陕西医学杂志2016，Vol.45Issue(12)：1615-1616,2.DOI:10.3969/j.issn.1000-7377.2016.12.022
女性乳腺炎决定因素的纵向评价
Determinants of mastitis in women：a cohort study
罗玉群 1白小丽2
作者信息
- 1. 青海省中医院乳腺科 西宁 810000
- 2. 西北妇女儿童医院
- 折叠
摘要
Abstract
Objective :This paper describes the factors correlated with mastitis and investigates the pres‐ence of Staphylococcus aureus in women who nulliparous women in pregnancy .Methods :Women completed ques‐tionnaires at recruitment and six time‐points in the first eight weeks postpartum .Nasal and nipple swabs were col‐lected from mothers and babies ,as well as breast milk samples .All samples were cultured for S .aureus .Incident Rate Ratios ([IRR]) were investigated using a discrete version of the multivariable proportional hazards regression model .Results :Twenty percent (70/346) of participants developed mastitis .Women had an increased risk of devel‐oping mastitis if they reported nipple damage (IRR 2 .17 ,95 % CI 1 .21‐3 .91) ,over‐supply of breast milk (IRR 2 . 60 ,95 % CI 1 .58‐4 .29) ,nipple shield use (IRR 2 .93 ,95 % CI 1 .72‐ 5 .01) or expressing several times a day (IRR 1 .64 ,95 % CI 1 .01‐2 .68) .The presence of S .aureus on the nipple (IRR 1 .72 ,95 % CI 1 .04‐2 .85) or in milk (IRR 1 .78 ,95 % CI 1 .08‐2 .92) also increased the risk of developing mastitis .Conclusions :Nipple damage ,over‐supply of breast milk ,use of nipple shields and the presence of S .aureus on the nipple or in breast milk increased the mastitis risk in our prospective cohort study sample .Reducing nipple damage may help reduce maternal breast infections .关键词
乳腺炎/母乳喂养/金黄色葡萄球菌Key words
Mastitis/Breast Feeding/Staphylococcus aureus分类
医药卫生引用本文复制引用
罗玉群,白小丽..女性乳腺炎决定因素的纵向评价[J].陕西医学杂志,2016,45(12):1615-1616,2.
