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目的比较产褥期化脓性乳腺炎采用行脓肿切开引流术及中西医结合非手术治疗的安全性和有效性。方法采用随机方法将2012年1月到2015年1月收治的313例产褥期化脓性乳腺炎患者进行分组,观察组(162例)采用内服解毒通乳汤、粗针穿刺抽脓、外敷大蒜芒硝等中西医结合治疗,对照组(151例)行传统切开引流手术,比较两组患者的治疗效果。结果观察组患者治疗满意率为94.4%,对照组患者的治疗满意率为88.1%,组间对比差异具有统计学意义(χ~2=3.93,P<0.05)。观察组住院时间[(8.6±2.1)d vs(16.7±2.7)d,P<0.01]、住院费用[(3 973.7±386.4)元vs(5 715.6±573.9)元,P<0.01]、乳瘘的发生率(6.8%vs 25.2%,P<0.05)显著低于对照组,随访两组患者预后良好。结论相较于乳腺脓肿切开引流术,产褥期化脓性乳腺炎采用中西医结合治疗住院时间短、费用低,患者满意率高。
Objective To compare the safety and efficacy of abscess incision and drainage in the treatment of puerperium suppurative mastitis and non-surgical treatment of integrative medicine. Methods A total of 313 patients with postpartum suppurative mastitis admitted from January 2012 to January 2015 were randomly divided into two groups. The observation group (162 cases) received oral administration of Jiedu Tongluo decoction, thick needle aspiration, Traditional Chinese and Western medicine treatment, control group (151 cases) underwent traditional incision and drainage to compare the therapeutic effect of the two groups of patients. Results The satisfaction rate was 94.4% in the observation group and 88.1% in the control group. The difference between the two groups was statistically significant (χ ~ 2 = 3.93, P <0.05). The hospitalization time in the observation group was (8.6 ± 2.1) d vs (16.7 ± 2.7) days, P <0.01, and the hospitalization cost was (3973.7 ± 386.4) yuan vs (5715.6 ± 573.9) yuan, P < (6.8% vs 25.2%, P <0.05) was significantly lower than that of the control group. The follow-up of the two groups was good. Conclusion Compared with incision and drainage of breast abscess, puerperium suppurative mastitis treated by Integrative Medicine has a short hospital stay, low cost and high patient satisfaction rate.