火针洞式烙口排脓联合托毒消痈汤治疗哺乳期急性乳腺炎的临床效果  

Clinical observation on treatment of acute mastitis by fire-needle cavitation drainage combined with Tuodu xiaoyong decoction during location

作　　者：郑爽[1] 于恬 王巍[1] 郭洁丽 孙汇慧 邢秀玲 ZHENG Shuang;YU Tian;WANG Wei(Department of Traditional Chinese Medicine,Tangshan Maternal and Child Health Hospital,Tangshan 063000,China)

机构地区：[1]唐山市妇幼保健院中医科,河北唐山063000

出　　处：《中国中西医结合外科杂志》2023年第6期766-770,共5页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：2023年度河北省中医药类科学研究课题计划项目(2023208)。

摘　　要：目的:探讨火针洞式烙口排脓联合托毒消痈汤治疗哺乳期急性乳腺炎的临床疗效。方法:选择于我院就诊的哺乳期急性乳腺炎患者118例,根据随机数字表法分为对照组与观察组各59例。对照组患者给予托毒消痈汤治疗,观察组在对照组基础上给予火针洞式烙口排脓治疗,观察两组患者治疗前后临床疗效,乳痈体征量化评分(乳房疼痛评分、乳房肿块数目评分、乳房肿块大小评分、乳房皮肤发红范围评分),血常规结果(白细胞数计数、中性粒细胞百分比、C-反应蛋白)、血清炎性因子指标(降钙素原、白细胞介素-6、肿瘤坏死因子-α)及预后情况(复发率、停乳率)。结果:观察组治疗后总有效率为91.52%,显著高于对照组77.96%(P<0.05);治疗后两组乳房的疼痛评分、乳房肿块数目评分、乳房肿块大小评分、乳房皮肤发红范围评分、血常规结果、血清炎性因子指标均较治疗前降低,且观察组低于对照组(P<0.05)。随访3个月后,观察组复发率为5.08%,显著低于对照组复发率16.95%;观察组停乳率为8.47%,显著低于对照组停乳率22.03%,差异有统计学意义(P<0.05)。结论:火针洞式烙口排脓联合托毒消痈汤治疗哺乳期急性乳腺炎临床疗效显著。Objective To investigate the clinical effect of fire-needle cavitation drainage combined with Tuodu xiaoyong decoction during location acute mastitis.Methods 118 patients with acute mastitis during lactation were selected from our hospital and divided into control group and observation group with 59 cases in each group according to random number table method.The control group was treated with Tuodu xiaoyong decoction,and the observation group was treated with ire-needle cavitation drainage on the basis of the control group.Clinical efficacy before and after treatment of the two groups were observed,as well as quantitative scores of physical signs of mammary carbuncle(breast pain score,breast lump number score,breast lump size score,breast skin redness range score).Blood routine results(leukocyte count,neutrophil percentage,C-reactive protein)serum inflammatory factor indicators(procalcitonin,interleukin-6,tumor necrosis factor-α)and prognosis(recurrence rate,breast cessation rate).Results The total effective rate of observation group was 91.52%,which was significantly higher than that of control group 77.96%(P<0.05).After treatment,the score of breast pain,the number of breast lumps,the size of breast lumps,the score of breast skin redness range,the results of blood routine and the indexes of serum inflammatory factors in the two groups were lower than before treatment,and the observation group was lower than the control group(P<0.05).After 3 months of follow-up,the recurrence rate of the observation group was 5.08%,which was significantly lower than 16.95%in the control group.The recurrence rate of 8.47%in the observation group was significantly lower than 22.03%in the control group,and the difference was statistically significant(P<0.05).Conclusion Fire-needle cavitation drainage combined with Tuodu xiaoyong decoction has significant clinical efficacy in treating lactation acute mastitis.

关 键 词：火针洞式烙口排脓 托毒消痈汤 哺乳期急性乳腺炎 炎性因子 

分 类 号：R632[医药卫生—外科学] R261[医药卫生—临床医学]