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This paper summarized the curative effect of manual lymphatic drainage of the breast combined with blood-pricking and cupping therapy and related nursing measures for a patient with mastitis of Qi-stagnation and Heat-congestion type. The manual lymphatic drainage of the breast was carried out under the guidance of Traditional Chinese Medicine syndrome differentiation, and then combined with the selection of Dazhui point (DV 14) and Tianzong point(SI 11) for blood-pricking and cupping therapy, so as to achieve the effect of relieving symptoms and expression of breast milk. The manual lymphatic drainage of the breast combined with blood-pricking and cupping therapy, supplemented by symptomatic nursing, can effectively alleviate the symptoms of patients and improve the treatment effect. (本文总结手法排乳联合刺络放血拔罐技术治疗1例气滞热壅型乳腺炎患者的效果和护理措施。在中医辨证指导下进行手法排乳, 再配合选取大椎穴、天宗穴行刺络放血拔罐, 从而达到症状缓解、乳汁排出通畅的效果。手法排乳联合刺络放血拔罐治疗乳腺炎, 同时辅以对症护理, 能够有效缓解患者症状, 提高治疗效果。)

Objective To observe the effect of auricular acupoint sticking and pressing on postoperative pain of patients undergoing surgical treatment for granulomatous lobular mastitis (GLM). Methods Totally sixty GLM patients were randomly divided into control group and treatment group, with 30 cases in each group. All patients received routine post-operative nursing, and those in the treatment group were given auricular acupoint sticking and pressing therapy within half an hour after operation. The degree of postoperative pain was evaluated by Numerical Rating Scale(NRS) at 6 h, 24 h and 48 h after operation, and the collected data were analyzed. Results The overall rate of pain relief in the treatment group was higher than that in the control group at 24 h after surgery (83. 33% vs. 53. 33%, P＜0. 05 ). The overall rate of pain relief in the treatment group was higher than that in the control group at 48 h after surgery (93. 33% vs. 73. 33%, P＜0. 05 ). Conclusion The auricular acupoint sticking and pressing is an easy-to-operate and safe technique of Traditional Chinese Medicine, and it is effective in relief of postoperative pain in GLM patients. (目的 观察耳穴贴压治疗肉芽肿性小叶性乳腺炎术后疼痛的效果。方法 将60例肉芽肿性小叶性乳腺炎患者随机分为对照组30例和治疗组30例。两组均接受手术治疗, 对照组实施术后常规护理, 治疗组在对照组基础上, 于术后30 min内给予耳穴贴压。采用数字评分法(NRS)评估患者术后6 h、24 h和48 h疼痛程度, 评价干预效果。结果 术后24 h, 疼痛有效缓解率治疗组为83. 33%(25/30), 高于对照组的53. 33%(16/30), 差异有统计学意义(P＜0. 05)。术后48 h, 疼痛有效缓解率治疗组为93. 33%(28/30), 高于对照组的73. 33%(22/30), 差异有统计学意义(P＜0. 05)。结论 耳穴贴压能有效缓解肉芽肿性小叶性乳腺炎术后疼痛程度, 且操作简单、安全。)

As a key specialty of the hospital, the Department of Breast Diseases has one of the first Tradtitional Chinese Medicine (TCM) nursing clinics officially authorized by Beijing Administration of Traditional Chinese Medicine, and undertakes the task of clinical teaching and practice for nursing students from various colleges and universities every year. The TCM nursing clinical teaching path had been used in clinical teaching and practice, aiming to teaching the breast diseases characterized TCM nursing technology, presenting the unique characteristics of TCM, giving play to the specialty advantages, looking forward to the "integration of schools and departments" model. It is expected to provide reference for training excellent nursing talents with TCM nursing practice ability and promoting the high-quality development of TCM nursing. (医院乳腺科作为医院重点专科, 拥有北京市中医管理局首批正式授权建设的乳腺专科中医护理门诊, 每年承担各院校护生临床实习的带教任务。科室运用中医护理临床教学路径法带教, 教授乳腺科特色中医护理技术, 展现中医魅力, 发挥专科优势, 展望“院系合一”模式, 以期为培养具有中医护理实践能力的优秀护理后备人才, 推动中医护理事业高质发展提供参考。)

This paper reviewed the clinical data of an acute mastitis patient undergoing paracentesis of breast abscess, and summarized the effect and measures of milk-ejection manipulation technique combined with external application of Rutong powder in postoperative pain relief. Nursing assessment, manipulation technique, component analysis of Rutong powder, external application methods and cautions and routine nursing intervention were summarized. Based on the Traditional Chinese Medicine nursing by syndrome differentiation, application of milk-ejection manipulation technique combined with external application of Rutong powder is effective to relief the pain of the patient after paracentesis of breast abscess. It is an effective Traditional Chinese Medicine nursing technology which helps mothers to build confidence in breastfeeding and ensure the maternal and infant safety. (本文回顾1例哺乳期急性乳腺炎脓肿形成行穿刺引流患者的临床资料, 总结手法排乳联合乳通散中药外敷缓解术后疼痛的效果及护理措施, 包括护理评估、排乳手法、乳通散组方、外敷方法和注意事项以及常规护理等。基于中医辨证施护理论指导, 采取手法排乳联合乳通散外敷治疗能够有效缓解术后疼痛, 帮助患者重拾哺乳信心, 确保母婴健康。)

This paper summarized the nursing experience of a patient with Liver-Qi stagnation and phlegm stagnation type hyperplasia of mammary glands treated by Traditional Chinese Medicine (TCM) ointment rubbing combined with moxibustion. Nursing measures and efficacy observation of TCM ointment combined with moxibustion at Zusanli acupoint were performed. In addition to the targeted interventions by TCM syndrome differentiation, health education on dietary and emotion regulation was carried to achieve the effect of dredging milk collaterals, detumescence, relieving pain and improving gland hyperplasia. (本文总结了采用中药膏摩外敷联合艾灸足三里缓解乳腺增生症状的护理经验, 包括中药膏组方选择、膏摩操作方法、艾灸足三里的注意事项以及饮食指导、情绪疏导等常规护理方法, 全程基于中医辨证指导开展针对性措施, 从而达到疏通乳络、消肿散结、缓解疼痛、改善腺体增生状态的目的。)

This paper summarized the nursing experience of a patient with Liver-Qi stagnation and phlegm stagnation type hyperplasia of mammary glands treated by Traditional Chinese Medicine (TCM) ointment rubbing combined with moxibustion. Nursing measures and efficacy observation of TCM ointment combined with moxibustion at Zusanli acupoint were performed. In addition to the targeted interventions by TCM syndrome differentiation, health education on dietary and emotion regulation was carried to achieve the effect of dredging milk collaterals, detumescence, relieving pain and improving gland hyperplasia. (本文总结了采用中药膏摩外敷联合艾灸足三里缓解乳腺增生症状的护理经验, 包括中药膏组方选择、膏摩操作方法、艾灸足三里的注意事项以及饮食指导、情绪疏导等常规护理方法, 全程基于中医辨证指导开展针对性措施, 从而达到疏通乳络、消肿散结、缓解疼痛、改善腺体增生状态的目的。)

Objective To investigate the effect of rubbing therapy with Chinese herbal medicine ointment on pain relief in patients with hyperplasia of mammary gland. Methods Totally 40 patients suffering from pain caused by mammary gland hyperplasia were randomly divided into the control group and treatment group, with 20 cases in each group. All patients received oral administration of Chinese herbal medicine, and those in the treatment group were given rubbing therapy with Chinese herbal medicine ointment. The Numerical Rating Scale was used to evaluate the degree of pain before treatment and 14 days after treatment. Results After 14 days intervention, better pain relief was noted in the treatment group than that in the control group, with a significant difference (P＜0. 05). Conclusion The rubbing therapy with Chinese herbal medicine ointment is an easy-to-operate, safe and effective treatment on pain relief in patients with mammary gland hyperplasia. (目的 探讨乳腺中药膏摩治疗乳腺增生病疼痛的效果。方法 40例乳腺增生病患者随机分为对照组和治疗组, 各20例。对照组实施口服中药治疗, 治疗组在口服中药基础上增加乳腺中药膏摩治疗。采用数字评分法(NRS)评估患者疼痛程度, 评价干预效果。结果 干预14 d后, 疼痛干预效果治疗组优于对照组, 差异有统计学意义(P＜0. 05)。结论 中药膏摩能有效缓解乳腺增生病患者疼痛程度, 且操作简单、安全。)

This paper summarized the effect observation and nursing measures for a patient with patient with postoperative pain after granulomatous mastitis surgery under local anesthesia. On the basis of improving the routine postoperative nursing, auricular acupoint sticking and pressing therapy was carried out to relieve the postoperative pain of the patients. It has the advantages of low adverse reactions, high safety and easy acceptance by patients. (本文总结1例乳腺炎局部麻醉术后疼痛患者给予耳穴贴压治疗的效果及护理措施。在完善术后常规护理的基础上, 耳穴贴压治疗能够有效缓解患者术后疼痛, 且该方法具有不良反应小、安全性高等优势, 患者易于接受。)

This paper summarized the nursing measures for a patient with breast milk oversupply during breastfeeding treatment with intradermal needle at auricular acupoint. Key issues of nursing included nursing assessment and health education about operation method and precautions of intradermal needle at auricular acupoint. Based on the Traditional Chinese Medicine nursing by syndrome differentiation, intradermal needle at auricular acupoint is effective in relief of breast milk oversupply and establishment of maternal confidence in breastfeeding. (本文总结1例哺乳期乳汁分泌过多患者采用耳穴皮内针干预的护理经验, 包括护理评估、耳穴皮内针操作方法和注意事项以及健康宣教等。基于中医辨证施护理论指导, 采取耳穴皮内针技术, 能够有效缓解患者乳汁过多症状, 帮助患者重拾哺乳信心, 确保母婴健康。)