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The Curative Effect Of Phlegm And Stasis Muscle Therapy On The Treatment Of Non-lactating Mastitis

Posted on:2019-02-26Degree:MasterType:Thesis
Country:ChinaCandidate:Q Q GuanFull Text:PDF
GTID:2354330548952682Subject:Surgery of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Object and significance:In recent years,the incidence of non-puerperal mastitis has been on the rise.However,the cause of the disease is unknown,the sinus tract is difficult to reconstruct after the collapse,and the treatment is difficult.Western medicine is mainly used for surgical resection,and silver ion dressings are commonly used during the later period of the collapse.Dressing treatment.Chinese medicine uses traditional Chinese medicine and internal and external treatment to treat the disease,which has characteristics and advantages,and has a more prominent effect on the later stage of ulceration.The rot and muscle-producing muscle method is a commonly used method for surgical treatment of chronic wounds in Chinese medicine.,Hong Sheng Dan,etc.,on the carrion did not take off,serious leakage,sore mouth subsidence,long-term muscle embolism have a good effect,ulcer oil is the Sino-Japanese Friendship Hospital hospital preparations,mainly used in the healing period of various wounds,opposite students Muscle closing has a good promoting effect.This study will observe the clinical curative effect of non-lactating mastitis patients with ulcerative disease by oral treatment of traditional Chinese medicine rot myogenic method with traditional Chinese medicine to evaluate the efficacy and safety of the treatment of this disease.To provide an effective treatment for the disease and solve clinical problems.METHODS:A total of 60 non-puerperal mastitis late-stage patients from the Chinese-Japanese Friendship Hospital were recruitedand a random number table generated by SPASS 20.0 was matched at a ratio of 1:1.Thirty patients in each group were divided into a treatment group and a western medicine group.The treatment group was given orally treated with acupuncture-moxibustion ulcer oil dressing and traditional Chinese medicine decoction"non-puerperal mastitis prescription ?".The control group was treated with silver ion antibacterial dressing and herbal decoction " non-puerperal mastitis prescription ?" oral treatment.The main components of " non-puerperal mastitis prescription ?" are Honeysuckle,Gongying,Angelica dahurica,Angelica,Coix Seed,Radix trichosanthis,Scrophularia ningpoensis Hemsl,astragalus root,Saponins,Citrus,Radix Paeoniae Rubra,raw licorice ect.The treatment of both groups were 12 weeks.Take the patition that is closest to the visiting time as the observation object,use the probe to probe its depth,measure the diameter of the mass and the size of the sores with a surgical wound measuring tape,and record the changes in the size of the breast lumps(cm2)before and after treatment;the sinus depth(cm));sore mouth size(cm2);wound exudate score;wound granulation score;VAS pain score;prolactin,breast ultrasound and other changes;and sore healing time(week).After 3 months of follow-up,the recurrence rate and adverse reactions were observed.The data results were analyzed using SPASS20.0 statistical software.Results:1.Among the 60 patients,1 was male and 59 were female.The median age of onset was 34 years old,and 58.3%were between 30 and 40 years old.There were 11 cases of childless history,accounting for 18.3%and 49 cases with birth history,accounting for 81.7%.There were 21 cases with no lactation history,accounting for 35%,65%of the history of lactation,and the onset of the disease after weaning(7?120)months,with an average of(38.97 + 28.67).There were 8 cases of breast trauma history,35 cases of nipple depression,58.3%,and 34 cases of nipple discharge,accounting for 56.7%.For the first time,45 patients,75%,were in 15 patients with recurrent disease,accounting for 25%.1 case of family history of non-lactating mastitis;In the long term,there were 1 case of carbamazepine,1 case of sulfonate,and 56 patients with no long-term drug history.2.60 patients after breast abscess has burst are companion has a breast lump,12 cases with single quadrant,two quadrant of 18 cases,3 quadrants in 11 cases,four quadrants are among 3 cases,bilateral disease 3 cases at the same time;There were 47 cases of breast pain,78.3%,and pain scores between 1-5,with an average of 2.05 + 0.18.3.Two groups of patients in the onset age,number of quadrant,first option when burst length,tumor size,area of the dyke on statistical comparison,there were no significant differences(P>0.05)treatment group(25 cases cured,accounted for 93.3%,2 cases were markedly effective,accounted for 6.7%,the average healing time was(7.3 + 0.16)for weeks,23 cases of control group cure,accounted for 76.7%,3 cases had marked effect,5%,improvement in 4 cases,accounting for 6.7%,the average healing time was(9.6 + 0.77)for weeks,both statistical differences(P<0.05).In addition,the two groups in the dyke areas,grade,wound granulation wound secretion,VAS pain score changes also statistically significant(P<0.05),appearance score,local lump in her breast diameter change on no difference(P>0.05).4.During the treatment,there was no abnormal liver and kidney function in both groups,and 1 patient showed symptoms of suspected allergy during medication,and the symptom score was 1.5.After the follow-up,there was a recurrence of 1 patient in both groups,and there was no statistical difference between the two groups.Conclusion:It is an effective and feasible treatment method for the treatment of non-puerperal mastitis in the late stage of non-lactation,which can promote wound healing,reduce breast pain and shorten the healing time.It is clinically safe when applied to breast ulceration.
Keywords/Search Tags:remove the necrotic tissue and promote granulation treatment, non-puerperal mastitis, late stage of ulceration, Clinical observation
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