微创医学

目的探究低频脉冲治疗仪联合雷火灸治疗产后乳房胀痛患者的效果。方法选取78例产后乳房胀痛患者为研究对象，将其随机分为对照组和观察组，各39例。给予对照组低频脉冲治疗仪治疗，给予观察组低频脉冲治疗仪联合雷火灸治疗，比较两组患者乳房胀痛程度、母乳喂养自我效能、乳房肿胀硬度、泌乳量、治疗效果、并发症发生情况及子宫恢复情况。结果与治疗前相比，治疗3 d后两组患者乳房胀痛程度评分均降低且观察组评分低于对照组，两组患者的母乳喂养自我效能量表（BSES‑SF）评分均升高且观察组评分高于对照组，两组患者的宫底高度均下降且观察组低于对照组；治疗后，观察组患者的乳房肿胀硬度及泌乳量情况均较对照组改善，宫底高度低于对照组、恶露时间短于对照组、并发症发生率低于对照组、宫底下降指数和治疗总有效率高于对照组，差异均有统计学意义（均P<0.05）。结论应用低频脉冲治疗仪联合雷火灸治疗产后乳房胀痛患者，可以提高治疗有效率，改善乳房胀痛、乳房肿胀情况，促进泌乳和子宫恢复，减少产后并发症，增强母乳喂养自我效能。

Objective To investigate the effect of low-frequency pulse therapeutic instrument combined with thunder-fire moxibustion on postpartum breast pain. Methods A total of 78 patients with postpartum breast pain were selected as the study objects, and randomly divided into control group and observation group, with 39 cases in each group. The control group was treated with low-frequency pulse therapeutic instrument, while the observation group was treated with low-frequency pulse therapeutic instrument combined with thunder-fire moxibustion. The degree of breast distending pain, breast-feeding self-efficacy, breast swelling hardness, lactation volume, treatment effect, occurrence of complications and uterine recovery were compared between the two groups. Results Compared with before treatment, after 3 days of treatment, the score for the degree of breast distending pain in both groups decreased, which was lower in the observation group than that in the control group; the score of Breast‑Feeding Self‑Efficacy Scale (BSES-SF) in both groups increased, which was higher in the observation group than that in the control group; the height of fundus uteri in both groups decreased, which was lower in the observation group than that in the control group. After treatment, the breast swelling hardness and lactation volume of the observation group were better than those of the control group, the height of fundus uteri was lower than that of the control group, the lochia time was shorter than that of the control group, the incidence of complications was lower than that of the control group, the index of fundus uteri declining and the total effective rate of treatment were higher than those of the control group, with statistically significant differences (all P<0.05). Conclusion The application of low-frequency pulse therapeutic instrument combined with thunder-fire moxibustion in the treatment of postpartum breast swelling and pain can improve the effective rate of treatment, improve breast swelling and pain, promote lactation and uterine recovery, reduce postpartum complications, and enhance breast-feeding self-efficacy.