关于中药治疗哺乳期急性乳腺炎和乳腺脓肿的作用的信息是有限的;因此,本研究采用观察性研究,分析瓜楼消勇汤联合无痛哺乳手法治疗哺乳期急性乳腺炎及乳腺脓肿的临床疗效。本研究纳入了2021年10月至2022年10月期间41例哺乳期急性乳腺炎和乳腺脓肿患者,这些患者均采用瓜楼消勇汤和无痛哺乳手法治疗。年龄,胎儿时间(初产/多胎),分娩方式(剖宫产/阴道分娩),发病时间,乳房肿块直径,皮疹直径,体温,视觉模拟评分,血常规,C反应蛋白,降钙素原,牛奶中的细菌培养,对这些患者的B超等数据进行统计学分析。治疗后,这些患者的乳房肿块直径明显下降,皮疹直径减小或消失,体温下降或恢复到正常范围,视觉模拟评分也有所下降。此外,这些患者的白细胞总数减少,中性粒细胞百分比减少,C反应蛋白,治疗后降钙素原。此外,大多数病人牛奶中的细菌消失了,B超无异常。除2例乳腺脓肿患者分别在患侧停止母乳喂养1天和3天外,所有其他患者继续为婴儿提供母乳,在这些婴儿中没有观察到不良反应。在哺乳期急性乳腺炎及乳腺脓肿的治疗中,采用瓜楼消勇汤联合无痛哺乳手法可取得良好的临床效果。这种综合疗法有很好的疗效,短期治疗,低成本,以及避免疼痛的极大便利,住院治疗,对泌乳的影响,乳房瘢痕和其他不良后果。
Information on the effects of Chinese medicine in the treatment of lactational acute mastitis and breast abscess is limited; thus, we conducted an observational
study to analyze the clinical efficacy of Gualou Xiaoyong Decoction combined with painless lactation manipulation in the treatment of lactational acute mastitis and breast abscess. A total of 41 patients with lactational acute mastitis and breast abscess who were treated with Gualou Xiaoyong Decoction and painless lactation manipulation from October 2021 to October 2022 were included in this
study. The age, fetal times(primiparous/multiparous), delivery mode (cesarean section/vaginal delivery), onset time, breast lump diameter, skin rash diameter, body temperature, visual analogue score, blood routine, C-reactive protein, procalcitonin, bacterial culture in milk, B ultrasound and other data of these patients were statistically analyzed. After treatment, the breast lump diameter of these patients decreased significantly, the skin rash diameter was reduced or disappeared, the body temperature decreased or returned to a normal range, and the visual analogue score also decreased. Besides, these patients had a decreased total number of white blood cells and a reduced percentage of neutrophils, C-reactive protein, and procalcitonin after treatment. In addition, bacteria in the milk of most patients disappeared, and there was no abnormality in B ultrasonic imaging. Except for 2 patients with breast abscess who stopped breastfeeding on the affected side for 1 day and 3 days respectively, all other patients continued to provide breast milk for their infants, and no adverse reactions were observed in these infants. The combination of Gualou Xiaoyong Decoction and painless lactation manipulation can achieve favorable clinical effects in the treatment of lactational acute mastitis and breast abscess. This combined therapy has good efficacy, short course of treatment, low costs, and great convenience with the avoidance of pain, hospitalization, influence on lactation, breast scar and other adverse outcomes.