Department of Breast Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Department of Breast Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Asian Nurs Res (Korean Soc Nurs Sci). 2021 Aug;15(3):197-202. doi: 10.1016/j.anr.2021.04.001. Epub 2021 May 25.
This study aimed to describe the clinical response to five-step systematic therapy (FSST) in the management of plugged ducts and mastitis. FSST was a comprehensive milk stasis dredging treatment, which contained five steps to make the milk out of the plugged duct.
This retrospective study included 922 breastfeeding women, 714 with plugged ducts, and 208 with mastitis who received FSST from June to September 2017. The breast pain score, swelling degree, and range of breast induration were recorded pre-FSST and post-FSST.
After a single FSST, pain score and swelling degree were significantly improved (both p < .001) in all cases. After FSST, the mean breast pain relief score was 1.69 ± 0.70, whereas the mean swelling fade away degree was 1.61 ± 0.62. In the subgroup analysis, pain score and swelling degree were significantly improved (both p < .001) in the plugged ducts group and the mastitis group. The score of pain relief in the plugged ducts group was less than that in the mastitis group (1.63 ± 0.68 vs. 1.91 ± 0.70, t = 5.30; p < .001), whereas improvement of swelling fade away was greater in the plugged ducts group than the mastitis group (1.65 ± 0.64 vs. 1.48 ± 0.56, t = 3.49; p = .001). The composition ratio of changes in induration range between the two groups was statistically different (Pearson χ = 137.87, p < .001), of which more obvious improvement in the plugged ducts group than the mastitis group (χ = 25.65, p < .001).
FSST can relieve pain, reduce breast swelling and range of induration, and for plugged ducts or mastitis varied degree differently.
本研究旨在描述五步系统治疗（FSST）在处理奶结和乳腺炎中的临床疗效。FSST 是一种全面的乳汁淤积疏通治疗方法，包含五个步骤以使奶结中的乳汁排出。
本回顾性研究纳入了 2017 年 6 月至 9 月期间接受 FSST 的 922 名母乳喂养妇女，其中 714 名患有奶结，208 名患有乳腺炎。治疗前和治疗后记录乳房疼痛评分、肿胀程度和硬结范围。
单次 FSST 后，所有患者的疼痛评分和肿胀程度均显著改善（均 p <.001）。FSST 后，平均乳房疼痛缓解评分 1.69 ± 0.70，平均肿胀消退程度 1.61 ± 0.62。亚组分析中，奶结组和乳腺炎组的疼痛评分和肿胀程度均显著改善（均 p <.001）。奶结组的疼痛缓解评分低于乳腺炎组（1.63 ± 0.68 比 1.91 ± 0.70，t = 5.30；p <.001），而肿胀消退改善程度奶结组大于乳腺炎组（1.65 ± 0.64 比 1.48 ± 0.56，t = 3.49；p =.001）。两组硬结范围变化的构成比差异有统计学意义（Pearson χ² = 137.87，p <.001），其中奶结组的改善程度明显大于乳腺炎组（χ² = 25.65，p <.001）。
FSST 可缓解疼痛，减轻乳房肿胀和硬结范围，对奶结或乳腺炎的缓解程度不同。
