背部低频电刺激配合如意金黄散和手法按摩治疗哺乳期急性乳腺炎患者的疗效观察

doi:10.3760/cma.j.cn441417-20240628-04019

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (4): 618-622.DOI: 10.3760/cma.j.cn441417-20240628-04019

背部低频电刺激配合如意金黄散和手法按摩治疗哺乳期急性乳腺炎患者的疗效观察

钟意敏李文芳黄焕容郑洁如冼海燕

广州市番禺区妇幼保健院妇女保健科，广州 511400

收稿日期:2024-06-28 出版日期:2025-02-15 发布日期:2025-02-24
通讯作者: 钟意敏，Email：376858278@qq.com
基金资助:
国家卫生健康委医药卫生科技发展研究中心科技重大专项纵向子课题（HDSL202001013）

Observation on effect of low frequency electrical stimulation on back combined with Ruyi Jinhuang Powder for patients with acute mastitis during lactation period

Zhong Yimin, Li Wenfang, Huang Huanrong, Zheng jieru, Xian Haiyan

Panyu Maternal and Child Care Service Center, Guangzhou 511400, China

Received:2024-06-28 Online:2025-02-15 Published:2025-02-24
Contact: Zhong Yimin, Email: 376858278@qq.com
Supported by:
Longitudinal Sub-project of Major Special Program of Science and Technology Supported by Development and Research Center of Medical and Health Science and Technology, National Health Commission (HDSL202001013)

摘要/Abstract

摘要：

目的　观察背部低频电刺激配合如意金黄散外敷和手法按摩治疗哺乳期急性乳腺炎患者的效果。方法　选取2023年3月至12月在广州市番禺区妇幼保健院诊断为哺乳期急性乳腺炎的70例患者进行回顾性研究。按照不同治疗方法分为对照组及观察组，各为35例。对照组：年龄（27.46±3.36）岁，单侧疼痛19例，双侧疼痛16例；采用如意金黄散外敷配合手法按摩。观察组：年龄（27.16±3.52）岁，单侧疼痛17例，双侧疼痛18例；采用背部低频电刺激配合如意金黄散外敷和手法按摩治疗。两组均连续治疗3 d。对比两组患者治疗效果，治疗前后炎症水平和不良反应发生情况。统计学方法采用t检验。结果　观察组患者体温恢复时间、乳房肿痛消失时间、通乳时间和肿块消失时间均短于对照组［（1.02±1.02）d比（2.89±1.25）d、（2.01±1.30）d比（3.89±1.45）d、（1.00±0.31）d比（2.89±0.78）d、（2.03±1.04）d比（4.78±1.36）d］，差异均有统计学意义（t=6.163、8.415、6.487、7.102，均P<0.05）。治疗后，观察组患者C反应蛋白（CRP）、白细胞（WBC）计数、中性粒细胞百分比（NEUT%）水平均低于对照组［（3.00±1.03）mg/L比（8.23±1.25）mg/L、（6.10±1.22）×10⁹/L比（9.85±1.45）×10⁹/L、（23.11±9.42）%比（35.15±10.02）%］，差异均有统计学意义（t=8.664、8.265、9.184，均P<0.05）。两组患者均无并发症发生。结论　哺乳期急性乳腺炎患者应用背部低频电刺激联合如意金黄散外敷和手法治疗疗效显著，对炎性改变有积极影响，且有安全性。

关键词:

乳腺炎, 背部低频电刺激, 如意金黄散, 手法按摩, 疗效

Abstract:

Objective　To observe the effect of manual massage combined with low frequency electrical stimulation on the back and external application of Ruyi Jinhuang Powder in the treatment of patients with acute mastitis during lactation period. Methods　A total of 70 patients with acute mastitis during lactation period diagnosed at Panyu Maternal and Child Care Service Center from March to December 2023 were selected as the study objects. According to the treatment methods, they were divided into a control group and an observation group, with 35 cases in each group. The control group were (27.46±3.36) years old; 19 cases had pain on one side, and 16 cases on both sides. The observation group were (27.16±3.52) years old; 17 cases had pain on one side, and 18 cases on both sides. The control group were treated with manual massage and external application of Ruyi Jinhuang Powder; in addition, the observation group were treated with low-frequency electrical stimulation on the back. Both groups were treated for 3 d. The therapeutic effects, inflammation levels before and after the treatment, and the incidence rates of adverse reactions were compared between the two groups. t test was used for the statistical analysis. Results　The recovery time of body temperature, time for disappearance of breast swelling pain, milk clearing time, and swelling disappearance time in the observation group were shorter than those in the control group [(1.02±1.02) d vs. (2.89±1.25) d, (2.01±1.30) d vs. (3.89±1.45) d, (1.00±0.31) d vs. (2.89±0.78) d, and (2.03±1.04) d vs. (4.78±1.36) d], with statistical differences (t=6.163, 8.415, 6.487, and 7.102; all P<0.05). The levels of C-reaction protein (CRP), white blood cell count (WBC), and percentage of neutropils (NEUT%) in the observation group were lower than those in the control group [(3.00±1.03) mg/L vs. (8.23±1.25) mg/L, (6.10±1.22)×10⁹/L vs. (9.85±1.45)×10⁹/L, and (23.11±9.42)% vs. (35.15±10.02)%], with statistical differences (t=8.664, 8.265, and 9.184; all P<0.05). No complications occurred in both groups. Conclusion　Low frequency electrical stimulation on back combined with Ruyi Jinhuang Powder for patients with acute mastitis during lactation period is effective and safe, and has positive effect on inflammatory changes.

Key words:

Mastitis, Low frequency electrical stimulation on the back, Ruyi Jinhuang , Powder, Manual massage, Efficacy

钟意敏李文芳黄焕容郑洁如冼海燕.

背部低频电刺激配合如意金黄散和手法按摩治疗哺乳期急性乳腺炎患者的疗效观察 [J]. 国际医药卫生导报, 2025, 31(4): 618-622.

Zhong Yimin, Li Wenfang, Huang Huanrong, Zheng jieru, Xian Haiyan.

Observation on effect of low frequency electrical stimulation on back combined with Ruyi Jinhuang Powder for patients with acute mastitis during lactation period [J]. International Medicine and Health Guidance News, 2025, 31(4): 618-622.

参考文献

[1] 乔楠,丁晓雯,倪毓生. 中西医结合治疗急性哺乳期乳腺炎并脓肿形成临床疗效观察[J]. 中华中医药杂志,2020,35(3):1580-1582.
[2] 许玉婷,孙惠芳,张丽平. 临床护理路径在急性乳腺炎患者中的应用研究[J]. 管理观察,2015(23):173-174,177. DOI:10.3969/j.issn.1674-2877.2015.23.068.
[3] 钟春嫦,王恩礼,郭海云,等. PDCA 循环管理对哺乳期急性乳腺炎初产妇并发症及其负性情绪的影响[J]. 护理研究,2015(22):2794-2795,2796. DOI:10.3969/j.issn.1009- 6493.2015.22.040.
[4] 杨文娇. 乳房手法按摩联合抗生素治疗哺乳期乳腺炎的临床研究[J]. 山西卫生健康职业学院学报,2023,33(1):42-43.
[5] 周振玉.如意金黄散外敷加乳腺区段切除治疗急性期浆细胞性乳腺炎[J].中国医药指南,2015,13(22):186-187.DOI:10.15912/j.cnki.gocm.2015.22.140.
[6] 中国妇幼保健协会乳腺保健专业委员会乳腺炎防治与促进母乳喂养学组. 中国哺乳期乳腺炎诊治指南[J/CD]. 中华乳腺病杂志(电子版),2020,14(1):10-14. DOI:10.3877/cma.j.issn.1674-0807.2020.01.005.
[7] 高桂艳,史立波,步玉辉,等. 手法按摩联合冷热敷交替治疗哺乳期乳腺炎疗效及对母乳喂养的影响[J]. 现代中西医结合杂志,2022,31(24):3444-3448. DOI:10.3969/j.issn. 1008-8849.2022.24.016.
[8] 李娟.通乳散结膏联合手法按摩对哺乳期乳腺炎患者血白细胞计数、C反应蛋白、降钙素原的影响[J].内蒙古中医药,2020,39(7):106-108.DOI:10.16040/j.cnki.cn15-1101. 2020.07.065.
[9] 左萍. 微波热疗联合手法按摩及中药熏蒸机外用康复新液熏蒸患处在哺乳期乳腺炎的疗效观察分析[J]. 糖尿病天地,2020,17(1):67.
[10] 邵海丽. 手法按摩配合综合护理对哺乳期急性乳腺炎患者疗效及生活质量的影响[J]. 中国民间疗法,2020,28(7):46-48. DOI:10.19621/j.cnki.11-3555/r.2020.0721.
[11] 吴冬娣,武彪. 中药外敷治疗肿块郁滞期哺乳期乳腺炎的临床应用研究[J]. 中国当代医药,2021,28(16):160-162,169. DOI:10.3969/j.issn.1674-4721.2021.16.045.
[12] 凌洁,刘慧,范洪桥,等. 矾冰纳米乳调和如意金黄散外敷配合手法通乳治疗早期急性乳腺炎的临床观察[J]. 时珍国医国药,2021,32(5):1147-1149. DOI:10.3969/j.issn. 1008-0805.2021.05.33.
[13] 牛兵,张居运,张铁军. 手法按摩治疗急性乳腺炎50例[J]. 世界中医药,2012,7(4):341. DOI:10.3969/j.issn.1673-7202. 2012.04.026.
[14] 唐璐霞. 乳腺导管灌注联合电刺激治疗对哺乳期乳腺炎患者的效果观察[J/CD]. 世界最新医学信息文摘(连续型电子期刊),2020,20(87):145-146. DOI:10.3969/j.issn. 1671-3141.2020.87.053.
[15] 郭友华,燕铁斌,CHRISTINA WY HUI-CHAN. 低频电刺激治疗脑卒中偏瘫患者的临床研究进展[J]. 中华物理医学与康复杂志,2005,27(8):507-509. DOI:10.3760/j:issn:0254-1424.2005.08.021.
[16] 燕铁斌.物理治疗学[M].北京:人民卫生出版社,2008:340-350.
[17] 张会敏. 低频脉冲电刺激治疗产褥期乳腺炎48例疗效观察[J]. 中国实用医刊,2013,40(19):122-123. DOI:10.3760/cma.j.issn.1674-4756.2013.19.065.
[18] 何光,刘晓. 天宗穴配合凤凰展翅针法治疗哺乳期急性乳腺炎初期22例[J]. 中国针灸,2021,41(9):1043-1044. DOI:10.13703/j.0255-2930.20200831-0004.
[19] 张冠男,张筱扬,李帅,等. 穴位贴敷联合药物治疗急性乳腺炎的研究[J]. 云南医药,2023,44(2):87-89.
[20] 何燕,任玉平. 酵面外敷联合低频脉冲治疗产后乳房生理性肿胀的效果观察[J]. 贵州医药,2018,42(3):368-369. DOI:10.3969/j.issn.1000-744X.2018.03.059.
[21] 陈乔, 高素金, 孙郁瑶, 等. 天宗穴病理"点"探析[J]. 中国民族民间医药, 2023, 32(21): 9-12.
[22] 田传文. 低频脉冲电磁疗对慢性紧张型头痛患者头痛程度及发作情况的影响 [J]. 医疗装备,2020,33(16):112-114. DOI:10.3969/j.issn.1002-2376.2020.16.068.
[23] 胡小丽. 低频电刺激联合针对性护理在产褥期急性乳腺炎的应用效果[J]. 实用临床医学(江西), 2021, 22(6): 72-74.
[24] 朱祥英, 张智锋, 刘仙. 五倍子芒硝外敷联合低频电刺激治疗乳汁淤积性急性乳腺炎临床研究[J]. 新中医, 2019, 51(12): 183-186.

背部低频电刺激配合如意金黄散和手法按摩治疗哺乳期急性乳腺炎患者的疗效观察

Observation on effect of low frequency electrical stimulation on back combined with Ruyi Jinhuang Powder for patients with acute mastitis during lactation period

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