摘要
目的探讨针吸治疗乳腺增生"包块"的临床价值。方法 2009年9月—2010年3月,随机选取临床诊断乳腺增生"包块"患者400例,分为针吸治疗组、三苯氧胺药物治疗组、乳腺中频仪治疗组、离子导入治疗组,每组100例。对比针吸治疗乳腺增生"包块"的临床价值,并比较各自的不良反应。结果针吸治疗组使用针吸治疗,治愈24例,显效52例,有效16例,无效8例,总有效率92%;三苯氧胺药物治疗组单用三苯氧胺治疗乳腺增生,治愈8例,显效36例,有效36例,无效20例,总有效率80%;乳腺中频仪治疗组用乳腺中频仪治疗,治愈6例,显效30例,有效40例,无效24例,总有效率76%;离子导入治疗组用三苯氧胺离子导入治疗,治愈6例,显效32例,有效38例,无效24例,总有效率76%;针吸治疗组与另3组比较,差异有统计学意义(P<0.05)。以疼痛达到完全缓解的时间作为比较,针吸治疗组疼痛达到完全缓解的时间24h 60例(60%),36h 26例(26%),48h 6例(6%),与其他组比较,差异有统计学意义(P<0.05),针吸治疗有明显效果且疗效维持时间长,没有明显不良反应。结论用祖国传统阴阳学说理论指导针吸治疗乳腺增生"包块",有明显治疗效果,该方法操作方便,不需特殊仪器,无不良反应,在基层适合大规模推广。
Objective To investigate the clinical value of needle treatment of breast hyperplasia ＂mass＂. Methods A total of 400 patients diagnosed as breast hyperplasia ＂mass＂ from September 2009 to March 2010 were randomly selected and divided into the needle aspiration group, tamoxifen treatment group,breast- intermediate frequency （IF） instrument group, iontophoresis treatment group with 100 cases in each group, The clinical value and side effects were compared among those groups. Results In the Needle aspiration group, 100 patients were treated with needle aspiration of breast hyperplasia ＂mass＂, 24 cases were cured, 52 cases were markedly effective, 16 cases were effective ,8 cases were ineffective, the total effective rate was 92% ; In the tamoxifen treatment group, 100 cases were treated with tamoxifen alone, 8 cases were cured, 36 cases were markedly effective, 36 cases were effective, 20 cases were ineffective, the total effective rate was 80% ; In the breast IF treatment groups, 100 patients were treated with breast hyperplasia IF instrument, 6 cases were cured, 30 cases were markedly effective, 40 cases were effective and 24 cases were ineffective, the total effective rate was 76% ; In the iontophoresis treatment group, 100 patients were treated with tamoxifen iontophoresis, cured 6 cases, markedly effective 32 cases, effective 38 cases, ineffective 24 cases, the total effective was 76% ; The needle aspiration group had statistically significant difference when compared with the other three groups,In the needle aspiration group, time to pain relief was 24 hours in 60 cases （60%） , 36 hours in 26 patients （26%）, 48 hours in 6 patients （6%）. Compared with the control group, the time of pain completely relief had significant differences （ P 〈 0.05 ）. The efficency of needle aspiration was evident and lasting with no obvious side effects. Conclusion The needle aspiration method guided by traditional Yin and Yang theory is effective in the treatment of breast hyperplasia ＂mass＂, the method has many advantages, such as easy operation, no need of special equipment and no side effects, so it is worthy of clinical application.
出处
《河北医科大学学报》
CAS
2011年第9期997-999,共3页
Journal of Hebei Medical University
