| 梁兰芳,王鹏超,徐境阳,周 钰,周 伟.通乳围刺法联合抗生素治疗哺乳期乳腺炎效果及对患者疼痛程度、炎症因子的影响[J].,2023,(14):2688-2692 |
| 通乳围刺法联合抗生素治疗哺乳期乳腺炎效果及对患者疼痛程度、炎症因子的影响 |
| Effect of Breast Opening Peri Needling Combined with Antibiotics on Mammitis in Lactation Period and Its Influence on Pain Degree and Inflammatory Factors of Patients |
| 投稿时间：2023-01-30 修订日期：2023-02-26 |
| DOI：10.13241/j.cnki.pmb.2023.14.016 |
| 中文关键词: 通乳围刺法 抗生素 哺乳期 乳腺炎 疼痛程度 炎症因子 |
| 英文关键词: Breast piercing and surrounding needling Antibiotic Lactation Mastitis Degree of pain Inflammatory factor |
| 基金项目:省部共建中亚高发病成因与防治国家重点实验室开放课题青年项目（SKL-HIDCA-2022-HBZZ10） |
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| 中文摘要: |
| 摘要 目的：探讨通乳围刺法联合抗生素治疗哺乳期乳腺炎效果及对患者疼痛程度、炎症因子的影响。方法：选取我院2019年1月到2022年12月收治的80例哺乳期乳腺炎患者作为研究对象，分为观察组与对照组，每组40例。对照组采取常规抗生素治疗，观察在采取通乳围刺法联合抗生素治疗，对比两组患者临床疗效，治疗前及治疗7 d后中医证候积分变化，不同时间视觉模拟量表（VAS）评分及疼痛消退时间，治疗前及治疗7 d后炎症因子水平变化。结果：与对照组相比，观察组治疗总有效率较高（P<0.05）；治疗前两组患者恶寒发热、局部皮肤灼热、乳房胀痛、乳房结块症状积分对比无差异（P＞0.05），治疗后两组患者恶寒发热、局部皮肤灼热、乳房胀痛、乳房结块症状积分均降低，且观察组低于对照组（P＜0.05）；治疗前两组患者VAS评分对比无差异（P＞0.05），治疗后1 d、治疗后3 d、6 d两组患者逐渐降低，且与对照组相比，观察组较低（P＜0.05），观察组疼痛消退时间低于对照组（P＜0.05）；两组患者治疗前白细胞计数（WBC）、降钙素原（PCT）、超敏C反应蛋白（hsCRP）表达水平对比无差异（P＞0.05），治疗后两组均降低，且与对照组相比，观察组较低（P＜0.05）。结论：通乳围刺法联合抗生素治疗哺乳期乳腺炎能够提升其临床疗效，减轻患者恶寒发热、局部皮肤灼热、乳房胀痛、乳房结块等症状，减轻疼痛感与疼痛持续时间，降低患者机体炎症因子水平，值得临床应用推广。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of breast piercing and surrounding needling combined with antibiotics in the treatment of lactation mastitis and its influence on the degree of pain and inflammatory factors of patients. Methods: 80 patients with mastitis during lactation in our hospital from January 2019 to December 2022 were selected as the research objects, and they were divided into observation group and Matched group with 40 patients in each group. The Matched group was treated with conventional antibiotics, and observed the clinical efficacy of the two groups of patients treated with breast piercing and peripheral needling combined with antibiotics. The changes of TCM syndrome scores before and 7 days Post-treatment, the visual analogue scale (VAS) scores at different times, the time of pain resolution, and the changes of inflammatory factor levels before and 7 days Post-treatment were compared. Results: The total response rate was higher in the observation group compared with the control group(P<0.05); Pretherapy, there was no difference between the two groups in the scores of aversion to cold and fever, local skin burning, breast swelling and pain, and breast agglomeration symptoms (P>0.05). Post-treatment, the scores of aversion to cold and fever, local skin burning, breast swelling and pain, and breast agglomeration symptoms in the two groups decreased, and the scores in the observation group were different with matched group(P<0.05); There was no difference in VAS scores between the two groups pretherapy(P>0.05). The VAS scores of patients in the two groups gradually decreased on the first day, the third day and the sixth day Post-treatment, and the observation group was lower than the matched group (P<0.05). The time of pain relief in the observation group was different with matched group(P<0.05); There was no difference in the expression of WBC, PCT and hsCRP between the two groups pretherapy (P>0.05). Post-treatment, the expression of WBC, PCT and hsCRP in the two groups decreased, and the observation group was different with matched group (P<0.05). Conclusion: Breast piercing and surrounding needling combined with antibiotics can improve the clinical efficacy of lactation mastitis, reduce the symptoms of aversion to cold and fever, local skin burning, breast swelling and pain, breast lump, etc., reduce the pain feeling and duration, and reduce the level of inflammatory factors in patients, which is worthy of clinical application and promotion. |
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