Clinical therapeutic efficacy of massage acupoint pressing plus bloodletting in the treatment of postpartum acute mastitis
CHEN Pengdian1 CHEN Qiulan1▲ NING Yan1 BEI Jianhong1 LIU Fang1 LING Wenli1 ZHU Yueming2 CHEN Jilong2
1.Department of Traditional Chinese Medicine, Shenzhen Maternity & Child Healthcare Hospital Affiliated to Southern Medical University, Guangdong Province, Shenzhen 518028, China;
2.the Fourth Clinical Medical College, Guangzhou University of Chinese Medicine, Guangdong Province, Shenzhen 518033, China
Abstract：Objective To explore the clinical therapeutic effects of massage acupoint pressing plus bloodletting in the treatment of postpartum acute mastitis. Methods Total 200 cases of patients with postpartum acute mastitis treated in Department of Traditional Chinese Medicine, Shenzhen Maternity & Child Healthcare Hospital Affiliated to Southern Medical University from January 2016 to January 2017 were randomized into treatment group and control group by random number table method, with 100 cases in each group. In the control group, massage acupoint pressing was applied; in the treatment group, massage acupoint pressing plus bloodletting was used, with the therapeutic sessions as two weeks. The mass sizes, symptom scores and the clinical therapeutic effects between the two groups were compared. Results The cured rate was 86.00% in the treatment group, and 67.00% in the control group, with highly significant differences between the two groups (P ＜ 0.01). The total effective rate was 93.00% in the treatment group, and 90.00% in the control group, with no significant difference between the two groups (P ＞ 0.05). After treatment, the mass sizes and the symptom scores in both groups were obviously decreased compared with those before treatment, with significant differences (P ＜ 0.01). After treatment, the mass sizes and the symptom scores in the treatment group were apparently lower than those in the control group, with significant differences (P ＜ 0.05, P ＜ 0.01). Conclusion Massage acupoint pressing plus bloodletting has definite effects in the treatment of postpartum acute mastitis, which can obviously improve the clinical symptom scores and the breast mass sizes, enhance the quality of life, with better effects than the simple massage acu-point pressing therapy.
[1] Cullinane M，Amir LH，Donath SM，et al. Determinants of mastitis in women in the CASTLE study：a cohort study [J]. BMC Fam Pract，2015，16：181.
[2] Witt AM，Bolman M，Kredit S，et al. Therapeutic Breast Massage in Lactation for the Management of Engorgement，Plugged Ducts，and Mastitis [J]. J Hum Lact，2016， 32（1）：123-131.
[3] Witt A，Mason MJ，Burgess K，et al. A case control study of bacterial species and colony count in milk of breastfeeding women with chronic pain [J]. Breastfeed Med，2014， 9（1）：29-34.
[4] 肖道梅，王俊玲，滕辉，等.微波加中药外敷治疗急性乳腺炎形成僵块后的疗效观察[J].四川中医，2013，31（6）：117-118.
[5] 刘志良，滕辉，肖道梅，等.中医外治法治疗早期乳痈40例疗效观察[J].天津中医药，2010，27（5）：355.
[6] 钟春嫦，刘洁玲，郭海云，等.自制中药外敷法对哺乳期急性乳腺炎的疗效观察[J].中国妇幼保健，2015，30（12）：1960-1961.
[7] 熊芳梅，唐荣妹，郑芸.热敷与穴位按摩对初产妇乳房胀痛及泌乳的影响[J].中国当代医药，2015，22（15）：88-90.
[8] 方锦莲.手法乳房按摩联合低频脉冲治疗仪对产褥期母乳喂养及预防乳腺炎的影响[J].中国当代医药，2016，23（11）：63-68.
[9] 樊其秀，张会芹，丁洁.仙人掌外敷治疗急性乳腺炎疗效观察[J].中国医药导报，2008，5（36）：77.
[10] 陈秋兰，朱社宁，佘宝钻，等.按摩配合放血拔火罐促进产后乳汁分泌的临床研究[J].世界中医药，2013，8（7）：764-766.
[11] 陈秋兰，贝剑宏，蔡贤兵，等.点穴按摩对促进产后乳汁分泌的疗效观察[J].四川中医，2014，32（11）：159-161.
[12] 李乃卿.西医外科学[M].北京：中国中医药出版社，2008： 507-510.
[13] 郑筱萸.中药新药临床研究指导原则（试行）[M].北京：中国医药科技出版社，2002：278-281.
[14] 张丽莉.手法排乳治疗乳汁淤积引起的急性乳腺炎疗效的临床观察[D].哈尔滨：黑龙江中医药大学，2012.
[15] 丁蓉，钟春嫦，刘洁玲，等.中药外敷结合手法与微波治疗哺乳期急性乳腺炎的临床研究[J].实用中西医结合临床，2013，13（5）：32-33.
[16] 任变英，曾美玲，林敏，等.七星针配合揉抓排乳治疗急性乳腺炎初期临床研究[J].四川中医，2016，34（1）：191-193.
[17] 李冰凌.中医内外综合疗法治疗产褥期乳痈的临床疗效观察[J].陕西中医，2015，36（10）：1292-1293.
[18] 陈少君，罗建国，刘佩姿，等.中医手法治疗急性乳腺炎的临床观察和研究[J].中国现代药物应用，2017，11（5）：26-28.
[19] 彭粉花，云海霞.揉散法合芒硝外敷治疗急性乳腺炎初期的临床观察[J].中医药导报，2015，21（10）：78-80.
[20] 易剑锋，叶蓁蓁，易华，等.揉抓排乳联合中药外敷治疗非脓肿期急性哺乳期乳腺炎临床研究[J].新中医，2017， 49（4）：81-84.
[21] 陈秋兰，陈鹏典，杨卓欣，等.按摩联合放血拔火罐治疗产后乳房肿块35例[J].福建中医药，2015，46（4）：37-38.
2017, Vol. 14 
京公网安备 11010502046598号