基于象数思维的辨位通乳法治疗瘀滞期乳痈的临床研究  

Clinical study on the treatment of stagnancy mammary carbuncle based on imas number thinking

作　　者：丁嫦英[1] 冯辉珍[1] 余秋燕 DING Chang-ying;FENG Hui-zhen;YU Qiu-yan(Department of Breast,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing,Zhejiang 314000,China;不详)

机构地区：[1]嘉兴市中医医院乳腺科,浙江嘉兴314000 [2]嘉兴市中医医院护理部

出　　处：《中国妇幼保健》2024年第2期195-199,共5页Maternal and Child Health Care of China

基　　金：浙江省医学会临床科研基金项目(2022ZYC-A42);嘉兴市公益性研究计划项目(2022AD30110)。

摘　　要：目的分析基于象数思维的辨位通乳法治疗瘀滞期乳痈的临床效果。方法选取2021年1月—2023年1月嘉兴市中医医院收治的160例瘀滞期乳痈患者为研究对象,并将其随机分为对照组(80例)和研究组(80例)。对照组采取抗生素给予诊治,研究组患者选用基于象数思维的辨位通乳法+口服中药通乳方进行治疗,检测两组治疗时长、各项症状缓和时长、C-反应蛋白(CRP)、中性粒细胞比率、血液白细胞计数(WBC)、乳房胀痛评分、并发症发生状况及临床疗效的情况变化。结果与对照组比较,研究组的治疗时长[(11.59±2.13)d vs.(4.63±1.36)d]、乳房红肿改善时长[(6.26±1.52)d vs.(2.64±0.63)d]、正常体温恢复时长[(3.25±1.02)d vs.(1.38±0.46)d]、正常排乳恢复时间[(7.22±1.23)d vs.(3.30±0.72)d]、乳房肿块改善时长[(5.53±1.76)d vs.(2.60±1.04)d]、并发症发生率(12.50%vs.3.75%)有所下降,差异均有统计学意义(均P<0.05)。治疗后,两组的中性粒细胞比率[(66.31±4.30)%vs.(51.54±3.15)%]、WBC[(7.09±1.85)×10^(9)/L vs.(5.11±1.07)×10^(9)/L]、CRP[(6.89±2.01)mg/L vs.(3.31±1.40)mg/L]、乳房胀痛评分[(4.29±1.02)分vs.(2.68±0.81)分]水平降低,且研究组改善情况高于对照组,差异有统计学意义(P<0.05)。研究组患者临床疗效的总有效率(96.25%)水平高于对照组(81.25%),差异有统计学意义(P<0.05)。结论通过基于象数思维的辨位通乳法+口服中药通乳方对瘀滞期乳痈患者施以治疗效果明显,可有效改善临床相关症状,炎症指标改善,避免并发症状的发生,加快病症恢复。Objective To analyze the clinical effect of the treatment of stagnancy mammary carbuncle based on image number thinking.Methods 160 patients with stagnant mastitis treated in Jiaxing Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the study objects,and randomly divided into control group(80 cases)and study group(80 cases).The control group was treated with antibiotics,and the study group was treated with location differentiation and milk decoction based on image number thinking plus oral TCM Tongru prescription.Results The duration of treatment,duration of symptom remission,C-reactive protein(CRP),neutrophil ratio,blood white blood cell count(WBC),breast tenderness score,complications and clinical efficacy of the two groups were detected.Compared with the control group,In the study group,the duration of treatment[(11.59±2.13)d vs.(4.63±1.36)d],the duration of improvement of breast redness and swelling[(6.26±1.52)d vs.(2.64±0.63)d],and the duration of normal body temperature recovery[(3.25±1.02)d vs.(1.38±0.46)d],recovery time of normal milk discharge[(7.22±1.23)d vs.(3.30±0.72)d],improvement time of milk room mass[(5.53±1.76)d vs.(2.60±1.04)d],the incidence of complications(12.50%vs.3.75%)decreased,and the differences were statistically significant(P<0.05 for all).After treatment,Neutrophil ratio[(66.31±4.30)%vs.(51.54±3.15)%],WBC[(7.09±1.85)×10^(9)/L vs.(5.11±1.07)×10^(9)/L],CRP[(6.89±2.01)mg/L vs.(3.31±1.40)mg/L],breast tenderness score[(4.29±1.02)scores vs.(2.68±0.81)scores].The improvement of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total effectiveness of clinical therapy in the study group(96.25%)was higher than that in the control group(81.25%),and the difference was statistically significant(P<0.05).Conclusion The clinical symptoms and inflammatory indicators can be improved effectively through the treatment of patients with stagflation mammary carbuncle by the metho

关 键 词：象数思维 辨位通乳法 瘀滞期乳痈 C-反应蛋白 

分 类 号：R655.8[医药卫生—外科学]