摘要
目的探讨七步理疗法对哺乳期乳腺炎疼痛及泌乳量的影响。方法选取120例哺乳期乳腺炎患者作为研究对象,随机分为对照组和观察组,每组60例。对照组患者均接受常规治疗,观察组患者在对照组基础上接受七步理疗法治疗。比较两组患者临床症状及体征、实验室指标、临床疗效、泌乳情况、并发症发生情况及视觉模拟评分法(VAS)评分。结果治疗前,两组患者肿块大小分级情况比较差异无统计学意义(P>0.05);治疗后,观察组患者者肿块大小分级情况显著优于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者的白细胞计数、中性粒细胞百分比、C反应蛋白水平比较差异均无统计学意义(P>0.05);治疗后,两组患者的白细胞计数、中性粒细胞百分比、C反应蛋白水平均低于治疗前,且观察组患者的白细胞计数、中性粒细胞百分比、C反应蛋白水平均低于对照组,差异均具有统计学意义(P<0.05)。治疗后,观察组患者的临床总有效率为95.00%,显著高于对照组的80.00%,差异具有统计学意义(P<0.05)。治疗前,两组患者的乳汁充足率比较差异无统计学意义(P>0.05);治疗后,观察组患者的乳汁充足率65.00%高于对照组的40.00%,差异具有统计学意义(P<0.05)。观察组患者的并发症发生率为1.67%,低于对照组的15.00%,差异具有统计学意义(P<0.05)。治疗前,两组患者的VAS评分比较差异无统计学意义(P>0.05);治疗后,观察组患者的VAS评分(21.47±2.28)分,显著低于对照组的(36.58±2.14)分,差异具有统计学意义(P<0.05)。结论七步理疗法治疗哺乳期乳腺炎能显著改善患者疼痛,增加泌乳量,减少炎症及并发症,提高临床疗效。
Objective To discuss the effect of seven-step therapy on pain and lactation of lactating mastitis.Methods A total of 120 case of lactation mastitis as study subjects were randomly divided into control group and observation group,with 60 cases in each group.The control group received conventional therapy,and the observation group received seven-step therapy on the basis of the control group.The clinical symptom and sign,laboratory indicators,clinical efficacy,lactation status,occurrence of complications and visual analogue scale(VAS)score was compared between the two groups.Results Before treatment,there was no statistically significant difference in grading of mass size between the two groups(P>0.05).After treatment,the grading of mass size in the observation group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in leukocyte count,neutrophil percentage,C-reactive protein level between the two groups(P>0.05).After treatment,the leukocyte count,neutrophil percentage,C-reactive protein level in the two groups was lower than those before treatment,and the leukocyte count,neutrophil percentage,C-reactive protein level in the observation group was lower than those in the control group.Their difference was statistically significant(P<0.05).After treatment,the total clinical effective rate was 95.00%in the observation group,which was significantly higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in breast milk sufficiency rate between the two groups(P>0.05).After treatment,the breast milk sufficiency rate 65.00%in the observation group was higher than 40.00%in the control group,and the difference was statistically significant(P<0.05).The incidence of complications was 1.67%in the observation group,which was lower than 15.00%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in VAS score between the two groups(P>0.05).After treatment,the VAS score(21.47±2.28)points in the observation group was significantly lower than(36.58±2.14)points in the control group,and the difference was statistically significant(P<0.05).Conclusion For the treatment of lactation mastitis,seven-step therapy can significantly improve the pain of patients,increase lactation volume,reduce inflammation and complications,and improve clinical efficacy.
作者
廖纯榜
廖小宝
伍永红
陈凤娴
郑立峰
黄晓莹
LIAO Chun-bang;LIAO Xiao-bao;WU Yong-hong(Taishan Maternal and Child Health Hospital,Taishan 529200,China)
出处
《中国实用医药》
2020年第1期4-7,共4页
China Practical Medicine
关键词
七步理疗法
哺乳期
乳腺炎
疼痛
泌乳量
疗效
Seven-step therapy
Lactation
Mastitis
Pain
Lactation volume
Efficacy
