乳痈方结合外治法治疗非哺乳期乳腺炎100例临床观察

发布时间：2018-04-28 11:42

本文选题：粉刺性乳痈 + 乳痈方　；参考：《世界中西医结合杂志》2017年03期

【摘要】：目的探讨乳痈方结合外治法治疗非哺乳期乳腺炎的临床疗效。方法 100例非哺乳期乳腺炎患者内服乳痈方,同时结合外治法进行治疗,观察临床疗效情况,同时采用积分法记录症状体征(包括乳房肿物、乳房红肿、疼痛、脓肿形成、乳头凹陷、乳房瘘管)的积分情况,并计算总积分。治疗后对患者进行远期随访。结果经过治疗,临床总有效率为98%,痊愈率72%,显效率26%,无效率1%。患者乳房肿物、乳房红肿、疼痛、脓肿形成、乳头凹陷、乳房瘘管等临床指征,较治疗前明显改善,症状总积分治疗前为(16.0±4.2)分,治疗后为(2.2±1.3)分,治疗前后比较差异有统计学意义(P0.05)。进行门诊随访和电话随访,100例患者随访率97%,97例患者未见同侧复发,2例患者对侧再发,均继续治疗。结论乳痈方结合外治法治疗非哺乳期乳腺炎有较好的临床效果。本法治疗后复发率为3%,低于文献报道的复发率。经临床观察,乳头内陷,高血清泌乳素水平,外伤等为非哺乳期乳腺炎的诱发因素。
[Abstract]:Objective to investigate the clinical effect of Rukongfang combined with external treatment on non-lactation mastitis. Methods 100 cases of non-lactation mastitis patients were treated with breast carbuncle prescription combined with external treatment. The clinical curative effect was observed, and the symptoms and signs (including breast mass, breast redness, pain, abscess formation) were recorded by integral method. Nipple depression, mammary fistula) score, and calculate the total integral. Long-term follow-up was performed after treatment. Results after treatment, the total clinical effective rate was 98%, the recovery rate was 72%, the effective rate was 26.6%, and the inefficiency was 1%. The clinical indications, such as breast mass, breast redness, pain, abscess formation, nipple depression and mammary fistula, were significantly improved compared with those before treatment. The total score of symptoms was 16.0 卤4.2 before treatment and 2.2 卤1.3 after treatment. The difference before and after treatment was statistically significant (P 0.05). The follow-up rate of 97 cases was 97% and 97 cases had no ipsilateral recurrence and 2 cases of contralateral recurrence were continued treatment. Conclusion the treatment of non-lactation mastitis with Rukongfang combined with external treatment has better clinical effect. The recurrence rate after treatment by this method was 3%, which was lower than that reported in the literature. After clinical observation, nipple invagination, high serum prolactin level and trauma were the inducing factors of non-lactation mastitis.
【作者单位】：首都医科大学附属北京中医医院乳腺科;
【基金】：北京中医药科技发展资金项目(QN2015-19)
【分类号】：R269

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