Clinical Effect of Self-Made Traditional Chinese Medicine Iontophoresis in Treatment of Acute Lactation Mastitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGYa-juan ¹ , CHENEr-ying ² , ZHANGWei-qing ¹

1. Department of Women Health Care, Langfang Maternal and Child Health-Care Hospital, Langfang 065000, Hebei Province, China;
2. Department of Women Health Care, MCH Hospital of Langfang City, Langfang 065000, Hebei Province, China;

Corresponding?author：

ZHANGYa-juan, Email: 1141981933@qq.com

Keywords：

Self-made Chinese medicine; Acute lactation mastitis; Photoelectric ion therapeutic apparatus; Effect; Breastfeeding

DOI：

10.7507/1007-9424.20140009

Video：

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Objective To assess effect of the self-made traditional Chinese medicine iontophoresis in treatment of acute lactation mastitis. Methods Two hundred cases of acute lactation mastitis who were treated in Langfang Maternal and Child Health-Care Hospital from Apr.to Nov.in 2012 were divided into traditional Chinese medicine group and control group by number of cases, each group enrolled 100 cases.The cases of traditional Chinese medicine group were treated with traditional Chinese medicine iontophoresis by using photoelectric ion therapeutic apparatus, and cases of control group were treated with 0.9% saline iontophoresis by using the same device.All of the 200 cases were treated with 1-3 courses (5 days per course), 2 times per day, and every time needed 30 minutes.At the same time, cases were educated the breast-feeding knowledge.Effect evaluation was performed after 1 course and 3 courses of treatment.The cases who were not cured after 3 courses needed to weaning, and needed to receive abscess incision drainage surgery.In 3 months after stopping therapy, telephone interview was performed to investigate the situation of recurrence. Results After 1 course of treatment, the effect was as follows:recovery in 89 cases, effective in 6 cases, invalid in 5 cases, and the total effective rate was 89%(89/100) in traditional Chinese medicine group; recovery in 71 cases, effective in 16 cases, invalid in 13 cases, and the total effective rate was 87%(87/100) in control group.After 3 courses of treatment, the effect was as follows:recovery in 97 cases, invalid in 3 cases, and the total effective rate was 97%(97/100) in traditional Chinese medicine group; recovery in 86 cases, invalid in 14 cases, and the total effective rate was 86%(86/100) in control group.There were 3 cases and 14 cases underwent abscess incision drainage surgery in Chinese medicine group and control group respectively.The clinical effect of Chinese medicine group were better than that of control group in 1 course (χ²=3.96, P < 0.05) and 3 courses (χ²=7.78, P < 0.01) of treatment.The recurrence rate of Chinese medicine group and control group were 5%(5/100) and 35%(35/100) respectively, and the rate of control group was higher (χ²=28.13, P < 0.01). Conclusions Com-pared with 0.9% saline iontophoresis, the effect of traditional Chinese medicine iontophoresis in the treatment of acute lactation mastitis is better, which contribute to the breastfeeding.In addition, it is worth popularizing for that it can reduce the operation rate and recurrence rate effectively.

Citation： ZHANGYa-juan, CHENEr-ying, ZHANGWei-qing. Clinical Effect of Self-Made Traditional Chinese Medicine Iontophoresis in Treatment of Acute Lactation Mastitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 46-49. doi: 10.7507/1007-9424.20140009 Copy

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1. 葉靜, 黎貴湘.六合丹外敷治療早期哺乳期乳腺炎的療效觀察[J].現代中西醫結合雜志, 2013, 22(2):185-186.
2. 徐增祥, 史常旭.現代婦產科治療學[M].北京:人民軍醫出版社, 2002:639-640.
3. 劉新美.消炎止痛膏輔以紅外線照射治療乳腺炎療效觀察[J].實用醫技雜志, 2008, 11(31):4502-4503.
4. 紀彩卿, 張德峰, 紀會娟, 等.中藥導入并捋推乳房治療哺乳期早期乳腺炎的療效觀察[J].河北中醫, 2009, 31(2):181-183.
5. 許榮華, 李云山.剖宮產術后影響母乳喂養的因素及干預措施[J].中國婦幼保健, 2008, 23(27):3810-3811.
6. 馬祥君, 汪潔, 孔令偉, 等.哺乳期急性乳腺炎四級預防方案研究的可行性[J].中國婦幼保健, 2010, 25(17):332.
7. 吳在德, 吳肇漢.外科學[M].第6版.北京:人民衛生出版社, 2003:324.
8. 陸德銘.實用中醫乳房病學[M].上海:上海中醫藥大學出版社, 1993:83-85.
9. 裘法祖.外科學[M].第4版.北京:人民衛生出版社, 1995:319-320.
10. 曹偉新, 李樂之.外科護理學[M].第4版.北京:人民衛生出版社, 2010:234-235.
11. 李燕, 孫建華.313藥膏配合西醫治療急性乳腺炎的療效觀察和護理[J].中外健康文摘, 2012, 9(29):334-335.
12. 嚴仁英.婦女保健學[M].第2版.北京:學苑出版社, 1996:88-89.
13. 鄭筱萸.中藥新藥臨床研究指導原則[M].北京:中國醫藥科技出版社, 2002:278-281.
14. 石美鑫.實用外科學[M].第2版.北京:人民衛生出版社, 2003:641-642.
15. 邵志強.產后急性乳腺炎48例診治體會[J].浙江中西醫結合雜志, 2004, 14(10):615-616.
16. 何海紅.光電離子治療儀治療哺乳期早期急性乳腺炎82例效果分析[J].醫學理論與實踐, 2011, 24(4):438-439.
17. 謝麗杰.中西醫結合治療急性乳腺炎的臨床療效觀察(附100例報告)[J].齊齊哈爾醫學院學報, 2012, 33(11):1456-1457.
18. 李偉娣, 楊桂蘭, 李金娣.乳房按摩和中藥治療哺乳期急性乳腺炎的臨床觀察[J].中國實用醫藥, 2012, 7(20):177-178.
19. 趙淑文, 趙海軍, 劉榮軍, 等.中藥免煎顆粒組方配合乳腺中頻儀治療乳腺疾病的效果觀察[J].現代中西醫結合雜志, 2012, 21(17):1849-1850.
20. 李艷君.自擬乳癰湯治療急性乳腺炎186例[J].實用中醫內科雜志, 2001, 15(4):45-46.
21. 溫瑞興.急性乳腺炎中藥治療概況[J].中醫藥圖書情報, 1991, (1):9-11.
22. 楊玉珍, 李祥.中藥外敷治療急性乳腺炎66例療效觀察[J].河北中醫, 2002, 24(11):820-821.
23. 雷載權.中華臨床中藥學[M].北京:人民衛生出版社, 1988:345-990.
24. 吳艷玲, 樸惠善.蒲公英的藥理研究進展[J].時珍國醫國藥, 2004, 15(8):519-520.
25. 曾傳蓉, 吳英英, 曾靜.急性乳腺炎146例診療體會[J].井岡山醫專學報, 2008, 15(1):52-53.
26. 常慶龍, 張彥武, 賈國叢, 等.哺乳期急性乳腺炎診療體會[J].中國醫藥導報, 2010, 7(15):166-167.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Effect of Self-Made Traditional Chinese Medicine Iontophoresis in Treatment of Acute Lactation Mastitis

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