针刺联合循经点穴按摩和低强度聚焦超声治疗哺乳期急性乳腺炎的疗效观察

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Abstract Objective To explore the clinical efficacy of acupuncture combined with acupoint massage at meridian point and low intensity focused ultrasound therapy in the treatment of acute lactational mastitis. Methods A total of 150 patients with acute mastitis during lactation who received treatmnet at the Breastfeeding Clinic of Xiangya Third Hospital, Central South University, from June 2021 June to 2023 were selected as the research subjects. According to the patients’ treatment plans, They were divided into a control group (n=70) and an observation group (n=80). The control group received conventional anti-inflammatory treatment with cefixime, while the observation group received acupuncture combined with acupoint massage at meridian points and low intensity focused ultrasound (LIFU) treatment. After 7 days of continuous treatment, the recovery of mammary gland tissue and levels of inflammatory cytokines before and after treatment were compared between the two groups. Traditional Chinese medicine syndrome scores, Visual Analog Scale (VAS) scores, SF-36 scores, and treatment satisfaction scores were compared between the two groups. Clinical efficacy was evaluated based on symptoms, signs, and indicators of inflammatory response. Results After treatmnet, The mammary gland tissue structure in both groups wass basically normal, with clear boundaries, full edges, and homogennous interstitial echoes. The observation group showed better results. The area of ultrasound hypoechoic irregularity was significantly reduced after treatment compared with that before treatment, and the difference between the observation group and the control group after treatment was statistically significant. The white blood cell count (WBC), neutrophil percentage (NE%), interleukin-8(IL-8), and C-reactive protein (CRP) levels were significantly decreased in both groups after treatment, with the observation group showing lower levels than the control group. After treatmnet, The traditional Chinese medicine clinical symptom score and Visual Analog Scale (VAS) scores in both groups were significantly reduced, with the observation group showing lower scores than the control group, and the differences were statistically significant. The total effective rate in the observation group was 96.25%, which was higher than the total effective rate of 85.71% in the control group, and the difference was significant. Conclusion The combination of acupuncture combined with acupoint massage at meridian points and low intensity focused ultrasound shows significant efficacy in the treatment of acute lactational mastitis. This finding has certain guiding significance and practical application value.

Key words： acupuncture meridian massage low intensity focused ultrasound acute mastitis during lactation

Received: 24 January 2024

PACS:

R655.8

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	Articles by authors
	LI Jingjing
	DENG Liming
	XIANG Juan
	JIANG Linghui
	FANG Jun
	ZHANG Hong

Cite this article:

LI Jingjing,DENG Liming,XIANG Juan等. Observation of the therapeutic effect of acupuncture combined with acupoint massage at meridian points and low-intensity focused ultrasound therapy on acute lactational mastitis.[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(5): 134-138.

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http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I5/134

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