Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 479-482
KANG Wen, MA Xiao-mei, REN Xiao-hua, WANG Ji-chen, LANG Lin, ZHANG Xiao-jun. Clinical comparative study of Chinese and western medicine treatment for acute early lactation mastitis[J]. Chinese Journal of General Practice, 2021, 19(3): 479-482. doi: 10.16766/j.cnki.issn.1674-4152.001840
Citation: KANG Wen, MA Xiao-mei, REN Xiao-hua, WANG Ji-chen, LANG Lin, ZHANG Xiao-jun. Clinical comparative study of Chinese and western medicine treatment for acute early lactation mastitis[J]. Chinese Journal of General Practice, 2021, 19(3): 479-482. doi: 10.16766/j.cnki.issn.1674-4152.001840
shu

Clinical comparative study of Chinese and western medicine treatment for acute early lactation mastitis

doi: 10.16766/j.cnki.issn.1674-4152.001840
  • 1.

    Department of General Surgery, Nanyuan Hospital, Fengtai District, Beijing 100076, China

Funds:

 Z171100001017105

  • Received Date: 2020-04-26
    Available Online: 2022-02-19
    Abstract
  •   Objective  To observe and compare the effect of comprehensive treatment of traditional Chinese medicine and routine treatment of western medicine on acute early lactation mastitis.  Methods  A total of 60 patients with acute early lactation mastitis admitted to the General Surgery Department of Nanyuan Hospital, Fengtai District, Beijing from January 2018 to October 2019 were selected and randomly divided into the traditional Chinese medicine treatment group and the western medicine treatment group according to the random number table method, with 30 patients in each group. Traditional Chinese medicine treatment group were taken orally and applied externally, combined with the manipulation of lactation. Western medicine treatment group were intravenously infused of cefuroxime sodium, external application of 50% magnesium sulfate, combined with manual lactation and breast suction. The changes of overall efficacy, breast mass size, body temperature, white blood cell count, and CRP were evaluated in both groups after 3 days of treatment.  Results  The total effective rate of the traditional Chinese medicine treatment group and the Western medicine treatment group was 90% and 93%, respectively, with no statistical difference in the overall efficacy (Z=-0.301, P=0.764). Comparison between the two groups before and after treatment: body temperature, breast mass size, total number of white blood cells and CRP were statistically different (P < 0.05). The total number of white blood cells in the Western medicine treatment group was significantly lower than that in the traditional Chinese medicine treatment group, and the difference was statistically significant (t=5.425, P < 0.001).  Conclusion  For patients with acute early lactation mastitis, manual lactation therapy is indispensable. Traditional Chinese medicine treatment and Western medicine treatment of the same effect, but antibiotics anti-inflammatory effect is more obvious. Clinical treatment can be based on the patient's own situation and the requirements of breastfeeding to choose the appropriate treatment. For patients with heavy inflammation and large breast mass at the first visit, early appropriate use of antibiotics is beneficial for treatment, but further observation and statistical confirmation are needed.

     

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