急性早期哺乳期乳腺炎中西医治疗方案的临床对比研究

目的 观察对比中医综合治疗和西医常规治疗急性早期哺乳期乳腺炎的疗效.方法 选取2018年1月-2019年10月于北京市丰台区南苑医院普外科就诊的急性早期哺乳期乳腺炎患者60例,根据随机数表法随机分成中医治疗组和西医治疗组,每组30例.中医治疗组内服、外敷中药方剂,配合手法通乳;西医治疗组静脉滴注头孢呋辛钠、外敷50％硫...

Clinical comparative study of Chinese and western medicine treatment for acute early lactation mastitis

  Objective  To observe and compare the effect of comprehensive treatment of traditional Chinese medicine and routine treatment of western medicine on acute early lactation mastitis.  Methods  A total of 60 patients with acute early lactation mastitis admitted to the General Surgery Department of Nanyuan Hospital, Fengtai District, Beijing from January 2018 to October 2019 were selected and randomly divided into the traditional Chinese medicine treatment group and the western medicine treatment group according to the random number table method, with 30 patients in each group. Traditional Chinese medicine treatment group were taken orally and applied externally, combined with the manipulation of lactation. Western medicine treatment group were intravenously infused of cefuroxime sodium, external application of 50% magnesium sulfate, combined with manual lactation and breast suction. The changes of overall efficacy, breast mass size, body temperature, white blood cell count, and CRP were evaluated in both groups after 3 days of treatment.  Results  The total effective rate of the traditional Chinese medicine treatment group and the Western medicine treatment group was 90% and 93%, respectively, with no statistical difference in the overall efficacy (Z=-0.301, P=0.764). Comparison between the two groups before and after treatment: body temperature, breast mass size, total number of white blood cells and CRP were statistically different (P < 0.05). The total number of white blood cells in the Western medicine treatment group was significantly lower than that in the traditional Chinese medicine treatment group, and the difference was statistically significant (t=5.425, P < 0.001).  Conclusion  For patients with acute early lactation mastitis, manual lactation therapy is indispensable. Traditional Chinese medicine treatment and Western medicine treatment of the same effect, but antibiotics anti-inflammatory effect is more obvious. Clinical treatment can be based on the patient's own situation and the requirements of breastfeeding to choose the appropriate treatment. For patients with heavy inflammation and large breast mass at the first visit, early appropriate use of antibiotics is beneficial for treatment, but further observation and statistical confirmation are needed.