Department of Breast Surgery, Haidian District Maternal and Child Health Hospital, Beijing, China.
National Research Institute for Family Planning, Beijing, China.
Eur J Med Res. 2024 Feb 20;29(1):138. doi: 10.1186/s40001-024-01733-7.
The aim of this study was to investigate risk factors for the severity of breast abscess during lactation.
A cross-sectional study was conducted using data from the Questionnaire survey of breast abscess patients. According to whether the maximum abscess diameter > 5 cm, the patients were divided into two groups for univariate and multivariate regression analysis.
1805 valid questionnaires were included. Univariate and Binary logistic regression analysis demonstrated that low education (OR = 1.5, 95% CI 1.1-2.0, P = 0.005), non-exclusive breastfeeding (OR = 0.7, 95% CI 0.6-0.9, P = 0.004), fever > 37.5 ℃ (OR = 0.7, 95% CI 0.6-0.9, P = 0.003), flat or inverted nipples (OR = 0.7, 95% CI 0.6-0.9, P = 0.005), antibiotic used (OR = 0.7, 95% CI 0.6-0.9, P = 0.006), and non-medical massage (OR = 0.3, 95% CI 0.2-0.4, P < 0.001) were the effective independent influencing factors for the maximum breast abscess diameter > 5 cm.
Low education, non-exclusive breastfeeding, fever > 37.5 ℃, inverted or flat nipples, antibiotic used, and non-medical massage history have adverse effects on the severity of breast abscess during lactation.
本研究旨在探讨哺乳期乳腺脓肿严重程度的危险因素。
采用乳腺脓肿患者问卷调查数据进行横断面研究。根据最大脓肿直径是否＞5cm 将患者分为两组，进行单因素和多因素回归分析。
共纳入 1805 份有效问卷。单因素和二项逻辑回归分析表明，低教育程度（OR＝1.5，95％CI 1.1-2.0，P＝0.005）、非纯母乳喂养（OR＝0.7，95％CI 0.6-0.9，P＝0.004）、发热＞37.5℃（OR＝0.7，95％CI 0.6-0.9，P＝0.003）、乳头内陷或扁平（OR＝0.7，95％CI 0.6-0.9，P＝0.005）、使用抗生素（OR＝0.7，95％CI 0.6-0.9，P＝0.006）和非医学按摩（OR＝0.3，95％CI 0.2-0.4，P＜0.001）是最大脓肿直径＞5cm 的有效独立影响因素。
低教育程度、非纯母乳喂养、发热＞37.5℃、乳头内陷或扁平、使用抗生素和非医学按摩史对哺乳期乳腺脓肿的严重程度有不良影响。
