Clinical observation of integrated traditional and western medicine in the treatment of abscess stage non-puerperal mastitis with liver and stomach stagnation heat syndrome
YU Jin-li,DING Xiao-wen,QIAO Nan
Ultrasonography Department, Affiliated Traditional Chinese Medicine Hospital of Nantong University, Nantong Hospital Affiliated of Nanjing University of Chinese Medicine, Nantong (226001), China
Abstract:
Objective To observe the clinical effect of ultrasound-guided minimally invasive catheter drainage combined with Shugan Sanjie Decoction in the treatment of non-puerperal mastitis abscess stage with liver and stomach stagnation heat syndrome. Methods 63 patients with non lactating mastitis and abscess stage liver and stomach heat stagnation syndrome admitted to the Breast Surgery Department of Nantong Traditional Chinese Medicine Hospital from January 2021 to May 2023 were selected, then they were randomly divided into group A, group B and group C according to the method of random number table. 23 cases were in group A, 20 cases in group B and 20 cases in group C. Group A and group C were treated with ultrasound-guided minimally invasive catheter drainage, while group B was treated with abscess incision and drainage. Group A was treated with Shugan Sanjie Decoction for 4 weeks after operation for one week. The clinical symptoms and signs of the patients (postoperative pain score, scar length, breast shape score), efficacy indicators (operation time, extubation time, recurrence rate), laboratory indicators (WBC, CRP,ESR, HBP) were observed. Results There was no statistically significant difference in the laboratory indexes before treatment among the three groups (P >0.05). After treatment, the indexes of the three groups were significantly lower than those before treatment (P <0.05), and the indexes of Group A were lower than those of Group B and C (P <0.05). There was no statistically significant difference in operation time and recurrence rate among the three groups (P >0.05). Postoperative pain score, scar length, breast shape score and extubation time in Group A and C were lower than those in Group B (P <0.05), and Group A is equivalent to Group C (P >0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P <0.05). Conclusion The ultrasound-guided minimally invasive catheter drainage combined with Shugan Sanjie Decoction can effectively control local inflammation in the abscess stage of non-puerperal mastitis with liver and stomach stagnation heat syndrome. It has the characteristics of small trauma, beautiful incision and rapid postoperative recovery. It has significant clinical effect, safe and effective.
