首页|丹鹿胶囊联合黄葵胶囊对肉芽肿性小叶性乳腺炎复发率的影响

丹鹿胶囊联合黄葵胶囊对肉芽肿性小叶性乳腺炎复发率的影响

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目的 观察丹鹿胶囊联合黄葵胶囊对肉芽肿性小叶性乳腺炎(GLM)患者复发率的影响.方法 从上海中医药大学附属龙华医院刘胜教授门诊数据库中,抽取GLM恢复期服用丹鹿胶囊联合黄葵胶囊且治愈后随访满6 个月的GLM患者.本研究采用单组回顾性临床试验,通过目标值的设定,通过观察患者临床治愈后6 个月内的复发率,分析在GLM恢复期服用丹鹿胶囊联合黄葵胶囊对复发率的影响.结果 本研究纳入GLM患者51 例,年龄27~53 岁,平均服药时间(5.25±2.87)个月,平均随访时间为(12.47±4.60)个月,51 例患者出现4 例复发.采用Clopper-Pearson可信区间计算法得到其复发率为7.84%(95%CI:2.17%~18.89%),低于目标值 23%,差异有统计学意义.治疗期间不良反应总发生率为5.88%(3/51),研究期间未观察到肝肾功能损伤及其他不良反应发生.结论 丹鹿胶囊联合黄葵胶囊为降低GLM复发率的有效治疗方案.
Effect of Danlu capsule combined with Huangkui capsule on the recurrence rate of granulomatous lobular mastitis
Objective To observe the effect of Danlu capsule combined with Huangkui capsule on the recurrence rate of patients with granulomatous lobular mastitis(GLM).Methods From the database of Professor LIU Sheng,Longhua Hospital Shanghai University of Traditional Chinese Medicine,GLM patients who were cured by Danlu capsule+Huangkui capsule dur-ing the convalescence period and were followed up for greater than or equal to six months were selected.This study utilized a sin-gle-group retrospective clinical trial design.Recurrence rates within 6 months post-clinical remission were observed and ana-lyzed to evaluate the efficacy of the combined treatment regimen in reducing GLM recurrence during the recovery phase.Results The study included 51 GLM patients,aged27-53 years,with a mean duration of administration of 5.25±2.87 months and a mean follow-up of 12.47±4.60 months,and 4 relapses occurred in 51 patients.The recurrence rate was significantly lower than the target value(7.84%vs 23%,95%CI:2.17%to 18.89%)using the Clopper-Pearson confidence interval calcula-tion.The total incidence of adverse reactions during treatment was 5.88%(3/51),and no liver or kidney function damage or other adverse reactions were observed during the study.Conclusion Danlu capsule combined with Huangkui capsule is an effec-tive treatment option to reduce the recurrence rate of GLM.

Granulomatous lobular mastitisTraditional Chinese medicine therapyRecovery periodRecurrence rate

华辞怡、李斐斐、刘胜

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上海中医药大学附属龙华医院中西医结合乳腺科,上海 200032

肉芽肿性小叶性乳腺炎 中药疗法 恢复期 复发率

上海市进一步加快中医药事业发展三年行动计划

ZY2018-2020-ZYBZ-01

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(5)