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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26.	常庆龙, 张彦武, 贾国丛, 等.哺乳期急性乳腺炎诊疗体会[J].中国医药导报, 2010, 7(15):166-167.

1. 叶静, 黎贵湘.六合丹外敷治疗早期哺乳期乳腺炎的疗效观察[J].现代中西医结合杂志, 2013, 22(2):185-186.
2. 徐增祥, 史常旭.现代妇产科治疗学[M].北京:人民军医出版社, 2002:639-640.
3. 刘新美.消炎止痛膏辅以红外线照射治疗乳腺炎疗效观察[J].实用医技杂志, 2008, 11(31):4502-4503.
4. 纪彩卿, 张德峰, 纪会娟, 等.中药导入并捋推乳房治疗哺乳期早期乳腺炎的疗效观察[J].河北中医, 2009, 31(2):181-183.
5. 许荣华, 李云山.剖宫产术后影响母乳喂养的因素及干预措施[J].中国妇幼保健, 2008, 23(27):3810-3811.
6. 马祥君, 汪洁, 孔令伟, 等.哺乳期急性乳腺炎四级预防方案研究的可行性[J].中国妇幼保健, 2010, 25(17):332.
7. 吴在德, 吴肇汉.外科学[M].第6版.北京:人民卫生出版社, 2003:324.
8. 陆德铭.实用中医乳房病学[M].上海:上海中医药大学出版社, 1993:83-85.
9. 裘法祖.外科学[M].第4版.北京:人民卫生出版社, 1995:319-320.
10. 曹伟新, 李乐之.外科护理学[M].第4版.北京:人民卫生出版社, 2010:234-235.
11. 李燕, 孙建华.313药膏配合西医治疗急性乳腺炎的疗效观察和护理[J].中外健康文摘, 2012, 9(29):334-335.
12. 严仁英.妇女保健学[M].第2版.北京:学苑出版社, 1996:88-89.
13. 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社, 2002:278-281.
14. 石美鑫.实用外科学[M].第2版.北京:人民卫生出版社, 2003:641-642.
15. 邵志强.产后急性乳腺炎48例诊治体会[J].浙江中西医结合杂志, 2004, 14(10):615-616.
16. 何海红.光电离子治疗仪治疗哺乳期早期急性乳腺炎82例效果分析[J].医学理论与实践, 2011, 24(4):438-439.
17. 谢丽杰.中西医结合治疗急性乳腺炎的临床疗效观察(附100例报告)[J].齐齐哈尔医学院学报, 2012, 33(11):1456-1457.
18. 李伟娣, 杨桂兰, 李金娣.乳房按摩和中药治疗哺乳期急性乳腺炎的临床观察[J].中国实用医药, 2012, 7(20):177-178.
19. 赵淑文, 赵海军, 刘荣军, 等.中药免煎颗粒组方配合乳腺中频仪治疗乳腺疾病的效果观察[J].现代中西医结合杂志, 2012, 21(17):1849-1850.
20. 李艳君.自拟乳痈汤治疗急性乳腺炎186例[J].实用中医内科杂志, 2001, 15(4):45-46.
21. 温瑞兴.急性乳腺炎中药治疗概况[J].中医药图书情报, 1991, (1):9-11.
22. 杨玉珍, 李祥.中药外敷治疗急性乳腺炎66例疗效观察[J].河北中医, 2002, 24(11):820-821.
23. 雷载权.中华临床中药学[M].北京:人民卫生出版社, 1988:345-990.
24. 吴艳玲, 朴惠善.蒲公英的药理研究进展[J].时珍国医国药, 2004, 15(8):519-520.
25. 曾传蓉, 吴英英, 曾静.急性乳腺炎146例诊疗体会[J].井冈山医专学报, 2008, 15(1):52-53.
26. 常庆龙, 张彦武, 贾国丛, 等.哺乳期急性乳腺炎诊疗体会[J].中国医药导报, 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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