Effect of TCM Nursing on Acute Mastitis During Lactation
中医辨证护理对哺乳期急性乳腺炎疗效的影响

摘要

目的 在哺乳期急性乳腺炎的护理过程中采用中医辨证护理的影响和效果。方法 本次研究对象为我院2019年9月-2020年3月收治的哺乳期急性乳腺炎患者共120例，按照比例分为观察组和对照组各60例，对照组患者在治疗过程中采用常规护理方式，观察组患者在治疗过程中采用中医穴位推拿乳房以及中药辨证共同治疗。在对两组患者治疗完毕后对其疾病疗效进行对比，其中对比的内容有：哺乳期急性乳腺炎肿胀症状、疼痛症状以及在治疗过程中体温不持续升高的具体时间，并且在治疗后对患者的白细胞、c反应蛋白检测水平进行检查和比较，观察患者在护理过程中的不良反应。结果 通过对两组患者不同的护理方式进行比较发现，观察组在护理过程中的护理疗效是高于对照组的，同时对两组的白细胞计数以及c反应蛋白检测水平进行比较后发现，观察组的该指标变化幅度更大；在护理过程中对患者进行观察后发现，观察组的患者肿胀症状、疼痛症状、提问升高症状消失时间等各方面的表现都优于对照组，以上两组组间差异符合统计学意义的评判标准（P＜0.05）。结论 在对哺乳期急性乳腺炎进行治疗时，采取中医辨证护理所取得的效果更佳，并且可以将患者的症状和炎症发生时间进行控制，值得在临床护理中被应用和推广。

Abstract

Objective: In the nursing process of breast-feeding acute mastitis, the influence and effect of TCM syndrome differentiation nursing.
Methods: The subjects of this study are 120 breast-feeding acute mastitis patients who were admitted to our hospital from September 2019 to March 2020. They were divided into an observation group and a control group with 60 cases each. The control group was in the process of treatment Using conventional nursing methods, patients in the observation group were treated with traditional Chinese medicine acupoint massage breasts and Chinese medicine syndrome differentiation. After the treatment of the two groups of patients, the efficacy of the disease was compared. The content of the comparison included: the symptoms of acute mastitis during lactation, the symptoms of pain, and the specific time during which the body temperature did not continue to rise during the treatment. The patient's white blood cell and c-reactive protein detection levels are checked and compared to observe the patient's adverse reactions during the nursing process.
Results: By comparing the different nursing methods of the two groups of patients, it was found that the nursing efficacy of the observation group during the nursing process was higher than that of the control group. At the same time, the white blood cell count and c-reactive protein detection level of the two groups were compared. The change of this index in the group was greater; after observing the patients during the nursing process, it was found that the patients in the observation group performed better than the control group in terms of swelling symptoms, pain symptoms, and disappearance time of rising questions. The differences between groups met the criteria of statistical significance (P<0.05).
Conclusion  : In the treatment of breast-feeding acute mastitis, the effect of TCM syndrome differentiation nursing is better, and the patient's symptoms and inflammation can be controlled. It is worthy of being applied and promoted in clinical nursing.