| 乔伟强,邓淼,刘起鹏,等.2016—2021年单中心 161例早中期非哺乳期乳腺炎治疗方式回顾性分析[J].安徽医药,2023,27(12):2483-2486. |
| 2016—2021年单中心 161例早中期非哺乳期乳腺炎治疗方式回顾性分析 |
| Retrospective analysis of treatment modalities for 161 cases of early to mid-stage nonlactating mastitis in a single center in 2016—2021 |
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| DOI：10.3969/j.issn.1009-6469.2023.12.033 |
| 中文关键词: 乳腺炎 早期医疗干预 奥硝唑 甲泼尼龙 引流术 非哺乳期 中药 |
| 英文关键词: Mastitis Early medical intervention Ornidazole Chinese medicine |
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| 中文摘要: |
| 目的探讨早中期非哺乳期乳腺炎病人的不同临床治疗方式的治疗效果。方法回顾性分析 2016年 11月至 2021年 10月于河南科技大学第一附属医院乳腺外科就诊的 161例早中期非哺乳期乳腺炎病人的临床资料。该院早中期非哺乳期乳腺炎的治疗方式主要有中药内服 +手术治疗和抗生素联合类固醇激素疗法 +手术治疗。病人分为两组，中药内服 +手术治疗组(n=79)，抗生素联合类固醇激素疗法 +手术治疗组(n=82)。运用 χ2检验对病人的临床病历资料特征进行分析，运用 t检验对病人的临床疗效、疼痛消失时间、红肿消失时间、肿块消失时间和治疗时间进行分析。结果抗生素联合类固醇激素疗法 +手术治疗组的疼痛消失时间( 6.76±1.25)d、红肿消失时间( 7.51±1.33)d和中药内服 +手术治疗组的疼痛消失时间( 7.48±1.83)d、红肿消失时间( 8.23±1.93)d相比，差异有统计学意义( P<0.05)；两组均达到较高的临床总有效率［91.14%(72/79)比87.80%(72/82)， P=0.515］，两组在肿块消失时间及治疗时间方面比较差异无统计学意义( P>0.05)。结论该院早中期非哺乳期乳腺炎病人的不同临床治疗方式中，两组均达到较高的临床总有效率，抗生素联合类固醇激素疗法 +手术治疗可以更加快速缩短疼痛消失时间及红肿消失时间，两种治疗方式在肿块消失时间及治疗时间方面比较差异无统计学意义。 |
| 英文摘要: |
| Objective To explore the therapeutic effect of different clinical treatment modalities in patients with early-to mid-stage nonpuerperal mastitis (NPM).Methods The clinical data of 161 patients with early-to mid-stage NPM who attended the Departmentof Breast Surgery at the First Affiliated Hospital of Henan University of Science and Technology from November 2016 to October 2021were retrospectively analyzed. The main treatment modalities of early to mid-stage NPM patients in this center were internal traditionalChinese medicine + surgery treatment and antibiotics combined with steroid hormone therapy + surgery treatment. The patients were di.vided into two groups: the traditional Chinese medicine + surgical treatment group (n=79) and the antibiotic combined with steroid hor. mone therapy + surgical treatment group (n=82). The characteristics of the patients' clinical history data were analyzed using the chi-square test, and the clinical efficacy, time to disappearance of pain, time to disappearance of redness and swelling, time to disappear.ance of lumps, and time to treatment were analyzed using the t test.Results The pain disappearance time (6.76±1.25) d and rednessdisappearance time (7.51±1.33) d in the antibiotics combined with steroid hormone therapy+surgery treatment group, were statisticallysignificant compared with the pain disappearance time (7.48±1.83) d and redness disappearance time (8.23±1.93) d in the traditionalChinese medicine intranasal medicine+surgery treatment group (P<0.05). Both groups achieved a high total clinical effectiveness rate [91.14% (72/79) than 87.80% (72/82), P=0.515] and the difference between the two groups in terms of the time of disappearance oflumps and the time of treatment was not statistically significant when compared with each other (P>0.05).Conclusions Both groups achieved a high total clinical effectiveness rate in different clinical treatment modalities for early and mid-stage NPM patients in thiscenter. Antibiotics combined with steroid hormone therapy + surgical treatment can shorten the time of pain disappearance and thetime of redness and swelling disappearance more rapidly, and the difference between the two treatment modalities in terms of the timeof lump disappearance and the time of treatment was not statistically significant when comparing the two treatment modalities. |
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