金黄散联合手法排乳治疗早期哺乳期乳腺炎临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R655.8

基金项目:

洛阳市第一人民医院科研计划项目(2022005)


Clinical Study on Combination Use of Jinhuang Powder and Manipulation of Lactation for Mastitis in Early Lactation Period
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察金黄散联合手法排乳治疗早期哺乳期乳腺炎的临床疗效。方法:选择2023年1月—2024年 10月洛阳市第一人民医院普通外科收治的78例早期哺乳期乳腺炎患者,按随机数字表法分为对照组与金黄散 组各39例。对照组采用传统手法排乳联合硫酸镁溶液外敷治疗,金黄散组采用传统手法排乳联合金黄散外敷 治疗。治疗5天后评估2组临床疗效、中医证候评分、症状缓解时间、通乳时间、疼痛程度[视觉模拟评分 法(VAS)]、炎症指标[中性粒细胞百分比(NEUT%)、C-反应蛋白(CRP)、白细胞计数(WBC)],随 访2周评估哺乳情况。结果:治疗5天后,金黄散组总有效率为97.44%(38/39),高于对照组82.05%(32/39), 2组比较,差异有统计学意义(P<0.05)。治疗后,2组乳汁淤积结块、肿胀疼痛、排乳不畅(对照组除外)、 恶寒发热(对照组除外)、周身酸楚、头痛、口渴、便秘等中医证候评分均较治疗前降低(P<0.05),且金黄 散组各项评分均低于对照组(P<0.05)。治疗后,2组疼痛VAS评分均较治疗前降低(P<0.05),且金黄散组 VAS评分低于对照组(P<0.05)。治疗后,金黄散组平均退热时间、乳房肿痛消失时间、肿块消退时间、通乳 时间均短于对照组(P<0.05)。治疗后,2组NEUT%、CRP、WBC水平均较治疗前降低(P<0.05),且金黄散 组上述3项指标水平均低于对照组(P<0.05)。随访2周,金黄散组纯母乳喂养率82.05%(32/39),对照组为 61.54% (24/39),2组比较,差异有统计学意义(P<0.05);金黄散组没有出现回乳情况,对照组回乳率为 12.82%(5/39),2组比较,差异有统计学意义(P<0.05)。结论:金黄散联合手法排乳治疗早期哺乳期乳腺炎 疗效显著,可有效促进临床症状改善及疼痛缓解,减轻炎症反应,提高纯母乳喂养率,降低回乳率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the combination use of Jinhuang Powder and manipulation of lactation on mastitis in early lactation period. Methods:A total of 78 patients with mastitis in early lactation period admitted to the Department of general Surgery of Luoyang First People's Hospital from January 2023 to October 2024 were selected and divided into the control group and the Jinhuang Powder group according to the random number table method,with 39 cases in each group. The control group was treated with traditional manipulation of lactation combined with external application of magnesium sulfate solution, and the Jinhuang Powder group was treated with traditional manipulation of lactation combined with external application of Jinhuang Powder. After five days of treatment, the clinical effect, traditional Chinese medicine syndrome scores, relief time of symptoms, lactogenesis time, pain degree [Visual Analogue Scale(VAS)scores of pain], inflammation indexes [neutrophil percentage(NEUT%), Creactive protein(CRP)and white blood cell count(WBC)] in the two groups were evaluated,and the lactation profile was evaluated after two weeks of follow-up. Results:After five days of treatment,the total effective rate was 97.44% (38/39)in the Jinhuang Powder group,higher than that of 82.05%(32/39)in the control group,with a statistically significant difference(P<0.05). After treatment,the traditional Chinese medicine syndrome scores of milk stasis with lumps,swelling and pain,poor lactogenesis(except for the control group),aversion to cold and fever(except for the control group),soreness of the whole body,headache,thirst and constipation in the two groups were down-regulated when compared with those before treatment(P<0.05),and the above scores in the Jinhuang Powder group were lower than those in the control group(P<0.05). After treatment, the VAS scores in the two groups were reduced when compared with those before treatment(P<0.05),and the VAS score in the Jinhuang Powder group was lower than that in the control group(P<0.05). After treatment,the average time of abatement of fever,disappearance time of painful swollen breast,regression time of lumps and lactogenesis time in the Jinhuang Powder group were shorter than those in the control group(P<0.05). After treatment,the levels of NEUT%,CRP and WBC in the two groups dwindled when compared with those before treatment(P<0.05),and the above three levels in the Jinhuang Powder group were lower than those in the control group(P<0.05). After two weeks of follow-up,the exclusive breastfeeding rate was 82.05% (32/39)in the Jinhuang Powder group and 61.54%(24/39)in the control group,the difference being significant(P< 0.05);there was no milk withdrawal in the Jinhuang Powder group,and the milk withdrawal rate was 12.82%(5/39) in the control group, the difference being significant(P<0.05). Conclusion: The therapy of Jinhuang Powder combined with manipulation of lactation has a significant curative effect on mastitis in early lactation period,which can effectively promote the improvement of clinical symptoms and pain relief,reduce the inflammatory responses,enhance the exclusive breastfeeding rate and reduce the milk withdrawal rate.

    参考文献
    相似文献
    引证文献
引用本文

付云,赵志鸿,王微,赵晓静,轩娟娟.金黄散联合手法排乳治疗早期哺乳期乳腺炎临床研究[J].新中医,2025,57(22):39-44

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-11-26
  • 出版日期:
文章二维码