首页|消法结合辨证点穴手法治疗急性乳腺炎郁滞期临床观察

消法结合辨证点穴手法治疗急性乳腺炎郁滞期临床观察

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目的:观察消法结合辨证点穴手法治疗急性乳腺炎郁滞期的临床效果.方法:将上海交通大学医学院附属上海儿童医学中心海南医院乳腺科2019年11月~2021年11月诊治的哺乳期急性乳腺炎患者100例用随机数字表法分为对照组和治疗组,各50例,对照组采用辨证点穴手法治疗,治疗组联合瓜蒌牛蒡汤加减治疗,观察两组中医证候积分、乳房局部状况、治疗效果以及不良事件发生情况.结果:治疗后,治疗组各项中医证候积分明显低于对照组(P<0.05);治疗组疼痛视觉模拟评分法(VAS)评分、乳房局部肿块和皮肤红肿范围改善情况优于治疗组(P<0.05);治疗组总有效治疗率明显高于对照组(P<0.05);治疗组发生红疹、瘙痒、恶心呕吐等不良事件发生情况与对照组相当(P>0.05).结论:消法结合辨证点穴手法可改善急性乳腺炎郁滞期患者临床症状、乳房局部肿块和皮肤红肿,减少患者疼痛感受,治疗效果显著,治疗安全性较高.
Clinical observation on the treatment of acute mastitis in stagnation stage with elimination and syndrome-differentia-ted acupressure
Objective:To observe the clinical effect of elimination combined with syndrome-differentiated acupressure in the treatment of acute mastitis in stagnation stage.Methods:A total of 100patients with acute mastitis in stagnation stage who were treated at Shanghai Jiao Tong University School of Medicine Affiliated Shanghai Children's Medical Center Hainan Hospital Breast Depart-ment from November 2019to November 2021were divided into a control group and a treatment group using a table of random numbers,each with 50cases.The control group was treated with syndrome-differentiated acupressure and the treatment group was treated with Gualou Niubang decoction on this basis.TCM syndrome scores,local breast condition,treatment effect,and the incidence of adverse events in both groups were observed.Results:After treatment,TCM syndrome scores in the treatment group were significantly lower than those in the control group(P<0.05).The Visual Analogue Scale(VAS)score of pain and improvement of local breast lump and skin redness in the treatment group were better than those in the control group(P<0.05).The total effective treatment rate of the treatment group was significantly higher than that of the control group(P<0.05).The incidence rates of adverse events such as red rash,itching,nausea and vomiting in the two groups were close(P>0.05).Conclusion:Elimination combined with syndrome-differentiated acupressure can improve clinical symptoms,local breast lump,skin redness and swelling in patients with acute mastitis in stagnation stage,reduce pain,and have a significant therapeutic effect with high treatment safety.

Gualou Niubang decoctionSyndrome-differentiated acupressureAcute mastitisStagnation stage

武瑞仙、周秉鹏、林晓茹、谭和龙、洪日

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上海交通大学医学院附属上海儿童医学中心海南医院乳腺科,海南三亚 572000

上海交通大学医学院附属上海儿童医学中心海南医院生殖中心,海南三亚 572000

瓜蒌牛蒡汤 辨证点穴手法 急性乳腺炎 郁滞期

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(11)