Streptococcus.The incidence of breastfeeding abscesses in breastfeeding women ranges between 4.0%and 11.0%.In cases of breast abscess,the rate of cessation of lactation is 41.0%.In instances of breast fistula,the rate of cessation of lactation is very high(66.7%).Furthermore,50.0%of women with breast abscesses must be hospitalized and treated with intravenous antibiotics.Treatment includes antibiotics,abscess puncture and surgical incision and drainage.The patients suffer from stress,pain and easily induced breast scarring;the disease’s progression is prolonged and recurrent,interfering with infant feeding.Consequently,it is crucial to discover an adequate cure.CASE SUMMARY A 28-year-old woman with a breast abscess was treated with Gualou Xiaoyong decoction and painless breast opening manipulation 24 d after cesarean delivery.On the 2nd d of treatment,the patient’s breast mass was significantly reduced,the pain was significantly reduced,and the general asthenia was improved.All conscious symptoms disappeared after 3 d,breast abscesses faded after 12 d of treatment,inflammation images disappeared after 27 d,and normal lactation images were restored.CONCLUSION In treating breast abscesses during breastfeeding,the combination of Gualou Xiaoyong decoction and painless lactation provides a positive therapeutic impact.This disease’s treatment offers the advantages of a short course of treatment,no need to discontinue breastfeeding and the ability to rapidly mitigate symptoms,which can be used as a reference in clinical practice.展开更多
目的观察中医手法按摩联合乳腺导管灌注对早期急性哺乳期乳腺炎患者的临床效果。方法选取2018年12月~2022年10月北京市和平里医院早期急性哺乳期乳腺炎患者183例,按治疗方式分为两组。联合治疗组97例采用堵塞乳腺导管生理盐水灌注加中...目的观察中医手法按摩联合乳腺导管灌注对早期急性哺乳期乳腺炎患者的临床效果。方法选取2018年12月~2022年10月北京市和平里医院早期急性哺乳期乳腺炎患者183例,按治疗方式分为两组。联合治疗组97例采用堵塞乳腺导管生理盐水灌注加中医手法按摩排乳治疗。对照组86例采用中医手法按摩排乳治疗。两组均采用中药外敷和中药内服治疗。治疗后2周,观察两组临床有效率、世界卫生组织生存质量测定量表简表(World Health Organization quality of life scale-brief,WHOQOL-BREF)评分、目测类比疼痛(VAS)评分、中性粒细胞比值、肿瘤坏死因子-α(TNF-α)、白细胞介素6(IL-6)、超敏C反应蛋白(hs-CRP)、母乳喂养自我效能评分、纯母乳喂养率和回乳率的差异。结果治疗后2周,与对照组相比,联合治疗组的临床有效率、WHOQOL-BREF评分、母乳喂养自我效能评分和纯母乳喂养率显著升高,差异均有统计学意义(P<0.05)。联合治疗组的VAS、回乳率、TNF-α、IL-6、中性粒细胞比值和hs-CRP水平显著低于对照组,差异均有统计学意义(P<0.05)。结论与单纯中医手法按摩排乳相比,中医手法按摩疗法联合乳腺导管灌注对可有效减轻早期急性哺乳期乳腺炎患者炎症水平,缓解乳房疼痛,改善生活质量,提高纯母乳喂养率。展开更多
基金Supported by Zhejiang Traditional Chinese Medicine Science and Technology Plan,No.2023ZL449.
文摘BACKGROUND Breast abscess during lactation is a severe complication of acute mastitis,which can lead to discomfort,high fever,breast fistula,sepsis,septic shock,breast damage,disease persistence and frequent hospitalization.Breast abscesses may also lead the mother to discontinue breastfeeding,thereby harming the infant’s health.The predominant pathogenic bacteria are Staphylococcus aureus,Staphylococcus epidermidis and Streptococcus.The incidence of breastfeeding abscesses in breastfeeding women ranges between 4.0%and 11.0%.In cases of breast abscess,the rate of cessation of lactation is 41.0%.In instances of breast fistula,the rate of cessation of lactation is very high(66.7%).Furthermore,50.0%of women with breast abscesses must be hospitalized and treated with intravenous antibiotics.Treatment includes antibiotics,abscess puncture and surgical incision and drainage.The patients suffer from stress,pain and easily induced breast scarring;the disease’s progression is prolonged and recurrent,interfering with infant feeding.Consequently,it is crucial to discover an adequate cure.CASE SUMMARY A 28-year-old woman with a breast abscess was treated with Gualou Xiaoyong decoction and painless breast opening manipulation 24 d after cesarean delivery.On the 2nd d of treatment,the patient’s breast mass was significantly reduced,the pain was significantly reduced,and the general asthenia was improved.All conscious symptoms disappeared after 3 d,breast abscesses faded after 12 d of treatment,inflammation images disappeared after 27 d,and normal lactation images were restored.CONCLUSION In treating breast abscesses during breastfeeding,the combination of Gualou Xiaoyong decoction and painless lactation provides a positive therapeutic impact.This disease’s treatment offers the advantages of a short course of treatment,no need to discontinue breastfeeding and the ability to rapidly mitigate symptoms,which can be used as a reference in clinical practice.
文摘目的观察中医手法按摩联合乳腺导管灌注对早期急性哺乳期乳腺炎患者的临床效果。方法选取2018年12月~2022年10月北京市和平里医院早期急性哺乳期乳腺炎患者183例,按治疗方式分为两组。联合治疗组97例采用堵塞乳腺导管生理盐水灌注加中医手法按摩排乳治疗。对照组86例采用中医手法按摩排乳治疗。两组均采用中药外敷和中药内服治疗。治疗后2周,观察两组临床有效率、世界卫生组织生存质量测定量表简表(World Health Organization quality of life scale-brief,WHOQOL-BREF)评分、目测类比疼痛(VAS)评分、中性粒细胞比值、肿瘤坏死因子-α(TNF-α)、白细胞介素6(IL-6)、超敏C反应蛋白(hs-CRP)、母乳喂养自我效能评分、纯母乳喂养率和回乳率的差异。结果治疗后2周,与对照组相比,联合治疗组的临床有效率、WHOQOL-BREF评分、母乳喂养自我效能评分和纯母乳喂养率显著升高,差异均有统计学意义(P<0.05)。联合治疗组的VAS、回乳率、TNF-α、IL-6、中性粒细胞比值和hs-CRP水平显著低于对照组,差异均有统计学意义(P<0.05)。结论与单纯中医手法按摩排乳相比,中医手法按摩疗法联合乳腺导管灌注对可有效减轻早期急性哺乳期乳腺炎患者炎症水平,缓解乳房疼痛,改善生活质量,提高纯母乳喂养率。
