耳穴压豆治疗哺乳期乳腺炎胀痛的护理观察

Clinical Observation on Nursing of Auricular Acupressure in the Treatment of Pain and Distension of Lactational Mastitis

摘要: 目的：观察耳穴压豆治疗哺乳期乳腺炎胀痛的临床护理效果。方法：分析2022年6月~2026年6月钦州市第一人民医院产科收治的40例哺乳期乳腺炎胀痛患者，采用随机数字表法分为观察组与对照组，每组20例。对照组采用常规护理联合手法排乳干预，观察组在对照组基础上增加耳穴压豆治疗。分别于干预前及干预后第7天对两组患者进行中医证候积分评定和疗效比较。结果：观察组治疗后中医证候积分改善优于对照组，差异有统计学意义(P < 0.05)。观察组治疗后总有效率及痊愈率均高于对照组，差异有统计学意义(P < 0.05)。结论：耳穴压豆联合常规护理能够更为有效地缓解哺乳期乳腺炎胀痛程度，改善乳汁排泄状况，具有临床推广价值。

Abstract: Objective: To observe the clinical nursing effect of auricular acupressure in the treatment of pain and distension of lactational mastitis. Methods: A total of 40 patients with pain and distension of lactational mastitis admitted to the Department of Obstetrics of Qinzhou First People’s Hospital from June 2022 to June 2026 were analyzed and randomly divided into an observation group and a control group using a random number table method, with 20 cases in each group. The control group received routine nursing combined with manual breast massage, while the observation group received auricular acupressure in addition to the routine nursing. Traditional Chinese Medicine (TCM) syndrome scores and therapeutic efficacy were evaluated and compared between the two groups before intervention and at 7 days after intervention. Results: The improvement in TCM syndrome scores in the observation group was significantly better than that in the control group after treatment, with a statistically significant difference (P < 0.05). The total effective rate and recovery rate in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: Auricular acupressure combined with routine nursing can more effectively alleviate the degree of pain and distension of lactational mastitis and improve milk excretion, demonstrating value for clinical promotion.