消法结合辨证点穴手法治疗急性乳腺炎郁滞期临床观察

Clinical observation on the treatment of acute mastitis in stagnation stage with elimination and syndrome-differentiated acupressure

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。

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 Department 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.