中西医结合治疗对浆液性乳腺炎的疗效分析(1)
摘 要：目的 探讨中西医结合治疗对浆液性乳腺炎的临床治疗效果。方法 选取九江市妇幼保健院2015年1月～2017 年10月乳腺科及门诊收治的46例浆液性乳腺炎患者，随机将患者分为两组，每组23例，西医治疗组采用临床西医包括手术等方案进行治疗，中西医结合治疗组在西医的基础上联合中药进行治疗，统计分析两组临床治疗效果。结果 两组患者治疗后，对比数据发现，中西医结合治疗组总治疗总有效率为91.30%，高于西医治疗组的78.26%，组间差异有统计学意义(P<0.05)。结论 中西医结合治疗在临床治疗浆液性乳腺炎中效果显著，值得推广。
关键词：浆液性乳腺炎；中西医结合治疗；中药方
中图分类号：R655.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.048
文章编号：1006-1959(2018)06-0139-03
, http://www.100md.com
Analysis of Curative Effect on Serous Mastitis Treated by Combination of Traditional Chinese and Western Medicine
YANG Yan
(Department of Breast，Jiujiang Maternal and Child Health Hospital，Jiujiang 332001，Jiangxi，China)
Abstract：Objective To investigate the clinical effect of combined treatment of traditional Chinese and western medicine on serous mastitis.Methods 46 cases of serous mastitis were selected from breast department and outpatient clinic in Jiujiang MCH Hospital from January 2015 to October 2017.The patients were randomly divided into two groups，23 cases in each group.The western medicine treatment group was treated with clinical and western medicine，including surgery，and the traditional Chinese and western medicine treatment group was treated on the basis of western medicine combined with traditional Chinese medicine，statistical analysis of two groups of clinical treatment effect.Results After comparing the data of the two groups，the total effective rate of the treatment group was 91.30%，which was 78.26% higher than that of the western medicine treatment group，the difference between the two groups was statistically significant(P<0.05).Conclusion The combination of traditional Chinese and Western medicine has a remarkable effect in the clinical treatment of serous mastitis，and it is worth popularizing.
, 百拇医药
Key words：Serous mastitis；Chinese and Western medicine treatment；Chinese medicine prescription
乳腺炎(mastitis)是女性常見的一类乳腺疾病，不同年龄段的均可发病，临床上主要为急性化脓性乳腺炎、乳晕旁瘘管、浆细胞性乳腺炎等为主[1]。在所有乳腺炎患者中，浆液性乳腺炎发病率仅占一般乳房良性疾病的5%左右，临床报道较少[2]。浆液性乳腺炎，临床又名导管扩张症，中医则称粉刺性乳痈，临床研究发现其产生是因组织脂肪性物质堆积以及外溢，从而刺激周围组织产生免疫性反应，致使大量浆细胞浸润。浆液性乳腺炎患者绝大多数都是经产妇在绝经的前后发生，少数发生在妊娠后 [3]。病程长且易复发是主要特点，临床治疗主要分为急性期、慢性期和发作期，治疗上针对不同时期特点进行，西医治疗主要以口服地塞米松或强的松治疗，配合消炎药口服消炎治疗。适当时期进行手术为主，因手术给患者的身心健康带来较大影响。本次选取九江市妇幼保健院2015年1月～2017 年10月门诊以及病房收治的浆液性乳腺炎患者26例，采用中西医结合疗法进行治疗的效果，现报告如下。
1资料与方法
1.1 一般资料 选取九江市妇幼保健院2015年1月～2017 年10月门诊以及病房收治的浆液性乳腺炎患者46例，本次研究经医院伦理委员会批准，经检查符合临床诊断的患者纳入研究[4]，排除其他类型的乳腺疾病、乳腺癌患者、治疗药物过敏患者等其他影响治疗效果的因素的患者，患者知情并签署知情同意书。随机分为两组，每组23例，西医组年龄20～44岁，平均年龄(35.23±10.34)岁；中西医结合治疗组，年龄21～45岁，平均年龄(36.25±11.22)岁；所选患者均为女性。两组患者一般资料对比，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(杨艳)
关键词：浆液性乳腺炎；中西医结合治疗；中药方
中图分类号：R655.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.06.048
文章编号：1006-1959(2018)06-0139-03
, http://www.100md.com
Analysis of Curative Effect on Serous Mastitis Treated by Combination of Traditional Chinese and Western Medicine
YANG Yan
(Department of Breast，Jiujiang Maternal and Child Health Hospital，Jiujiang 332001，Jiangxi，China)
Abstract：Objective To investigate the clinical effect of combined treatment of traditional Chinese and western medicine on serous mastitis.Methods 46 cases of serous mastitis were selected from breast department and outpatient clinic in Jiujiang MCH Hospital from January 2015 to October 2017.The patients were randomly divided into two groups，23 cases in each group.The western medicine treatment group was treated with clinical and western medicine，including surgery，and the traditional Chinese and western medicine treatment group was treated on the basis of western medicine combined with traditional Chinese medicine，statistical analysis of two groups of clinical treatment effect.Results After comparing the data of the two groups，the total effective rate of the treatment group was 91.30%，which was 78.26% higher than that of the western medicine treatment group，the difference between the two groups was statistically significant(P<0.05).Conclusion The combination of traditional Chinese and Western medicine has a remarkable effect in the clinical treatment of serous mastitis，and it is worth popularizing.
, 百拇医药
Key words：Serous mastitis；Chinese and Western medicine treatment；Chinese medicine prescription
乳腺炎(mastitis)是女性常見的一类乳腺疾病，不同年龄段的均可发病，临床上主要为急性化脓性乳腺炎、乳晕旁瘘管、浆细胞性乳腺炎等为主[1]。在所有乳腺炎患者中，浆液性乳腺炎发病率仅占一般乳房良性疾病的5%左右，临床报道较少[2]。浆液性乳腺炎，临床又名导管扩张症，中医则称粉刺性乳痈，临床研究发现其产生是因组织脂肪性物质堆积以及外溢，从而刺激周围组织产生免疫性反应，致使大量浆细胞浸润。浆液性乳腺炎患者绝大多数都是经产妇在绝经的前后发生，少数发生在妊娠后 [3]。病程长且易复发是主要特点，临床治疗主要分为急性期、慢性期和发作期，治疗上针对不同时期特点进行，西医治疗主要以口服地塞米松或强的松治疗，配合消炎药口服消炎治疗。适当时期进行手术为主，因手术给患者的身心健康带来较大影响。本次选取九江市妇幼保健院2015年1月～2017 年10月门诊以及病房收治的浆液性乳腺炎患者26例，采用中西医结合疗法进行治疗的效果，现报告如下。
1资料与方法
1.1 一般资料 选取九江市妇幼保健院2015年1月～2017 年10月门诊以及病房收治的浆液性乳腺炎患者46例，本次研究经医院伦理委员会批准，经检查符合临床诊断的患者纳入研究[4]，排除其他类型的乳腺疾病、乳腺癌患者、治疗药物过敏患者等其他影响治疗效果的因素的患者，患者知情并签署知情同意书。随机分为两组，每组23例，西医组年龄20～44岁，平均年龄(35.23±10.34)岁；中西医结合治疗组，年龄21～45岁，平均年龄(36.25±11.22)岁；所选患者均为女性。两组患者一般资料对比，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(杨艳)