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逍遥散联合手法排乳对哺乳期急性乳腺炎初期患者血清C反应蛋白及白细胞计数的影响
武启芸,曹凤微,王新颖,孙春雪,肖刚,曹中颖,冯小明
唐山妇幼保健院唐山 063000
摘要:
目的:探讨循经手法排乳治疗联合逍遥散对哺乳期急性乳腺炎初期患者血清C反应蛋白(CRP)及白细胞计数(WBC)的影响。方法:前瞻性分析2023年1月—2024年5月我院收治的哺乳期急性乳腺炎初期患者131例。按随机数字表法分组分为两组,对照组66例,观察组65例。对照组行常规循径手法排乳治疗,观察组采取循经手法排乳治疗联合逍遥散。比较两组临床疗效、乳汁排泄情况评分、乳房皮色评分、血清CRP及WBC水平,比较两组治疗前后的肝肾功能指标谷丙转氨酶(ALT)、谷草转氨酶(AST)、血肌酐(Scr)水平及不良反应发生率。结果:干预后,观察组总有效率达100.00%,显著高于对照组的83.33%,差异有统计学意义(P <0.05);观察组体温恢复正常时间为(1.5±0.4)d,短于对照组的(2.3±0.6)d;观察组VAS评分、乳汁排泄情况评分、乳房皮色评分均显著低于对照组,差异有统计学意义(P <0.05);观察组血清 CRP、WBC水平分别降至(3.42±1.25)mg/L、(6.16±1.24)×109/L,均低于对照组的(6.29±1.36)mg/L、(7.49±1.53)×109/L,差异有统计学意义(P <0.05)。两组治疗前后肝肾功能指标ALT、AST、Scr均无显著变化,组间比较差异无统计学意义(P >0.05);观察组轻微胃肠道不良反应发生率为3.08%(2/65),对照组无不良反应,两组差异无统计学意义(P >0.05)。结论:循经手法排乳治疗联合逍遥散可改善哺乳期急性乳腺炎初期患者血清CRP及WBC水平,提升对乳汁肿块、乳房皮色的改善效果。
关键词:  循经手法  逍遥散  哺乳期急性乳腺炎  C反应蛋白  白细胞计数
DOI:10.3969/j.issn.1007-6948.2026.02.009
投稿时间:2025-07-16
基金项目:
Effect of Xiaoyao powder on serum C-reactive protein and white blood cell levels in patients with early-stage lactational acute mastitis
WU Qi-yun,CAO Feng-wei,WANG Xin-ying
Tangshan Maternal and Child Health Care Hospital, Tangshan063000, China
Abstract:
Objective To investigate the effects of meridian-guided manual expression therapy combined with Xiaoyao powder on C-reactive protein (CRP) and white blood cell (WBC) levels in patients with acute mastitis during lactation. Methods A prospective analysis was conducted on 131 patients with early-stage lactational acute mastitis admitted to our hospital from January 2023 to May 2024. Patients were divided into two groups using a random number table method. The control group received conventional manual expression therapy, while the observation group was treated with meridian-guided manual expression therapy combined with Xiaoyao powder. The clinical efficacy, serum CRP and WBC levels were compared between the two groups. Results After intervention, the total effective rate of the observation group was 100.00%, which was significantly higher than 83.33% of the control group (P <0.05); the time to return to normal body temperature in the observation group was (1.5±0.4) days, which was shorter than (2.3±0.6) days in the control group (P <0.05); the Visual Analogue Scale (VAS) score, milk mass score and breast skin color score of the observation group were significantly lower than those of the control group (P <0.05); the serum CRP and WBC levels in the observation group decreased to (3.42±1.25) mg/L and (6.16±1.24)×109/L, respectively, which were lower than (6.29±1.36) mg/L and (7.49±1.53)×109/L in the control group (P <0.05). Conclusion Meridian-guided manual expression therapy combined with Xiaoyao powder can improve serum CRP and WBC levels in patients with acute mastitis during lactation, enhancing the effectiveness of improving milk swelling and breast skin color.
Key words:  Meridian technique  Xiaoyao powder  acute mastitis during lactation  C-reactive protein  white blood cell

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