铺蒜灸治疗脓肿型肉芽肿性小叶性乳腺炎的疗效观察  

Observations on the Efficacy of Long-snake Moxibustion for Granulomatous Lobular Mastitis of Abscess Type

作　　者：胡珊[1] 陈妍 宁艳 陈鹏典 禹东慧 韦敏 HU Shan;CHEN Yan;NING Yan;CHEN Peng-dian;YU Dong-hui;WEI Min(Southern Medical University Shenzhen Maternal and Child Health Hospital,Shenzhen 518028,China)

机构地区：[1]南方医科大学深圳市妇幼保健院,深圳518028

出　　处：《上海针灸杂志》2021年第7期852-856,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：深圳市“医疗卫生三名工程”项目(SZSM201612046);深圳市卫生计生系统科研项目(SZFZ2018046);王俊玲广东省名中医传承工作室[粤中医办函(2019)5号]。

摘　　要：目的观察铺蒜灸治疗脓肿型肉芽肿性小叶性乳腺炎的临床疗效。方法将60例脓肿型肉芽肿性小叶性乳腺炎患者随机分为治疗组和对照组,每组30例。治疗组采用铺蒜灸治疗,对照组采用常规换药引流治疗。观察两组治疗前后脓液量、肿块大小(肿块三径平均值)及焦虑自评量表(SAS)评分的变化情况,并比较两组临床疗效、乳房外观优良率及不良反应发生率。结果两组治疗后脓液量、肿块大小及SAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后脓液量、肿块大小及SAS评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗后乳房外观优良率和总有效率分别为86.7%和96.7%,对照组分别为60.0%和80.0%,两组比较差异均具有统计学意义(P<0.05)。治疗组月经紊乱发生率和失眠发生率分别为40.0%和26.7%,对照组分别为50.0%和70.0%,两组失眠发生率比较,差异具有统计学意义(P<0.05)。结论铺蒜灸是一种治疗脓肿型肉芽肿性小叶性乳腺炎的有效方法。Objective To observe the clinical efficacy of long-snake moxibustion for granulomatous lobular mastitis of abscess type.Method Sixty patients with granulomatous lobular mastitis of abscess type were randomized to treatment and control groups,with 30 cases in each group.The treatment received long-snake moxibustio and the control group,conventional dressing change and drainage.Pus volume,mass size(mean value of three diameters of mass)and the Self-Rating Anxiety Scale(SAS)score were observed in the two groups before and after treatment.The clinical therapeutic effects,the excellent and good rates of breast appearance and the incidences of adverse reactions were compared between the two groups.Result There were statistically significant pre/post-treatment differences in pus volume,mass size and the SAS score in the two groups(P<0.05).There were statistically significant post-treatment differences in pus volume,mass size and the SAS score between the treatment and control groups(P<0.05).After treatment,the excellent and good rates of breast appearance and the total efficacy rate were 86.7%and 96.7%,respectively,in the treatment group and 60.0%and 80.0%,respectively,in the control group with statistically significant differences between the two groups(P<0.05).The incidences of menstrual disorder and insomnia were 40.0%and 26.7%,respectively,in the treatment group and 50.0%and 70.0%,respectively,in the control group with a statistically significant difference in the incidence of insomnia between the two groups(P<0.05).Conclusion Long-snake moxibustion is an effective way to treat granulomatous lobular mastitis of abscess type.

关 键 词：灸法 隔蒜灸 间接灸 肉芽肿性乳腺炎 焦虑自评量表 

分 类 号：R246.3[医药卫生—针灸推拿学]