吕氏八步排乳法治疗早期急性乳腺炎的临床研究.docVIP

吕氏八步排乳法取代抗生素治疗早期急性乳腺炎的应用价值探讨* 王亚冬，吕钢Δ，王婷，曾真，廖登辉，侯聪，王鸿林 （重庆市中医院乳腺甲状腺科，重庆 400021） 摘要：目的 观察吕氏八步排乳法治疗早期急性乳腺炎的临床效果。方法 将急性乳腺炎患者随机分为三组，A组予以吕氏八步排乳法治疗，B组予以抗生素治疗，C组予以吕氏八步排乳法联合抗生素治疗，治疗5天后观察各组总有效率、乳管疏通以及治疗后复发情况。结果 A组总有效率为95.5%，B组90.9%，C组96.1%，三组比较差异无统计学意义（P>0.05）；A组疏通效果优于B组及C组，三组比较差异有统计学意义（P<0.05）；A组、B组和C组的复发率分别为6.8%、30.3%和29.4%，三组比较差异有统计学意义（P<0.05）。结论 吕氏八步排乳法与抗生素具有相同的治疗效果，且治疗后复发率明显降低。 关键词：吕氏八步排乳法；急性乳腺炎；抗生素 Discussion on Plication Value of Lvshi Eight-step Row of Milk Method to Replace Antibiotic in Acute Mastitis of Early Stage WANG Ya-dong,LV Gang,WANG Ting,ZENG Zhen,LIAO Deng-hui,GAO Xia,HOU cong (Department of Breast and Thyroid of Traditional Chinese Medicine,Chongqing 400021,China) Abstract：Objective To observe the clinical effect of Lvshi eight-step row of milk method to replace antibiotic in patients with acute mastitis of early stage.Methods Patients with acute mastitis were assigned to A group(Lvshi eight-step row of milk)、B group（antibiotic treatment）and C group（Lvshi eight-step row of milk with antibiotic treatment）.The total effective rate、milk pipe dredge and relapse were observed after treatment -of five days.Results The total effective rate of group A、group B and group C were 95.5%,90.9%, and 96.1% respectively.There was no statistically difference between the three groups（P>0.05）.The dredge effect of group A was better than that of group B and group C.There was a statistically difference between the three groups（P<0.05）.The recurrence rate of group A、group B and group C were 6.8%、30.3% and 29.4% respectively.There was a statistically difference between the three groups（P<0.05）.Conclusion On early-stage acute mastitis,treatment can give priority to with lushi eight-step row milk method,auxiliary antibiotic treatment when necessary. Key words：Lvshi eight-step row of milk method;Acute mastitis;Antibiotic 周敏赵颖陈志伟 [11] Linda J Kvist.Re-examination of old truths: replication of a study to measure the incidence of lactational mastitis in breastfeeding women[J].Intern