270例粉刺性乳痈发病的可能相关因素调查与分析*

目的探讨粉刺性乳痈发病的可能相关因素。方法 依据设计好的问卷，对270例粉刺性乳痈患者进行发病相关因素调查，运用Microsoft Office Excel 2007统计软件进行分析。结果 粉刺性乳痈发病的可能相关因素按在本研究患者群中出现的机率由高到低依次是以下5方面：乳络（乳腺导管）不通畅，局部外伤，饮食不节，月经周期和产后哺乳状态，其他相关因素有高泌乳素血症、精神类疾病、多囊卵巢综合症等病史，还有压力、劳累等。结论 粉刺性乳痈发病相关因素包括致病因素和诱发因素2个方面，致病因素当属乳络内分泌物（似粉刺样分泌物）的积聚，诱病因素以乳络不通畅、外伤、饮食不节最常见。

Investigation and Analysis of the Possible Related Factors in 270 Cases of Acne Mastitis

Objective To explore the possible related factors in the pathogenesis of acne mastitis. Methods According to the designed questionnaire, 270 patients with acne mastitis were investigated and analyzed by Microsoft Office Excel 2007. Results According to the incidence of acne mastitis in this study, the possible related factors are from high to low in the following five aspects: milk collaterals(mammary ducts) obstruction, breast injury, improper diet , menstrual cycle and information about breast-feed after childbirth, the other related factors are history of hyperprolactinemia, mental diseases, polycystic ovary syndrome, as well as stress, fatigue, etc. Conclusion The related factors of acne mastitis include two aspects: pathogenic and predisposing factors The pathogenic factor is the accumulation of secretion(acne like secretion) in the milk collaterals, hyperprolactinemia, and the most common predisposing factors may encompass milk collaterals obstruction, trauma, improper diet, ectinducements mainly include trauma, fatigue, and improper diet, etc.