哺乳期乳腺炎症前期预防与效果分析.docVIP

哺乳期乳腺炎症前期预防与效果分析 　　[摘要] 目的 ?^察研究为了防止哺乳期乳腺炎症的发生而进行的前期四级预防概念和实施四级预防的效果。方法 整群选择该院2015年8月―2016年5月期间收治符合预防方法的728例患者作为实验对象，按照四级预防方案进行随机分组， 0级患者（正常产妇）分为实验组和对照组（每组53例），给予母乳喂养指导，Ⅰ级患者（乳汁淤积产妇）分为实验组A、B和对照组（63例、63例、62例），给予乳汁淤积清淤治疗，Ⅱ级患者（乳腺发炎产妇）分为实验组C、D、E（72例、72例、70例），给予消炎治疗，Ⅲ级患者（乳腺脓肿产妇）分为实验组F、G和对照组（74例、74例、72例），给予脓肿引流治疗。 结果 各级预防方案均取得了显著的效果（P0.05），0级预防实验组产妇疾病发生率（16.98%）明显低于对照组（35.85%），Ⅰ级预防产妇A、B（95.24%，96.83%）总有效率显著高于对照组（72.58%），Ⅱ级预防产妇C乳腺脓肿预防有效率（91.67%）显著高于D、E（75.00%，72.86%），Ⅲ级预防产妇实验组F、G产妇的继续哺乳率（78.38%，74.32%）显著高于对照组（36.11%）。结论 在哺乳前期和处于乳腺炎症不同阶段的产妇中进行四级预防可以有效防止疾病发生和炎症的进一步发展，有效地保证了新生儿的母乳喂养。 　　[关键词] 哺乳期乳腺炎；四级预防；疗效观察 　　[中图分类号] R173 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0075-03 　　Analysis of Early Prevention and Effect of Mastitis during the Suckling Period 　　ZHAO Feng 　　Galactophore Department， Zichuan District Maternal and Child Healthcare Hospital， Zibo， Shandong Province， 255100 China 　　[Abstract] Objective To research the early four-level prevention conception used to prevent the occurrence of mastitis during the suckling period and its implementation effect. Methods Group selection 728 cases of patients meeting the preventive method in our hospital from August 2015 to May 2016 were selected as the research objects and randomly divided into two groups according to the four-level prevention plan， and 0-level patients （the normal delivery women） were divided into the experimental group and the control group with 53 cases in each and were given the breast feeding guidance， the Ⅰ-level patients （galactostasis delivery women） were divided into the experimental group A and experimental group B and control group （63 cases， 63 cases and 62 cases） and were given dredging treatment， Ⅱ-level patients （breast inflammation delivery women） were divided into the experimental C， experimental D and experimental E（72 cases， 72 cases and 70 cases） and were given the inflammation reduction treatment， and Ⅲ-level patients （mammary abscess delivery women） were divided into the experimental F， ex