火针为主综合治疗非哺乳期乳腺炎30例

Clinical Effect of Multimodality Therapy Based on Fire Needle in Treatment of Nonpuerperal Mastitis:An Analysis of 30 Cases

目的观察以火针为主的综合疗法对非哺乳期乳腺炎的临床疗效。方法选取非哺乳期乳腺炎脓肿期或溃后期患者60例,将其随机分为治疗组30例和对照组30例。其中治疗组采用火针排脓祛腐法治疗,对照组采用切开排脓法治疗,两组均口服浆乳2号方,疗程2个月。比较两组患者的治疗效果。结果两组患者临床疗效比较,差异无统计学意义(P>0.05);与对照组比较,治疗组患者伤口愈合时间明显降低(P<0.05),瘢痕直径与脓肿长轴直径比值显著缩小(P<0.05),治疗组患者治疗后乳房外观评分和满意度评分均显著增加(P<0.05);与治疗前比较,两组患者治疗后肿块面积和溃口面积显著缩小(P<0.05),但治疗组溃口面积缩小程度优于对照组(P<0.05)。结论火针为主综合治疗非哺乳期乳腺炎不仅有良好的临床疗效,而且治疗周期短,能维持乳房外形的美观,患者满意度较高,是临床有效可行的方法。

Objective To investigate the clinical effect of multimodality therapy based on fire needle in the treatment of nonpuerperal mastitis.Methods A total of 60 patients with nonpuerperal mastitis in the stage of abscess or the late stage of ulceration were randomly divided into treatment group and control group,with 30 patients in each group.The patients in the treatment group were given fire needle to remove abscess and decay,and those in the control group were given incision and drainage.Both groups were given oral No.2 decoction for plasma-cell mastitis,and the course of treatment was 2 months.Treatment outcome was compared between the two groups.Results There was no significant difference in treatment outcome between the two groups(P>0.05).Compared with the control group,the treatment group had significant reductions in wound healing time and the ratio of scar diameter to the long-axis diameter of abscess(P<0.05).The treatment group had significant increases in breast appearance score and satisfaction score after treatment(P<0.05).Both groups had significant reductions in mass area and ulcer area after treatment(P<0.05),and the treatment group had a significantly greater reduction in ulcer area than the control group(P<0.05).Conclusion In the treatment of nonpuerperal mastitis,multimodality therapy based on fire needle has a good clinical effect and can shorten treatment cycle and maintain the beauty of breast,with a high degree of patient satisfaction,and therefore,it is an effective and feasible method in clinical practice.