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目的观察中西医结合疗法治疗乳腺增生症的临床疗效及其护理。方法将160例乳腺增生症患者随机分成观察组及对照组,每组80例,对照组患者口服西药三苯氧胺,观察组患者在对照组基础上加用中药制剂乳癖舒胶囊联合针灸治疗,并对2组患者进行有效地心理干预措施,且实施乳房保健医学知识及健康教育。采用计算最大肿块直径的方法评判2组患者乳房肿块大小,于患者月经干净后7 d进行测量。采用0~10数字强度分级法评判2组患者乳房疼痛程度,观察2组患者的临床疗效。结果治疗前2组患者的乳房肿块大小和乳房疼痛评分比较差异无统计学意义(P>0.05)。治疗后2组患者的乳房肿块小于治疗前,乳房疼痛评分低于治疗前,且观察组患者的乳房肿块大小和乳房疼痛评分变化幅度大于对照组,差异有统计学意义(P<0.05)。观察组总有效率为92.50%明显高于对照组的70.00%,差异有统计学意义(P<0.05)。结论中西药联合另加针灸结合治疗乳腺增生症患者能明显减小患者的乳房肿块,减轻患者的疼痛,具有较好的临床疗效,值得在临床上推广应用。
Objective To observe the clinical efficacy and nursing care of treating breast hyperplasia with integrated traditional Chinese and western medicine. Methods 160 cases of hyperplasia of mammary glands were randomly divided into observation group and control group, 80 cases in each group. Oral administration of tamoxifen in the control group was given orally. The patients in the observation group were treated with Rupi Shu capsules combined with acupuncture on the basis of the control group. Two groups of patients performed effective psychological interventions and implemented maternal health medical knowledge and health education. The size of the breast lumps in both groups was evaluated by the method of calculating the largest lump diameter, and was measured at 7 days after the menstrual cycle was clean. The 0 ~ 10 digital intensity grading method was used to evaluate the degree of breast pain in two groups, and the clinical efficacy of the two groups was observed. Results There was no significant difference in breast mass and breast pain scores between the two groups before treatment (P> 0.05). After treatment, the breast masses in two groups were less than those before treatment, the breast pain scores were lower than those before treatment, and the size of breast lumps and breast pain scores in the observation group were larger than those in the control group. The difference was statistically significant (P <0.05). The total effective rate in the observation group was 92.50%, which was significantly higher than that in the control group (70.00%), the difference was statistically significant (P <0.05). Conclusion Chinese and Western medicine combined with acupuncture combined with treatment of breast hyperplasia patients can significantly reduce the patient’s breast lumps, reduce pain in patients with good clinical efficacy, it is worth in the clinical application.