摘要
目的观察中医通络化瘀法联合手法疏通治疗哺乳期瘀积性乳腺炎临床疗效。方法随机将哺乳期瘀积性乳腺炎患者130例分作A、B两组,各65例。A组在饮食、休息、卫生指导等基础上,给予手法疏通治疗;B组在A组治疗基础上,再辅以通络化瘀方治疗。治疗5 d后,比较两组中医证候积分及疗效、肿块分级、血常规[白细胞计数(WBC)、中性粒细胞百分比(NE)]、各症状消退时间、乳腺脓肿发生率及复乳率。结果治疗5 d后,两组中医证候积分皆极大降低(P <0.05),且B组降幅大于A组(P <0.05);B组总有效率显著高于A组(P <0.05);两组肿块分级结果皆显著优于治疗前(P <0.05),且B组优于A组(P <0.05);两组WBC、NE水平皆显著降低(P <0.05),且B组显著低于A组(P <0.05);B组乳汁排出通畅、肿块消散、局部疼痛消失、血象恢复正常时间皆显著短于A组;B组乳腺脓肿发生率显著低于A组,复乳率显著高于A组(P <0.05)。结论中医通络化瘀法联合手法疏通治疗哺乳期淤积性乳腺炎,能有效缓解中医证候,提高疗效,改善肿块分级,减轻炎性反应,促进症状消退,降低乳腺脓肿发生率,提高复乳率。
Objecti ve To observe the clinical effect of traditional Chinese medicine Tongluo Huayu method combined with manipulative dredging in th e treatment of lactation stasis mastitis. Methods A total of 130 cases of lactation stasis mastitis were randomly divided into group A and group B(n=65, respectively). Group A was given manipulative dredging therapy on the basis of diet, rest and health guidance;Group B was treated with Tongluo Huayu Decoction on the basis of group A. After five days of treatment, the scores of TCM symptoms and curative effect, the grade of tumor, blood routine(WBC and NE), the time of symptoms subsidence, the incidence of breast abscess and the rate of re-breast were compared between the two groups. Results After five days of treatment, the scores of TCM symptoms in both groups decreased significantly(P < 0.05), and the decrease in group B was greater than that in group A(P < 0.05);the total effective rate in group B was significantly higher than that in group A(P < 0.05);the results of tumor classification in both groups were significantly better than those before the treatment(P < 0.05), and those in group B were better than those in group A(P < 0.05);the levels of WBC and NE in both groups decreased significantly(P < 0.05), and those in group B were significantly lower than those in group A(P < 0.05). The time periods for unobstructed breast milk discharge, tumor subsidence, partial disappearance of pain, and normal recovery of hemogram in group B were significantly shorter than those in group A;the breast abscess rate in group B was significantly lower than that in group A, while the rate of recovery nursing in group B was significantly higher than that in group A(P < 0.05). Conclusion TCM Tongluo Huayu method combined with manipulative dredging can effectively alleviate the symptoms of TCM, improve the curative effect and the grade of tumor, alleviate inflammatory reaction,promote symptoms subsidence, reduce the incidence of breast abscess and increase the rate of re-breast.
作者
沈静
赵晶
Shen Jing;Zhao Jing(Department of Obstetrics, Yichang Hospital of Traditional Chinese Medicine, Yichang, Hubei, 443003, China;Department of Comprehensive Surgery, Yichang Hospital of Traditional Chinese Medicine, Yichang, Hubei, 443003, China)
出处
《西南国防医药》
CAS
2019年第5期613-616,共4页
Medical Journal of National Defending Forces in Southwest China
关键词
哺乳期
瘀积性乳腺炎
通络化瘀方
手法疏通
疗效
lactation
stasis mastitis
Tongluo Huayu recipe
manipulative dredging
curative effect
