中西医结合治疗浆细胞性乳腺炎的疗效观察

发布时间：2018-06-17 06:27

本文选题：浆细胞性乳腺炎 + 导管扩张症　；参考：《南京中医药大学》2017年硕士论文

【摘要】：背景:浆细胞性乳腺炎是一种慢性非细菌性的乳腺良性病变,近些年患者逐渐增多,但是临床实际工作中缺少疗效好、损伤小且治疗时间短的治疗方法。目的:分析比较手术配合中药口服较单一手术在病人术后乳房疼痛、外形改变及对心理情绪影响的差异,归纳总结出联合治疗的优势。试验设计:采用随机平行对照试验。病例来源:南通三院乳腺外科。方法:选取南通三院乳腺外科2015.01.01-2016.11.30住院病人,共40例,为肿块期浆细胞性乳腺炎患者。采用随机平行对照的方式将40例患者分为两组:治疗组(外科手术配合口服中药)20例,对照组(单一手术)20例。两组患者均知晓治疗具体方案,并签署治疗知情同意书。观察两组患者治疗21天后的乳房疼痛及情绪方面有无改善,乳房外形的变化,同时分别在一个月、三个月和六个月时对患者进行访问评估。结果:40例患者全部治愈,治疗组在情绪改善方面、疼痛缓解上优于对照组,乳房外形改变以及术后复发率等指标明显低于对照组,具有统计学的比较差异。结论:针对浆细胞性乳腺炎,采取手术配合中药口服的治疗方法较单一手术治疗,能明显减轻患者疼痛感,改善焦虑情绪,减小乳房外形的改变,降低术后复发率,延长复发周期。
[Abstract]:Background: plasma cell mastitis is a kind of chronic non-bacterial breast benign disease. In recent years, the number of patients has increased gradually, but in clinical practice there is a lack of effective, small injury and short treatment time. Objective: to analyze and compare the differences of postoperative breast pain, shape change and psychological emotion in patients treated with surgery combined with traditional Chinese medicine orally compared with single operation, and summarize the advantages of combined therapy. Experimental design: a randomized parallel controlled trial was used. Source: breast surgery, Nantong third Hospital. Methods: 40 cases of plasmacytic mastitis were selected from breast surgery of Nantong third Hospital from January to November 30, 2015.01.01-2016.30. Forty patients were divided into two groups by randomized parallel control: treatment group (20 cases with surgery combined with oral Chinese medicine) and control group (20 cases with single operation). The patients in both groups were informed of the treatment plan and signed an informed consent to the treatment. After 21 days of treatment, the patients in both groups were observed for improvement of breast pain and mood, changes in breast appearance, and interviews were conducted at one month, three months and six months, respectively. Results all the 40 cases were cured. The pain relief in the treatment group was better than that in the control group. The breast appearance and recurrence rate were significantly lower in the treatment group than in the control group. There was statistical difference between the treatment group and the control group. Conclusion: in view of plasma cell mastitis, the operation combined with oral Chinese medicine can obviously relieve the pain, improve anxiety, reduce the change of mammary shape and reduce the recurrence rate. The recurrence period was prolonged.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R655.8

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