透脓散加减联合乳痈散外敷治疗肉芽肿性小叶性乳腺炎的效果分析  

Effect Analysis of Modified Tounong Powder Combined with External Application of Acute Mastitis Powder in Treatment of Granulomatous Lobular Mastitis

作　　者：任宇珂 任劲松 陈正平 Ren Yuke;Ren Jinsong;Chen Zhengping(Jiangyin Surgery Hospital of Traditional Chinese Medicine,Jiangyin 214437,Jiangsu Province,China)

机构地区：[1]江阴市中医外科医院,江苏江阴214437

出　　处：《中国社区医师》2024年第8期79-81,共3页Chinese Community Doctors

基　　金：无锡市名中医工作室建设项目[编号:锡中医(2020)9号];第二期江阴市名老中医传承工作室学员[编号:澄卫通(2020)92号]。

摘　　要：目的:分析透脓散加减联合乳痈散外敷治疗肉芽肿性小叶性乳腺炎的效果。方法:选取2020年1月—2021年12月江阴市中医外科医院收治的肉芽肿性小叶性乳腺炎患者85例作为研究对象,采用抽签法随机分为对照组(n=42)、观察组(n=43)。对照组采用透脓散加减治疗,观察组采用透脓散加减联合乳痈散外敷治疗。比较两组治疗效果。结果:治疗2、4周后,两组肿块质地、病灶皮肤温度、病灶皮肤颜色、疼痛症状、脓液渗出量、脓液性质评分逐渐降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率高于对照组,差异有统计学意义(P=0.012)。结论:透脓散加减联合乳痈散外敷治疗肉芽肿性小叶性乳腺炎的效果显著,可改善患者临床症状。Objective:To analyze the effect of the modified Tounong powder combined with external application of acute mastitis powder in the treatment of granulomatous lobular mastitis.Methods:A total of 85 patients with granulomatous lobular mastitis ad⁃mitted to Jiangyin Surgery Hospital of Traditional Chinese Medicine from January 2020 to December 2021 were selected as the study subjects.They were randomly divided into control group(n=42)and observation group(n=43)by lottery method.The control group was treated with the modified Tounong powder,and the observation group was treated with the modified Tounong powder and external application of acute mastitis powder.The treatment effects were compared between the two groups.Results:After 2 and 4 weeks of treatment,the scores of lump nature,lesion skin temperature,lesion skin color,pain symptoms,pus exudation,and pus nature in the two groups were gradually decreasedt,and the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.012).Conclusion:The modified Tounong powder combined with external application of acute mastitis powder has significant effects in the treatment of granulomatous lobu⁃lar mastitis and can improve the clinical symptoms of patients.

关 键 词：透脓散 乳痈散 肉芽肿性小叶性乳腺炎 

分 类 号：R271.9[医药卫生—中西医结合]