Mesh : Child Female Humans Breast Feeding Mastitis / therapy Lactation Breast Empyema, Pleural

来  源:   DOI:10.1097/MD.0000000000036384   PDF(Pubmed)

Abstract:
BACKGROUND: Lactational mastitis is a common and frequently disease in clinical practice, characterized by acute inflammation of the mammary ducts and surrounding connective tissues. The main manifestations are damage to the mammary gland acini, edema, and invasion of inflammatory cells. If not treated properly, it may lead to the formation of breast abscesses, or even sepsis, septic shock, and chronic inflammation of the breast, which may cause the disease to persist or recur multiple times, so that the patients suffer extreme pain, and the health of both the mother and child are directly affected. This disease not only causes suffering for women but also may result in the cessation of breastfeeding. Therefore, rapid and effective treatment is particularly important.
METHODS: We report 3 cases of lactation mastitis patients showing good clinical efficacy after being treated with the Chinese medicine Gualou Xiaoyong soup and painless lactation promoting techniques. Gualou Xiaoyong soup combined with painless lactation promotion techniques can significantly reduce and eliminate the clinical symptoms of patients in the short term, and rapidly restore inflammatory indicators such as total white blood cells, neutrophils, C-reactive protein, and procalcitonin to normal levels. The patchy low echo area of the breast under B-ultrasound also disappears quickly. Therefore, we believe that this method is a good way to treat lactational mastitis and is worthy of clinical reference and research. However, this study has certain limitations: this study lacks a large sample of prospective controlled studies. Next, we will continue to collect relevant cases and conduct prospective case randomized controlled clinical studies.
CONCLUSIONS: The treatment of lactation mastitis with Gualou Xiaoyong soup and painless lactation promoting techniques can achieve good clinical results.
摘要:
背景:乳腺炎是临床实践中的常见病,以乳腺导管和周围结缔组织的急性炎症为特征。主要表现为乳腺腺泡损伤,水肿,和炎症细胞的入侵。如果治疗不当,它可能导致乳房脓肿的形成,甚至是败血症,感染性休克,和乳房的慢性炎症,这可能会导致疾病持续或多次复发,所以病人承受着极度的痛苦,母亲和孩子的健康都受到直接影响。这种疾病不仅会给妇女带来痛苦,还可能导致停止母乳喂养。因此,快速有效的治疗尤为重要。
方法:报告3例哺乳期乳腺炎患者,经中药瓜楼消勇汤和无痛泌乳技术治疗后,临床疗效良好。瓜楼小勇汤联合无痛促泌乳技术可在短期内明显减轻和消除患者的临床症状,并迅速恢复炎症指标,如白细胞总数,中性粒细胞,C反应蛋白,和降钙素原达到正常水平.B超下乳腺斑片状低回声区也迅速消失。因此,我们认为该方法是治疗哺乳期乳腺炎的好方法,值得临床借鉴和研究。然而,本研究有一定的局限性:本研究缺乏大样本的前瞻性对照研究.接下来,我们将继续收集相关病例,并进行前瞻性病例随机对照临床研究。
结论:挂楼消勇汤联合无痛促乳技术治疗哺乳期乳腺炎可取得较好的临床效果。
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