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

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