清热解毒汤治疗哺乳期急性乳腺炎的回顾性研究  

Retrospective Study on the Qingre Jiedu Decoction in the Treatment of Acute Mastitis During Lactation

作　　者：谢晓晨 陈雯 黄巧[1] 张董晓[1] XIE Xiaochen;CHEN Wen;HUANG Qiao(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Beijing University of Chinese Medicine)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]北京中医药大学

出　　处：《浙江中医药大学学报》2024年第1期67-76,共10页Journal of Zhejiang Chinese Medical University

基　　金：青年岐黄学者项目(2022-256);国家中医药管理局中医药古籍文献和特色技术传承专项(GZY-KJS-2022-035);首都临床诊疗技术研究及转化应用课题(Z211100002921020);国家中医优势专科项目(PZ2018022)。

摘　　要：[目的]探讨清热解毒汤治疗哺乳期急性乳腺炎的临床疗效。[方法]回顾性分析2019年1月至2020年12月就诊于首都医科大学附属北京中医医院乳腺科的哺乳期乳腺炎患者的临床资料,其中治疗组80例,内服清热解毒汤;对照组90例,无内服汤药。观察两组治疗前后乳腺炎的严重程度指数、疾病改善率、体温、乳房疼痛评分、乳汁通畅情况、乳头皲裂情况、中医全身症状评分等指标。[结果]在乳腺炎的严重程度指数、疾病改善率、乳房疼痛评分、乳汁通畅情况、中医全身症状方面组间差异有统计学意义(P<0.05),治疗组疗效优于对照组。[结论]清热解毒汤可有效改善哺乳期急性乳腺炎疼痛、肿块、红肿、乳汁堵塞等情况,疗效确切。[Objective]To explore the clinical efficacy of Qingre Jiedu Decoction in the treatment of acute mastitis during lactation.[Methods]The clinical data of lactating mastitis patients who presented to the Galactophore Department of Beijing Hospital of Traditional Chinese Medicine,Capital Medical University from January 2019 to December 2020 were retrospectively analyzed.In the treatment group,80 patients received internal decoction;in control group,no decoction was taken.The severity index of mastitis,disease improvement rate,breast pain score,milk patency,nipple cracking condition and traditional Chinese medicine(TCM)systemic symptom score were observed.[Results]There were significant statistic differences in the severity index of mastitis,disease improvement rate,breast pain score,milk patency and TCM systemic symptoms scores(P<0.05).The therapeutic effect of the treatment group was better than that of the control group.[Conclusion]Qingre Jiedu Decoction can effectively release pain,reduce the size of lumps,release swelling and milk stasis of lactation acute mastitis,and the curative effect is good.

关 键 词：清热解毒汤 哺乳期 急性乳腺炎 临床研究 疼痛 肿块 疾病改善率 

分 类 号：R655[医药卫生—外科学]