中华乳腺病杂志（电子版）
中華乳腺病雜誌（電子版）
중화유선병잡지（전자판）
CHINESE JOURNAL OF BREAST DISEASE(ELECTRONIC VERSION)
2015年
1期
35-38
,共4页
高雅军%马祥君%何湘萍%汪洁%高海凤%丁松涛
高雅軍%馬祥君%何湘萍%汪潔%高海鳳%丁鬆濤
고아군%마상군%하상평%왕길%고해봉%정송도
急性病%乳腺炎%脓肿%回顾性研究%时间因素
急性病%乳腺炎%膿腫%迴顧性研究%時間因素
급성병%유선염%농종%회고성연구%시간인소
Acute disease%Mastitis%Abscess%Retrospective studies%Time factor
目的探讨哺乳期急性乳腺炎发展成乳腺脓肿阶段的相关因素。方法回顾性分析2013年1月至2014年3月本科收治的111例哺乳期乳腺炎及乳腺脓肿患者资料,其中哺乳期乳腺炎92例,乳腺脓肿19例。从发热与否、发热时间、感染部位、非医务人员按摩史、抗生素使用情况、是否换用敏感抗生素、乳汁细菌培养结果、有无肿块、年龄及血常规方面进行统计,采用单因素分析及非条件Logistic回归进行危险因素分析。结果单因素分析显示,脓肿组发热时间>2d、病变位于乳头乳晕区以及有非医务人员按摩史者分别占12/19、9/19、5/19,高于非脓肿组的27.2%(25/92)、15.2%(14/92)、4.3%(4/92),两组间差异均有统计学意义(χ2=9.176、9.909、7.465,P=0.002、0.002、0.006)。多因素logistic回归分析显示,发热时间>2d、乳头乳晕区发病、有非医务人员按摩史是哺乳期乳腺脓肿形成的危险因素(OR=4.171,95%CI：1.325~13.135,P=0.015；OR=5.153,95%CI：1.564~16.972,P=0.007；OR=10．184,95%CI：2.017~51.428,P=0.005)。结论发热时间>2 d、病变位于乳头乳晕区及有非医务人员按摩史的哺乳期急性乳腺炎患者,容易发展成为乳腺脓肿,治疗要积极。
目的探討哺乳期急性乳腺炎髮展成乳腺膿腫階段的相關因素。方法迴顧性分析2013年1月至2014年3月本科收治的111例哺乳期乳腺炎及乳腺膿腫患者資料,其中哺乳期乳腺炎92例,乳腺膿腫19例。從髮熱與否、髮熱時間、感染部位、非醫務人員按摩史、抗生素使用情況、是否換用敏感抗生素、乳汁細菌培養結果、有無腫塊、年齡及血常規方麵進行統計,採用單因素分析及非條件Logistic迴歸進行危險因素分析。結果單因素分析顯示,膿腫組髮熱時間>2d、病變位于乳頭乳暈區以及有非醫務人員按摩史者分彆佔12/19、9/19、5/19,高于非膿腫組的27.2%(25/92)、15.2%(14/92)、4.3%(4/92),兩組間差異均有統計學意義(χ2=9.176、9.909、7.465,P=0.002、0.002、0.006)。多因素logistic迴歸分析顯示,髮熱時間>2d、乳頭乳暈區髮病、有非醫務人員按摩史是哺乳期乳腺膿腫形成的危險因素(OR=4.171,95%CI：1.325~13.135,P=0.015；OR=5.153,95%CI：1.564~16.972,P=0.007；OR=10．184,95%CI：2.017~51.428,P=0.005)。結論髮熱時間>2 d、病變位于乳頭乳暈區及有非醫務人員按摩史的哺乳期急性乳腺炎患者,容易髮展成為乳腺膿腫,治療要積極。
목적탐토포유기급성유선염발전성유선농종계단적상관인소。방법회고성분석2013년1월지2014년3월본과수치적111례포유기유선염급유선농종환자자료,기중포유기유선염92례,유선농종19례。종발열여부、발열시간、감염부위、비의무인원안마사、항생소사용정황、시부환용민감항생소、유즙세균배양결과、유무종괴、년령급혈상규방면진행통계,채용단인소분석급비조건Logistic회귀진행위험인소분석。결과단인소분석현시,농종조발열시간>2d、병변위우유두유훈구이급유비의무인원안마사자분별점12/19、9/19、5/19,고우비농종조적27.2%(25/92)、15.2%(14/92)、4.3%(4/92),량조간차이균유통계학의의(χ2=9.176、9.909、7.465,P=0.002、0.002、0.006)。다인소logistic회귀분석현시,발열시간>2d、유두유훈구발병、유비의무인원안마사시포유기유선농종형성적위험인소(OR=4.171,95%CI：1.325~13.135,P=0.015；OR=5.153,95%CI：1.564~16.972,P=0.007；OR=10．184,95%CI：2.017~51.428,P=0.005)。결론발열시간>2 d、병변위우유두유훈구급유비의무인원안마사적포유기급성유선염환자,용역발전성위유선농종,치료요적겁。
Objective To explore the related factors in the development from acute lactation mastitis to breast abscess. Methods The clinical data of 111 patients who had lactation mastitis or breast abscess in our department from January 2013 to March 2014, including 92 cases of lactation mastitis and 19 cases of breast abscess, were analyzed retrospectively. Single factor analysis and unconditional logistic regression analysis were used from the following aspects: fever or not, duration of fever, infection site, massage history given by non-medical staff, use of antibiotics, switching to sensitive antibiotics or not, bacterial culture of breast milk, mass, age, and routine blood test. Results Single factor analysis showed that in breast abscess group, the proportion of the patients with duration of fever >2 d, lesions in nipple-areola area and massage history given by non-medical staff were 12/19, 9/19 and 5/19, significantly higher than 27. 2% (25/92), 15. 2% (14/92) and 4. 3% (4/92) in non-abscess group (χ2=9. 176,9. 909,7. 465, P=0. 002,0. 002,0. 006). Multiple factor logistic regression analysis showed that duration of fever>2 d, lesions in nipple-areola area and massage history given by non-medical staff were risk factors in breast abscess during lactation ( OR=4. 171, 95%CI:1. 325-13. 135,P=0. 015;OR=5. 153, 95%CI:1. 564-16. 972,P=0. 007;OR=10. 184, 95%CI:2. 017-51. 428,P=0. 005). Conclusion The patients with duration of fever >2 d, lesions in nipple-areola area and massage history given by non-medical staff are prone to develop breast abscess and the physicians should pay more attention to their treatment.
