摘要
目的观察针灸配合阳和汤治疗慢性乳腺炎肿块期的临床疗效。方法将72例慢性乳腺炎肿块期患者随机分为治疗组和对照组,每组36例。治疗组采用针灸配合口服阳和汤治疗,对照组采用单纯口服阳和汤治疗。观察两组治疗前后VAS评分及乳腺症状体征量表各项评分(全身症状、乳房疼痛、肿块及总分)的变化情况,并比较两组临床疗效及手术引流率和复发率。结果两组治疗1、2、3、4周后VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗2、3、4周后VAS评分与对照组比较,差异具有统计学意义(P<0.05)。两组治疗后乳腺症状体征量表各项评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后乳腺症状体征量表中肿块评分与对照组比较,差异具有统计学意义(P<0.05)。治疗组总有效率和治愈率分别为94.4%和83.3%,对照组分别为83.3%和61.1%。两组治愈率比较,差异具有统计学意义(P<0.05)。治疗组治愈患者复发率为26.7%,对照组为27.3%,两组比较差异无统计学意义(P>0.05)。治疗组手术引流率为11.1%,对照组为30.6%,两组比较差异具有统计学意义(P<0.05)。结论针灸配合阳和汤是一种治疗慢性乳腺炎肿块期的有效方法。
Objective To observe the clinical efficacy of acupuncture-moxibustion plus Yang He decoction in treating chronic mastitis at lump stage. Method Seventy-two patients with chronic mastitis at lump stage were randomized into a treatment group and a control group, with 36 cases in each group. The treatment group was intervened by acupuncture-moxibustion plus oral administration of Yang He decoction, while the control group was intervened by oral administration of Yang He decoction alone. The changes in the Visual Analogue Scale（VAS） score and component scores of mastitis symptoms and signs scale（general symptoms, breast pain, lump and total scores） in the two groups after the treatment were observed. The clinical efficacy, surgical drainage and relapse rates were compared between the two groups. Result The VAS scores respectively after 1-week, 2-week, 3-week and 4-week treatment were significantly different from the score before the treatment in the two groups（P0.05）. The VAS score in the treatment group was significantly different from that in the control group respectively after 2-week, 3-week and 4-week treatment（P0.05）. The mastitis symptoms and signs scale scores were significantly changed after the treatment in both groups（P0.05）. The lump score of mastitis symptoms and signs scale in the treatment group was significantly different from that in the control group after the intervention（P0.05）. The total effective rate was 94.4%and the recovery rate was 83.3% in the treatment group, versus 83.3% and 61.1% in the control group. There was a significant difference in the recovery rate between the two groups（P0.05）. The relapse rate among those who were recovered was 26.7% in the treatment group, versus 27.3% in the control group, and the between-group difference was statistically insignificant（P0.05）. The rate of surgical drainage was 11.1% in the treatment group, versus 30.6% in the control group, and the difference between the two groups was statistically significant（P 0.05）. Co
作者
王苗
楼丽华
WANG Miao;LOU Li-hua(The First Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou 310053,China;Zhejiang Provincial Hospital of TCM,Hangzhou 310000,China)
出处
《上海针灸杂志》
2018年第5期536-539,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针灸疗法
乳腺炎
阳和汤
针药并用
Acupuncture-moxibustion
Mastitis
Yang He decoction
Acupuncture medication combined
