丝瓜煎剂治疗产后乳腺管阻塞疗效观察及护理.docVIP

丝瓜煎剂治疗产后乳腺管阻塞疗效观察及护理【摘要】目的：探讨丝瓜煎剂治疗产后乳腺管阻塞的应用效果及护理体会。方法：按入院时间单双日将产后乳腺管阻塞的108例患者分组，对照组53例，采用温热水湿热敷乳房，并按摩乳房。观察组55例，在对照组的基础上给患者口服丝瓜煎剂。结果：观察组显效49例，有效5例，无效1例。观察组的效果明显优于对照组。结论：对产后乳腺管阻塞的患者给予口服丝瓜煎剂，能有效疏通乳腺管，解除产妇乳房胀痛、消除乳房硬结，使乳汁顺畅排出。加强乳房、饮食、心理护理能防止产后乳腺管阻塞 【关键词】丝瓜；乳腺管阻塞；护理 【中图分类号】R473.71 【文献标识码】A 【文章编号】1008-6455（2011）12-0065-02 Clinical observation and nursing in treating the post-partum ductal obstruction with towel gourd decoction Chen Li Zhang Guifen Hu Gongxing2* 【Abstract】Objective: to explore the application effect and nursing experience in treating post-partum ductal obstruction with the towel gourd decoction. Method : according to the admission time DanShuangRi 108 patients with the postpartum ductal obstruction will be divided into two groups. In the control group 53 patients? breasts will be heated and massaged with warm water. On the basis of the control group the observation group 55 patients will take the towel gourd decoction. Results: in the observation group 49 cases are treated very effectively, 5 patients effectively , and 1 case ineffectively. The effect of the observation group was better than that of the control group. Conclusion : Giving oral towel gourd decoction to the patients with the postpartum ductal obstruction can effectively dredge ductal, remove breast pain and eliminate breast scleroma, smooth milk eduction. To strengthen the breast, diet, psychological care can prevent postpartum ductal jams. 【Key words】towel gourd; Ductal jam; nursing 产后乳腺管阻塞是指产后2～3天内，因淋巴和静脉充盈，乳腺管不畅而发生乳腺管堵塞，使分泌的乳汁不易排除而停滞在乳腺管内，导致产后乳房过度充盈〖1〗。表现为乳房明显增大，乳房处皮肤紧绷，触摸乳房有坚硬感，捏挤乳房，乳汁不能从乳头处排出或排出不畅，患者感到乳房明显胀痛。若处理不当，乳汁在乳房内淤滞，极易引起乳腺炎，给患者带来巨大的痛苦，并直接影响新生儿的母乳喂养，因此疏通乳腺管，使乳汁顺畅排出尤为重要。我院2009年2月～2011年5月对产后乳腺管阻塞，乳汁淤积患者给予温热水热敷乳房后行乳房按摩，并同时给予丝瓜煎剂口服，取得较好临床效果，现将方法及结果报告如下 1 资料与方法 1.1 一般资料：108例患者，年龄24～38岁，平均年龄27.4岁。文化程度：本科及以上学历33人，占30.5%；大专29人，占26.8%；中专19人，占17.5%；高中15人，占13.8%；初中及以下12人，占11.1%。分娩方式：自然分娩27例，占25.0%；产钳助产6例，占5.5%；剖宫产75例，占69.4%。所有产妇无心、肾功能不全。乳房类型：乳头平坦15例，乳头内陷20例，乳头正常73例。将