手法通乳联合火龙罐治疗对哺乳期急性乳腺炎患者疼痛程度及炎症反应的改善效果

周洁; 张斌斌; 余丽丽; 纵艳艳

doi:10.16766/j.cnki.issn.1674-4152.003882

手法通乳联合火龙罐治疗对哺乳期急性乳腺炎患者疼痛程度及炎症反应的改善效果

doi: 10.16766/j.cnki.issn.1674-4152.003882

天台县中医院妇产科，浙江台州 317200

基金项目:

浙江省中医药科技计划项目 2023ZL796

详细信息

通讯作者:
纵艳艳，E-mail：zongyan222@126.com

中图分类号: R655.8
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- 文章访问数: 7
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- 被引次数: 0
出版历程
- 收稿日期: 2024-11-04
- 网络出版日期: 2025-03-27

Improvement effect of manual lactation combined with Fire Dragon Jar on pain levels and inflammatory responses in patients with acute mastitis during lactation

Department of Obstetrics and Gynecology, Tiantai Hospital of Traditional Chinese Medicine, Taizhou, Zhejiang 317200, China

摘要

摘要: 目的探讨手法通乳联合火龙罐治疗对哺乳期急性乳腺炎的疗效，及其对患者疼痛程度及炎症反应的改善效果，为临床治疗提供借鉴。方法选取2023年1月—2024年6月天台县中医院治疗的117例哺乳期急性乳腺炎患者，采用随机数表法分成A组(58例)与B组(59例)，A组予以单纯手法通乳治疗，B组予以手法通乳联合火龙罐治疗。观察2组患者中医证候积分(皮肤发红、乳房疼痛、肿块数目、肿块大小、脓肿数目、体温)、疼痛程度(VAS评分)及炎症反应(白细胞计数、中性粒细胞计数、C反应蛋白)、中医证候疗效、综合疗效。结果治疗后，2组患者各项中医证候积分均降低(P＜0.05)，且B组治疗后中医证候积分均低于A组(P＜0.05)；2组治疗后VAS评分均降低(P＜0.05)，且B组治疗后VAS评分低于A组(P＜0.05)；2组治疗后的白细胞计数、中性粒细胞计数、C反应蛋白均降低(P＜0.05)，且B组治疗后白细胞计数、中性粒细胞计数、C反应蛋白均低于A组(P＜0.05)；B组中医证候疗效的总有效率为96.61%(57/59)，高于A组[84.48%(49/58)，P＜0.05]；B组综合疗效的总有效率为93.22%(55/59)，高于A组[79.31%(46/58)，P＜0.05]。结论手法通乳联合火龙罐治疗哺乳期急性乳腺炎的效果较好，可减轻患者症状，缓解疼痛，降低炎症反应，值得推行。
- 急性乳腺炎 /
- 手法通乳 /
- 火龙罐 /
- 哺乳期 /
- 疼痛程度 /
- 炎症反应
Abstract: Objective This study aims to explore the therapeutic effect of manual lactation combined with Fire Dragon Jar on acute mastitis during lactation, focusing on improvements in pain and inflammatory response to provide a reference for clinical treatment. Methods A total of 117 patients with acute mastitis during lactation at Tiantai Traditional Chinese Medicine Hospital from January 2023 to June 2024 were randomly divided into the group A (58 cases) and the group B (59 cases). The group A received simple manual lactation treatment, while the group B received manual lactation combined with Fire Dragon Jar. The study measured traditional Chinese medicine (TCM) syndrome scores (including skin redness, breast pain, lump size and number, number of abscesses, and body temperature), pain severity (VAS score), inflammatory response (white blood cell count, neutrophil count, C-reactive protein), TCM syndrome efficacy, and overall efficacy of two groups. Results After treatment, TCM syndromes decreased significantly in both groups (P < 0.05), with group B exhibiting lower scores than group A (P < 0.05). VAS scores also decreased in both groups (P < 0.05), and the VAS scores of the group B were lower than those of the group A after treatment (P < 0.05). Additionally, the white blood cell count, neutrophil count, and C-reactive protein in both groups decreased (P < 0.05), and the white blood cell count, neutrophil count, and C-reactive protein in the group B were lower than those in the group A after treatment (P < 0.05). The total effective rate for traditional Chinese medicine syndrome treatment in the group B was 96.61% (57/59), significantly higher than the group A of 84.48% (49/58, P < 0.05). The total effective rate for the group B comprehensive therapeutic effect was 93.22% (55/59), also higher than the group A of 79.31% (46/58, P < 0.05). Conclusion The combination of manual lactation and Fire Dragon Jar is effective in treatment of acute mastitis during lactation, alleviating symptoms, reducing pain, and decreasing inflammatory reactions. This approach is recommended for clinical practice.
- Acute mastitis /
- Technique for promoting lactation /
- Fire Dragon Jar /
- Lactation /
- Pain level /
- Inflammatory reaction

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表 1 2组哺乳期急性乳腺炎患者中医证候积分比较(x±s，分)

Table 1. Comparison of TCM syndrome scores between 2 groups of patients with acute mastitis during lactation(x±s, points)

组别	例数	皮肤发红		乳房疼痛		肿块数目		肿块大小		脓肿数目		体温
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
A组	58	7.16±1.05	2.75±0.47^b	7.03±1.17	3.06±0.52^b	4.20±0.87	1.31±0.35^b	6.94±0.89	1.92±0.21^b	2.16±0.35	0.94±0.20^b	2.20±0.37	0.91±0.23^b
B组	59	7.19±1.02	1.53±0.34^b	7.08±1.12	1.68±0.45^b	4.26±0.80	0.88±0.28^b	6.98±0.84	1.24±0.14^b	2.20±0.33	0.69±0.13^b	2.23±0.35	0.68±0.15^b
统计量		0.157^a	17.621^c	0.236^a	16.922^c	0.388^a	8.158^c	0.250^a	21.237^c	0.636^a	8.871^c	0.451^a	7.451^c
P值		0.876	＜0.001	0.814	＜0.001	0.698	＜0.001	0.803	＜0.001	0.526	＜0.001	0.653	＜0.001
注：^a为t值，^c为F值；与同组治疗前比较，^bP＜0.05。

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表 2 2组哺乳期急性乳腺炎患者疼痛程度比较(x±s，分)

Table 2. Comparison of pain intensity between two groups of patients with acute mastitis during lactation (x±s, points)

组别	例数	VAS评分
组别	例数	治疗前	治疗后
A组	58	6.15±1.32	2.62±0.68^b
B组	59	6.21±1.29	2.05±0.49^b
统计量		0.249^a	6.232^c
P值		0.804	＜0.001
注：^a为t值，^c为F值；与同组治疗前比较，^bP＜0.05。

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表 3 2组哺乳期急性乳腺炎患者炎症反应比较(x±s)

Table 3. Comparison of inflammatory responses between two groups of patients with acute mastitis during lactation(x±s)

组别	例数	白细胞计数(×10⁹/L)		中性粒细胞计数(×10⁹/L)		C反应蛋白(mg/L)
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
A组	58	14.54±1.76	9.88±1.02^b	0.85±0.13	0.66±0.08^b	40.54±7.11	22.58±5.23^b
B组	59	14.60±1.73	7.24±0.89^b	0.86±0.12	0.52±0.05^b	40.61±7.05	10.93±3.14^b
统计量		0.186^a	16.024^c	0.432^a	12.461^c	0.053^a	15.280^c
P值		0.853	＜0.001	0.666	＜0.001	0.957	＜0.001
注：^a为t值，^c为F值；与同组治疗前比较，^bP＜0.05。

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