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超声治疗25例产后哺乳期妇女乳腺导管阻塞:一项回顾性病例系列研究

Ultrasound as a treatment of mammary blocked duct among 25 postpartum lactating women: a retrospective case series.

作者信息

Lavigne Valérie, Gleberzon Brian J

机构信息

Chiropractor, Private Practice, Kirkland, Quebec, Canada.

出版信息

J Chiropr Med. 2012 Sep;11(3):170-8. doi: 10.1016/j.jcm.2012.05.011.

Abstract

OBJECTIVE

The purpose of this case series is to report the outcomes of 25 postpartum women who were experiencing difficulties with breastfeeding and were treated using therapeutic ultrasound.

METHODS

Case files of postpartum women who presented to a chiropractic clinic between 2005 and 2011 with difficulties with breastfeeding due to blocked ducts were identified.

RESULTS

Twenty-five cases were retrospectively identified of women who presented with a breast lump that was consistent with a blocked duct. Eight women experienced recurrent blocked ducts (5 had multiple episodes while nursing the same child; 3 women experienced episodes with more than 1 child). Patients had been treated with therapeutic ultrasound, receiving between 1 and 7 treatments (average, 3.3) to experience improvement in their presenting symptoms. A majority of the patients reported improvements in breastfeeding and symptoms after treatment. No adverse reactions were identified in the patient records.

CONCLUSION

For women reported in this case series, chiropractic management including ultrasound therapy was a beneficial treatment for women presenting with blocked ducts and difficulties breastfeeding.

摘要

目的

本病例系列的目的是报告25例产后母乳喂养困难并接受超声治疗的女性的治疗结果。

方法

识别2005年至2011年间因乳腺导管堵塞导致母乳喂养困难而到整脊诊所就诊的产后女性的病例档案。

结果

回顾性确定了25例出现与乳腺导管堵塞相符的乳房肿块的女性病例。8名女性经历了复发性乳腺导管堵塞(5名在母乳喂养同一个孩子时有多次发作;3名女性在喂养多个孩子时均有发作)。患者接受了超声治疗,接受1至7次治疗(平均3.3次)后,其当前症状有所改善。大多数患者报告治疗后母乳喂养及症状得到改善。在患者记录中未发现不良反应。

结论

对于本病例系列中报告的女性,包括超声治疗在内的整脊治疗对出现乳腺导管堵塞和母乳喂养困难的女性是一种有益的治疗方法。

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