Effect analysis of Xiaoyong decoction combined with breast massage in the treatment of lactational stagnation-type acute mastitis
10.3969/j.issn.1673-9701.2024.27.004
- VernacularTitle:消痈汤联合手法通乳治疗哺乳期郁滞型急性乳腺炎的效果分析
- Author:
Dongmei QU
1
;
Zhen YANG
Author Information
1. 丽水市中医院乳腺病科,浙江丽水 323000
- Keywords:
Lactational acute mastitis;
Stagnation-type;
Xiaoyong decoction;
Breast massage;
Inflammatory factors;
Mass
- From:
China Modern Doctor
2024;62(27):17-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the curative effect of Xiaoyong decoction combined with breast massage on patients with lactational stagnation-type acute mastitis.Methods Eighty patients with lactational stagnation-type acute mastitis admitted to Lishui Hospital of Traditional Chinese Medicine from January to October 2023 were prospectively selected and divided into Xiaoyong decoction group and combined group according to random number method,with 40 cases in each group.Xiaoyong decoction orally was taken in Xiaoyong decoction group,combined group was given breast massage on the basis of Xiaoyong decoction group,and the clinical efficacy of two groups was compared.Pain,mass size,mass number and inflammatory factors before treatment,after 1 course of treatment and after 2 courses of treatment in two groups were compared;The long term curative effect of abscess,lactation and recurrence were compared between two groups.Results The total clinical effective rate was 80.00％in Xiaoyong decoction group and 95.00％in combined group,which in combined group was higher than that in Xiaoyong decoction group(x2=4.114,P=0.043).Visual analogue scale score,mass size score and mass number score in combined group were lower than those in Xiaoyong decoction group(P＜0.05),after 2 courses of treatment.Procalcitonin and C-reactive protein in combined group were lower than those in Xiaoyong decoction group(P＜0.05).The leukocyte and neutrophil counts in combined group were lower than those in Xiaoyong decoction group(P＜0.05).The recurrence rate of combined group(5.00％)was lower than that of Xiaoyong decoction group(20.00％)(x2=4.114,P=0.043).Conclusion The combination of Xiaoyong decoction and breast massage can significantly improve the short-term and long-term curative effect,reduce pain and eliminate lumps,inhibit inflammation and reduce recurrence in the treatment of lactational stagnation-type acute mastitis patients,which is worthy of application.
