中西医护理联合心理干预对哺乳期急性乳腺炎患者的临床疗效观察

刘球莲 方蓉 贺应军

【摘要】

目的：觀察中西医护理联合心理干预对哺乳期急性乳腺炎患者的临床疗效，比较其与常规护理疗效之优劣。方法：选取广西中医药大学第三附属医院普通外科2018年10月～2019年8月住院治疗的113例哺乳期急性乳腺炎患者，按照随机数字表法分为联合护理组及常规护理组，其中联合护理组患者56例，常规护理组患者57例，常规护理组患者实施普通外科常规护理，联合护理组患者在普通外科常规护理基础上实施中西医护理，包括健康宣教、吸奶、中医手法按摩、中药外敷护理，同时予患者进行心理干预，2组患者均未予抗生素治疗。结果：经干预后，联合护理组患者乳房皮肤红肿消退时长为（2.8±0.6）天，血常规白细胞降至正常水平时长为（4.2±1.4）天，住院时长为（5.3±1.7）天;常规护理组患者乳房皮肤红肿消退时长为（5.2±0.6）天，血常规白细胞降至正常水平时长为（7.5±1.1）天，住院时长为（11.7±3.6）天，联合护理组与常规护理组对比存在显著差异（P<0.05）;同时经护理干预后，常规护理组患者的退乳率为36.84%（21/57），联合护理组患者的退乳率为5.36%（3/56），2组差异显著（P<0.05）。结论：中西医护理联合心理干预能够较快缓解或改善哺乳期急性乳腺炎患者的临床症状，同时有效降低退乳率，明显提升哺乳期急性乳腺炎患者的临床治疗效果。

【关键词】中西医护理;心理干预;哺乳期急性乳腺炎;临床观察

[Abstract] 

Objective：To observe the clinical effect of traditional Chinese and western medicine nursing combined with psychological intervention on patients with acute mastitis during lactation， and to compare the advantages and disadvantages of conventional nursing care. Methods：A total of 113 lactating patients with acute mastitis were hospitalized in the Department of General Surgery of the Third Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from October 2018 to August 2019. Fifty-six patients in the combined care group， 57 patients in the conventional care group， and conventional surgery in the general care group. Traditional and western medicine nursing based on general surgery in the combined care group， including health education， breast pumping， and traditional Chinese massage 2. Chinese medicine was applied externally and the patients were given psychological intervention at the same time. Both groups of patients were not treated with antibiotics. Results： After the intervention， the duration of breast skin redness and swelling subsided in the combined care group was （2.8 ± 0.6） days， the length of routine blood leukocytes reduced to normal levels was （4.2 ± 1.4） days， and the length of hospital stay was （5.3 ± 1.7） days; routine The duration of breast skin redness and swelling subsided in the nursing group was （5.2 ± 0.6） days， the normal blood leukocytes decreased to the normal level （7.5 ± 1.1） days， and the length of hospital stay was （11.7 ± 3.6） days. The comparison between the combined nursing group and the conventional nursing group There was a significant difference （P <0.05）; after nursing intervention， the weaning rate of patients in the conventional care group was 36.84% （21/57）， and that of the combined care group was 5.36% （3/56）. 2 The difference was significant in the group （P <0.05）. Conclusion： Traditional Chinese and western medicine nursing combined with psychological intervention can quickly alleviate or improve the clinical symptoms of patients with acute mastitis during lactation， effectively reduce the rate of weaning， and significantly improve the clinical treatment effect of patients with acute mastitis during lactation.

[Key words] Chinese and Western Medicine Nursing; Psychological intervention; Acute mastitis during lactation; Clinical observation

【中图分类号】 R197.3        【文献标识码】B     【文章编号】2095-6851（2020）06-186-01

哺乳期急性乳腺炎（Acute mastitis during lactation）是女性哺乳期常見的乳房急性化脓性病变[1]，是导致哺乳期体温升高的重要原因之一，最常见于乳汁充足的初产妇[2]。常因婴儿咬破乳头感染、挤压乳房、乳汁淤积难出造成，一旦失治误治，极易进一步发展，严重者甚至造成脓毒症[3]。其极易造成退乳，或产生积乳，严重影响了哺乳期女性及婴幼儿的生活质量及健康[4]。对哺乳期急性乳腺炎进行护理干预极其重要，有研究表明，护理干预可显著改善哺乳期急性乳腺炎症状，提高其生活质量[5]。……