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目的:通过肌注催产素治疗产后乳汁淤积,研究产后乳汁淤积的原因、临床症状及治疗。方法:回顾性分析我院2009年2月-2012年2月收治发生乳汁淤积患者200例的临床资料,随机分为实验组和对照组,各100例,实验组采取催产素肌注治疗,对照组采取按摩加热敷常规治疗。结果:两种患者均治疗3-5d后,实验组治愈67(67.00%)例,有效30(30.00%)例,无效3(3.00%)例,总有效率为97.00%,明显优于对照组,通过治疗30min及24h观察有效率发现实验组30min40(40.00%)例乳房胀痛及乳腺结节减轻,24h后97(97.00%)例乳房胀痛及乳腺结节减轻,用药后两侧乳腺导管直径分别对比,P<0.05,实验组治疗前后同侧乳腺导管直径对比,P<0.05,对照组治疗前后差异不明显,可见,用药后实验组乳腺导管扩张。结论:肌注催产素可以有效预防治疗产后乳汁淤积,出现乳腺肿胀症状,及时肌注,可以预防乳汁淤积出现。
Objective: To study the causes, clinical symptoms and treatment of postpartum milk deposition by intramuscular oxytocin treatment of postpartum milk deposition. Methods: A retrospective analysis of our hospital from February 2009 to February 2012 were treated patients with milk deposition in 200 cases of clinical data were randomly divided into experimental group and control group, each 100 cases, the experimental group to take oxytocin intramuscular injection, the control group Take massage heating routine treatment. Results: After treated for 3-5 days in both groups, 67 (67.00%) cases were cured, 30 (30.00%) cases were effective, 3 (3.00%) cases were ineffective and the total effective rate was 97.00%, which was significantly better than the control group , 30min and 24h observed by the treatment of the effective rate found in the experimental group 30min40 (40.00%) cases of breast tenderness and reduction of breast nodules, 97 (97.00%) after 24 hours of breast pain and breast nodules were reduced after treatment on both sides of the duct Diameter, respectively, P <0.05, before and after treatment in experimental group ipsilateral mammary duct diameter contrast, P <0.05, the control group before and after treatment was not significantly different, we can see that the experimental group of experimental duct dilatation of the duct. Conclusion: Intramuscular oxytocin can effectively prevent and treat postpartum milk deposition, with swollen breast symptoms and prompt intramuscular injection to prevent the occurrence of milk deposition.