| Purpose To evaluate efficacy of the treatment of "Non-delactation+drainage of small incision surgery of breast abscess+Dracaena tabelts" for lactation mastitis abscess combined with thr clinical study data. The treatment of mastitis abscess combined in the lactating is explored without "Non-delactation". It will achieve the purpose of healing as quickly as possible, and not affect breast-feeding infants and young children. It isn't only accepted easily by the mother, but must also be worthy of clinical application.Methods Used of case control,retrospective study, to design a questionnaire of related factors, to gather the clinical data of the patients and outpatients of lactation mastitis abscess combined from January 2002 to January 2010 in Maternity and Child Health Hospital of handan city. Then we analyzed and collate the statistical data regarding to observed abscess healing time, inflammation subsided time,delactation, milk fistula, and other indicators by SPSS16.0.Results Data was obtained in a total of 60 cases.30 cases are treated with " Non-delactation+drainage of small incision surgery of breast abscess+Dracaena tabelts " integrated Chinese and Western medicine therapy in the treatment group.30 cases are treated with " Delactation+drainage of big incision surgery of breast abscess " Western medicine traditional therapy in the controlled group. The mean age of the treatment group is 26.63 years, while the mean age of the controlled group is 26.33 years. The age of two groups have no statistically significant difference (p=0.779>0.05). The average history of the treatment group is 17.03 days, while the average history of the controlled group is 10.97 days. The history of two groups have no statistically significant difference (P=0.148>0.05). The average inflammation area of the treatment group is 42.00cm2, while the average inflammation an area of the controlled group is 29.60cm2. The inflammation area of two groups have no statistically significant difference (P=0.063>0.05). The mean tumor size of the treatment group is 42.50cm, while the mean tumor size of the controlled group is 35.80cm. The tumor size of two groups have no statistically significant difference (P=0.185>0.05). The average amount of pus out of the treatment group is 99.33ml, while the average amount of pus out of the controlled group is 110.67ml. The pus discharge volume of two groups have no statistical significance (P=0.411>0.05). Promting:the age, history days, factors such as inflammation and abscess of two groups will not cause differences of therapeutic effect. The two groups are comparable.The patients of treatment and controlled groups were cured with no adverse reactions. The average bleeding time of the controlled group was 2.37days, while the average bleeding time of the treatment group was 1.77 days. The bleeding time of two groups have statistically significant difference (P=0.000<0.05). the bleeding time of treatment group was less than that of the control group. The average inflammation subsided time of the controlled group is 3.53 days, while the average inflammation subsided time of the treatment group is 2.80 days. The time difference of two groups between surgery inflammation subsided was statistically significant (P=0.008<0.05). The inflammation subsided time of the treatment group was less than that of the controlled group. The average pus subsided time of thre controlled group is 6.00 days, while the average time of the treatment group is 6.03 days. The postoperative pus subsided time difference of two groups was not statistically significant (P=0.915>0.05). The average healing time of controlled group was 15.97 days, while the average healing time of the treatment group was 17.63 days. The healing time of two groups have no significant difference (P=0.145>0.05).Conclusion The patients of two groups were all cured, with no adverse reactions. This indicates that two kinds of therapy for acute suppurative mastitis have a curative effect. The " Non-delactation+drainage of small incision surgery of breast abscess+Dracaena tabelts " therapy appears to be more effective than the " Delactation+drainage of big incision surgery of breast abscess " traditional therapy. The inflammation subside and bleeding time of the treatment group are shorter. The Pus fade time and wound healing time of the treatment group aren't longer. The breast scars were smaller. The patients felt less pain and took delight in accepting.This treatment was also valuable for breast-feeding infants and young children. The study shows:the " Non-delactation+drainage of small incision surgery of breast abscess+ Dracaena tabelts " treatment method can now be recommended for clinical application. |
PDF Full Text Request