CN106344722A - 急性化脓性乳腺炎及其治疗药物 - Google Patents

急性化脓性乳腺炎及其治疗药物 Download PDF

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CN106344722A
CN106344722A CN201610815830.9A CN201610815830A CN106344722A CN 106344722 A CN106344722 A CN 106344722A CN 201610815830 A CN201610815830 A CN 201610815830A CN 106344722 A CN106344722 A CN 106344722A
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黄全
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FANGCHENGGANG SICHUANG INFORMATION TECHNOLOGY Co Ltd
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Abstract

急性化脓性乳腺炎及其治疗药物，医药技术领域，在于解决急性化脓性乳腺炎的治疗问题，其特征是按下面各中药质量份比组合而成：金银花15份、生地15份、皂角刺13份、三七8份、桑白皮15份、柴胡12份、党参15份、当归12份、枸杞12份、黄芪15份、连翘15份、大青叶10份、海藻12份、甘草8份。

Description

急性化脓性乳腺炎及其治疗药物
技术领域
本发明涉及争性化脓性乳腺炎以及有关其治疗药物，主要涉及的是以多种中药结合对症治疗的药物，属于医药技术领域。
背景技术
急性乳腺炎(acutemastitis)是乳腺的急性化脓性感染，是乳腺管内和周围结缔组织炎症，多发生于产后哺乳期的妇女，尤其是初产妇更为多见。有文献报道急性乳腺炎初产妇患病占50%初产妇与经产妇之比为2.4∶1。哺乳期的任何时间均可发生，但以产后3～4周最为常见，故又称产褥期乳腺炎。
急性化脓性乳腺炎病因说明：1.细菌的入侵本病致病菌多数为金黄葡萄球菌，少数为链球菌。细菌由乳头皮肤破裂处或乳晕皲裂处进入，沿淋巴管蔓延至乳腺小叶间及腺小叶的脂肪和纤维组织中,引起乳房急性化脓性蜂窝组织炎亦有少数病例产后发生其他部位的感染并发症，细菌经血循环播散至乳房，引起发病。2.乳汁淤积乳汁有利于侵入细菌的繁殖。乳汁淤积的原因有：①乳头过小或内陷而产前又未能及时矫正，使婴儿吸乳困难鶒，甚至不能哺乳。②乳汁过多，排空不完全。产妇鶒不了解乳汁的分泌情况，多余乳汁不能及时排出而保留在乳内。③乳腺管阻塞使排乳困难，如乳管本身的炎症、肿瘤及外在压迫均可影响正常哺乳。3.乳头皲裂分娩后产妇未能掌握正确的哺乳技巧，或婴儿的含吮不正常，或过度地在乳头上使用肥皂或乙醇干燥剂之类刺激物以及婴儿口腔运动功能的失调等造成乳头皲裂，使细菌沿乳头小裂口入侵，并且经淋巴管到达皮下及乳叶间组织而形成感染。乳头皲裂时，哺乳疼痛不能使乳汁充分吸出，致乳汁淤积，为入侵细菌创造了繁殖条件。
急性乳腺炎临床表现：1.急性单纯性乳腺炎初期，乳房胀痛，皮温高压痛，因乳汁的淤滞静脉和淋巴的回流不畅健康搜索，乳房局部出现边界不清鶒的硬结。此阶段如能正确处理健康搜索则炎症可消散。2.急性化脓性乳腺炎局部皮肤红、肿、热、痛，硬结明显，触痛加重。病人寒战、高热头痛、无力、脉快等全身中毒症状。同侧腋窝淋巴结肿大、疼痛。3.脓肿形成期急性乳腺炎局限化即形成急性乳房脓肿。此时肿块波动感，表浅的脓肿波动相对明显。脓肿可以向外破溃，也可以向内破溃穿入乳管，自乳头排出脓液。当脓肿破入乳房后至胸大肌前疏松组织中则形成乳房后脓肿。此时应禁止哺乳。
急性乳腺炎治疗措施：首生应用抗生素，最后措施是手术治疗，抗生素治疗包括：(1)全身治疗：首选青霉素治疗，用量可根据症状而定，每次80万U肌内注射，2～3次/d。也可用800万U静脉滴入。(2)抗生素局部封闭：①方法1：局部可用含青霉素100万U的生理盐水20ml封闭治疗。②方法2：用0.25%普鲁卡因60～80ml加青霉素80万～160万U，在炎症区上方3cm左右健康处的皮下组织作横“一”字形封闭鶒，范围应超过炎症直径区。每天或隔天封闭1次，或注入乳房后疏松组织中。此治疗既有消炎消肿、止痛的作用鶒亦可使乳房组织处于松弛状态，有利于乳汁的排出。注射时须注意离开炎症区域，以免因注射后，局部压力增高，使炎症扩散。
发明内容
以中医学理论分析急性化脓性乳腺炎，属于性情忧郁、肝失条达、气滞血瘀、壅结成佣，治疗应以清热解毒、疏肝理气，通乳和营之中药结合作为治疗药物。
急性化脓性乳腺炎及其治疗药物解决治疗问题所采取的技术措施是按下面各中药质量份比组合而成：金银花15份、生地15份、皂角刺13份、三七8份、桑白皮15份、柴胡12份、党参15份、当归12份、枸杞12份、黄芪15份、连翘15份、大青叶10份、海藻12份、甘草8份。
下面逐一介绍急性化脓性乳腺炎及其治疗药物中所用到的各中药药性功效。中药金银花既能宣散风热，还善清解血毒，用于各种热性病，如身热、发疹、发斑、热毒疮痈、咽喉肿痛等证，均效果显著。 金银花的功效概述：清热解毒，凉散风热。生地清热生津，凉血，止血。用于热病伤阴，舌绛烦渴，发斑发疹，吐血，衄血，咽喉肿痛。生地黄清热凉血，养阴，生津；用于热病舌绛烦渴，阴虚内热，骨蒸劳热。皂角刺的功效和作用是具有排毒和祛除淤肿的作用，临床上主要用于治疗皮肤脓肿，水煎服，在治疗皮肤脓肿上了明显的疗效。三七的功效：熟吃用于补血、食欲不振、过度疲劳、失血、贫血等功效；三七粉对手术后的患者和女性痛经等妇科病有很好的效果。桑白皮清热泻肺；用于伏火郁肺，症见咳嗽痰多，色黄黏稠，咯吐不爽。柴胡味苦，微寒；归肝、胆经； 功能：和解表里，疏肝，升阳；用于感冒发热，寒热往来，胸胁胀痛，月经不调，子官脱垂，脱肛。党参的主要功效是补中益气。功能补脾益肺，适用于各种气虚不足者。四肢无力，食欲不振，大便稀溏，也宜使用党参。党参能扩张周围血管而降低血压，又可抑制肾上腺素的升压作用。当归是最常用的中药之一，具有补血、活血、调经止痛、润燥滑肠的作用，能主治血虚诸证、月经不调、经闭、痛经等诸症。枸杞有提高机体免疫力的作用，可以补气强精、滋补肝肾、抗衰老、止消渴、暖身体、抗肿瘤的功效。枸杞还能调节血糖、降低血压、防治高血压、心脏病、动脉硬化等症。 黄芪有益气固表、敛汗固脱、托疮生肌、利水消肿之功效；用于治疗气虚乏力、中气下陷、久泻脱肛、便血崩漏、表虚自汗、痈疽。连翘的功效与作用：清热解毒；消肿散结 风热感冒；主风热感冒；温病；热淋尿闭；痈疽；肿毒；瘰疬；瘿瘤；喉痹；用于痈疽，瘰疠，乳痈，丹毒。大青叶的功效与作用：清热解毒；凉血消斑；主热病高热烦渴；神昏；斑疹；吐血；衄血；黄疸；泻痢；丹毒；喉痹；口疮；痄腮。 海藻的功效：海藻苦；咸；寒。归肺；脾；肾；肝胃经。具有软坚；消痰；利水；退肿的功效；主要用于治疗瘰疬；瘿瘤；积聚。甘草性平，味甘，有解毒、祛痰、止痛、解痉以至抗癌等药理作用。在中医上，甘草补脾益气，滋咳润肺，缓急解毒，调和百药。甘草还具有抗炎、抗病毒、保肝解毒及增强免疫功效。
急性化脓性乳腺炎及其治疗药物的有益效果是：急性化脓性乳腺炎及其治疗药物以中医学理论分析急性化脓性乳腺炎，属于性情忧郁、肝失条达、气滞血瘀、壅结成佣，采取以清热解毒、疏肝理气，通乳和营之中药结合作为治疗药物，医学理论正确，实践疗效显著。
具体实施方式
下面以一个剂量的药物作这实施例对急性化脓性乳腺炎及其治疗药物作进一步的说明。
急性化脓性乳腺炎及其治疗药物，适合于一个急性化脓性乳腺炎患者服用的一个剂量药量是按下面各中药质量组合而成：金银花15克、生地15克、皂角刺13克、三七8克、桑白皮15克、柴胡12克、党参15克、当归12克、枸杞12克、黄芪15克、连翘15克、大青叶10克、海藻12克、甘草8克。
急性化脓性乳腺炎及其治疗药物经三十多例化脓性乳腺炎患者服用，服用一个剂量当天见效，治疗有效率100%。

Claims (1)

1.急性化脓性乳腺炎及其治疗药物，其特征是按下面各中药质量份比组合而成：金银花15份、生地15份、皂角刺13份、三七8份、桑白皮15份、柴胡12份、党参15份、当归12份、枸杞12份、黄芪15份、连翘15份、大青叶10份、海藻12份、甘草8份。
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