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作 者:李晓文 陈计赏 陈丽佳 林显君 梁少芬 Li Xiaowen;Chen Jishang;Chen Lijia(The People's Hospital of Yangjiang City,Yangjiang,Guangdong 529500)
出 处:《基层医学论坛》2020年第8期1047-1049,共3页The Medical Forum
基 金:阳江市科技计划项目(社发【2018】15)。
摘 要:目的探讨慢性乳腺炎患者采用三才疗法联合利美达松辅助外敷治疗的临床疗效。方法选取2015年8月-2018年10月在我院进行治疗的慢性乳腺炎患者80例,依据随机数字表法分为对照组和观察组各40例。患者均采用头孢丙烯片治疗,对照组加用利美达松治疗,观察组在对照组治疗的基础上加用三才疗法,2组患者均治疗15 d。观察临床疗效,检测患者的肿瘤坏死因子α(TNF-α)和C反应蛋白(CRP)及视觉模拟评分法(VAS)评分。结果对照组和观察组的治疗总有效率分别为65.00%和85.00%,具有显著统计学差异(P<0.05)。2组治疗前TNF-α和CRP水平对比差异无统计学意义(P>0.05);治疗后的2组TNF-α和CRP水平均降低,且观察组低于对照组,具有显著统计学差异(P<0.05)。2组在治疗前VAS评分对比差异无统计学意义(P>0.05);治疗后2组VAS评分水平均降低,且观察组低于对照组,具有显著统计学差异(P<0.05)。结论三才疗法和利美达松治疗乳腺炎患者可显著提高临床疗效,降低炎症因子水平和疼痛感,值得在临床中推广。Objective To investigate the clinical efficacy of three patients with chronic mastitis who were treated with tricacia therapy combined with external application of limedasone.Methods 80 patients with chronic mastitis who were treated in our hospital from August 2015 to October 2018.According to the random number table,the patients were randomly divided into the control group and the observation group,40 cases each.All patients were treated with cefprozil tablets.On this basis,the control group was treated with rimetasone.On the basis of treatment of the control group,the observation group was treated with tricale therapy,and the patients in the two groups were treated for 15 days each.Observe the clinical efficacy after treatment,detect the tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)of the patients,and observe the visual analogue scale(VAS)scores of the patients.Results The total effective rate of treatment in the control group and the observation group was 65.00%and 85.00%,respectively.The total effective rate of treatment in the observation group was significantly higher than that in the control group,and the comparison had statistical significance(P<0.05).There was no significant difference in the levels of TNF-αand CRP between the two groups before treatment(P>0.05).The levels of TNF-αand CRP in the two groups decreased after treatment(P<0.05).The TNF-αin the observation group after treatment And CRP levels were significantly lower than those in the control group,and the comparison had significant statistical significance(P<0.05).There was no significant difference in the VAS score comparison between the two groups before treatment(P>0.05).The VAS score levels of the two groups decreased after treatment(P<0.05).The VAS score of the observation group was significantly lower than that of the control group after treatment.Significant statistical significance(P<0.05).Conclusion Sancai therapy and limetasone can effectively improve the clinical efficacy in patients with mastitis,reduce the level
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