脉冲式乳房按摩促乳仪的临床效果评价

目的:观察脉冲式乳房按摩促乳仪的临床效果。方法:观察按摩组110例与对照组110例产妇,比较新生儿每天吸吮次数、产妇母乳分泌量、新生儿胆红素及体重变化。结果:使用脉冲式乳房按摩促乳仪,能同样产牛婴儿吸吮时对乳房的刺激作用,达到促使乳汁分泌增多的效果     

乳房按摩促乳仪的研制及临床应用

针对产妇因分娩后的疲劳 ,常难以保持每天 10～ 12次以上的婴儿吸吮次数 ,从而影响母乳分泌的实际问题 ,我们根据中医经络学说的原理 ,自选设计和研制了乳房按摩促乳仪 ,运用电脉冲对乳房的刺激 ,促使乳汁分泌增多。乳房按摩促乳仪由低频电子按摩仪、一对环型硅胶电极片、一对输出导线插头组成。体积 14ｃｍ× 7.5ｃｍ×5ｃｍ ,重量 12 0 ｇ ,电源 2 2 0Ｖ。使用时产妇平卧于床上 ,将按摩仪电极片置于乳房周围 ,接上电源启动按摩功能。各人可根据自己的耐受能力通过强度控制旋钮调节按摩功率的大小。祖国医学认为人体经络的生理功能为 :运行…     

乳房穴位按摩结合背部按摩促进产妇乳汁分泌的效果

目的探讨乳房穴位按摩结合背部按摩促进产妇乳汁分泌和减轻乳房胀痛的效果。方法按随机数字表法将501例自然分娩的产妇分为对照组和观察组,对照组按照产科常规方法进行促乳,观察组在对照组常规促乳基础上实施穴位按摩,观察并比较两组产妇的泌乳量及乳房胀痛程度。结果产后72 h,观察组产妇较对照组泌乳量增多,乳房疼痛的发生情况明显减轻,两组比较差异均有统计学意义(P<0.01)。结论乳房穴位按摩结合背部按摩可使产妇泌乳量增加,乳房胀痛程度减轻,有利于母乳喂养的开展。     

产后乳房按摩治疗产妇乳汁分泌不足的疗效观察

[目的]观察产后乳房按摩对乳汁分泌不足的治疗效果.[方法]选择60例足月分娩且自愿接受产后乳房按摩的乳汁分泌不足产妇,应用"缺乳"精油实施产后乳房按摩.观察并比较治疗前后产妇泌乳情况.[结果]本组60例产妇经产后乳房按摩治疗后产妇乳汁分泌增加,其中泌乳佳45例,泌乳一般15例.[结论] 产后乳房按摩治疗产妇乳汁分泌不足的效果明显,可提高母乳喂养率.     

两种按摩手法缓解产妇乳胀症状的比较

目的 比较传统乳房按摩手法与一指禅推拿手法对缓解产妇乳胀症状的疗效,探讨更合适缓解乳胀的按摩手法.方法 对 200例乳胀初产妇按摩前进行评估,乳胀程度相同的产妇按就诊顺序编号,双数的100例产妇作为对照组,采用传统乳房按摩手法,即操作者用双手掌大小鱼际按压乳房壁并围绕乳房根部均匀按摩两侧乳房共60 min;单数的100例产妇作为观察组,采用一指禅推拿手法,即操作者用左手托住乳房,右手用大拇指按米字线以螺旋式向乳晕处推拿60 min.根据按摩前乳胀程度、按摩时产妇疼痛情况、按摩后乳胀程度及母乳喂养情况评定疗效.结果 观察组产妇按摩后乳胀程度、按摩时疼痛程度较对照组轻,观察组产妇母乳喂养情况优于对照组,以上差异均有统计学意义(P<0.01).结论 一指禅推拿手法较传统乳房按摩手法更能有效缓解产妇乳胀症状.     

两种产后乳房按摩缓解乳胀时引起产妇疼痛感的比较

【】 目的S 寻找一种更有效而舒适的缓解乳胀的乳房按摩方法。方法S 对100名乳胀产妇分为观察组50例和对照组50例,对照组采用疏松式乳房按摩,观察组采用一指推拿法按摩。比较两组产妇按摩时疼痛情况、按摩后的乳胀程度。结果S 观察组产妇按摩时的疼痛程度、按摩后乳胀缓解程度较对照组轻,以上差异均有统计学意义(p<0.01)。 结论S 采用一指推拿法按摩乳房缓解乳胀是更为有效而舒适的方法,对促进母乳喂养起到了很好的作用。     

手指点穴加乳房按摩对促进母乳喂养的临床研究

目的 观察产后早期手指点穴加乳房按摩对母乳喂养的影响.方法 将600例产妇按随机数字表分为观察组和对照组,各300例.对照组按照产科常规治疗护理,做好母乳喂养指导.观察组在对照组基础上增加手指点穴加乳房按摩.比较两组产妇产后首次泌乳充足时间、生理性乳胀程度、1个月内乳房常见问题发生情况、纯母乳喂养率以及两组新生儿住院期...     

普林格尔仪联合手法按摩治疗产妇泌乳量不足的临床观察

目的观察普林格尔仪联合手法按摩乳房治疗产妇泌乳量不足的治疗效果。方法选取2015年1月至2015年12月在本院产科发生泌乳量不足的产妇200例,随机分为干预组和对照组各100例。干预组采用普林格尔仪联合手法按摩乳房治疗产妇泌乳量不足。对照组用传统的手法按摩乳房治疗产妇泌乳量不足。观察并比较两组产妇的泌乳情况。结果干预组疗效明显优于对照组,差异有统计学意义(P0.05)。结论用普林格尔仪联合手法按摩乳房治疗产妇泌乳量不足效果优于传统的手法。     

普林格尔仪联合手法按摩治疗产后乳汁淤积疗效观察

[目的]观察普林格尔仪联合手法按摩乳房对产妇乳汁淤积的治疗效果.[方法]将148例乳汁淤积产妇随机分为两组,观察组采用普林格尔仪联合手法按摩乳房后人工挤奶;对照组按传统的局部热敷按摩后行人工挤奶.观察并比较两组病人乳腺管疏通情况.[结果]观察组疗效明显优于对照组,差异有统计学意义(P＜0.01).[结论]用普林格尔仪联合手法按摩治疗产后乳汁淤积效果优于传统的局部热敷按摩.     

2种干预方法促进剖宫产产妇泌乳的效果观察

目的探讨乳房护理方法对剖宫产术后早期产妇泌乳的影响,为减轻产妇产后乳房胀痛、促进产妇早泌乳提供一种方便可行的乳房护理方法。方法将100例健康、足月、剖宫产初产妇随机分为对照组和观察组各50例。对照组采用湿敷+按摩+挤奶的方法护理乳房,观察组采用电磁波治疗仪照射+按摩+负压可调式平衡吸乳器吸乳的方法护理乳房。观察2组产妇泌乳始动时间、产后4d乳房胀痛程度及肿胀硬度。结果观察组乳房始动时间早于对照组(Z=-3.830,P0.01);产后4d观察组乳房胀痛程度和硬度均轻于对照组。结论剖宫产术后早期,采用电磁波治疗仪照射+按摩+负压可调式平衡吸乳器吸乳的乳房护理干预模式在促进产妇泌乳、减轻乳房肿胀程度及硬度方面具有较好效果。     

Amyloid tumor of the breast mimicking breast carcinoma

Amyloid tumors of the breast are extremely rare. Few isolated cases have been reported to date. Amyloid involvement of the breast has no specific diagnostic features on mammography; on occasion, this causes diagnostic challenges. In this paper, the case of a 58-year-old woman with an amyloid tumor of the breast, which developed secondary to long-standing rheumatoid arthritis, is presented. She presented with a palpable mass in her right breast, which led to an erroneous clinical diagnosis of breast cancer. The unusual mammography findings are demonstrated and the differential diagnosis, in light of the radiological images and the clinical and pathologic features, is discussed.     

Sarcomas of the breast

Breast sarcomas are rare lesions that can be derived from any of the mammary stromal cells. A phyllodes tumour may resemble a rapidly growing fibroadenoma but in an older age group. Behaviour ranges from benign to frankly malignant and cannot always be predicted from the histological appearance. For all the sarcomas spread is haematogenous rather than lymphatic and treatment is based on wide surgical clearance without axillary surgery. Angiosarcoma is a rare consequence of skin irradiation as part of breast conservation therapy. Fibrosarcomas have a tendency to relapse locally unless wide surgical margins have been achieved. Radiotherapy is not of value but chemotherapy can be used to palliate women with metastatic disease.     

Imaging of the breast

A multitude of techniques for imaging and evaluating the breast have been described. Based upon current evidence, thermography does not appear to have any established clinical indications. Computed tomography, ultrasonography, lightscanning, and NMR may be useful as adjuncts to mammography, and further research seems warranted. Mammography remains the "gold standard" in breast imaging, however. Its ability to detect clinically occult disease makes it the superior imaging technique in the breast, and the only technique indicated for screening. In light of the information presented in this article, it is hoped that the trend away from mammography in favor of so-called "noninvasive" breast imaging techniques will be reversed until such time that the efficacy of these other modalities has been proven. A proper process for the evaluation and clinical testing of the newer breast imaging modalities has been defined. Using this as a guideline, it is hoped that the indiscriminate clinical use of unproven techniques will be avoided.