CAJ | 학술논문

目的：在中医学理论指导下对女性乳腺囊性增生病患者进行诊断和治疗，为今后临床工作提供参考。方法：选择我院2010年2月-2013年12月乳腺囊性增生病患者50例，按照中医辨证分为肝郁气滞型30例，瘀血阻络型20例，分别给予行气解郁和活血化瘀等中药汤剂治疗，连续治疗3个月，观察并比较两组患者的临床效果。结果：肝郁气滞组显效11例，有效17例，无效2例，总有效率93.33%；瘀血阻络组显效10例，有效6例，无效4例，总有效率80.35%；两组患者总有效率比较，差异有统计学意义（P<0.05）。结论：乳腺囊性增生病患者临床表现比较典型，肝郁气滞型是疾病发展早期，治疗效果较好，瘀血阻络型为疾病晚期，治疗效果较差。在临床治疗中应防止误诊或漏诊，抓住早期治疗时机，改善患者预后[1,2]。
목적：재중의학이론지도하대녀성유선낭성증생병환자진행진단화치료，위금후림상공작제공삼고。방법：선택아원2010년2월-2013년12월유선낭성증생병환자50례，안조중의변증분위간욱기체형30례，어혈조락형20례，분별급여행기해욱화활혈화어등중약탕제치료，련속치료3개월，관찰병비교량조환자적림상효과。결과：간욱기체조현효11례，유효17례，무효2례，총유효솔93.33%；어혈조락조현효10례，유효6례，무효4례，총유효솔80.35%；량조환자총유효솔비교，차이유통계학의의（P<0.05）。결론：유선낭성증생병환자림상표현비교전형，간욱기체형시질병발전조기，치료효과교호，어혈조락형위질병만기，치료효과교차。재림상치료중응방지오진혹루진，조주조기치료시궤，개선환자예후[1,2]。
Objective: To provide reference for clinic, treating female breast cystic hyperplasia under the guidance of medical theory was summarized. Methods:50 patients according to TCM differentiation were divided into Ganyu Qizhi type of 30 cases and Yuxue Zuluo type of 20 cases. Patients were given Xingqi Jieyu decoction and Huoxue Huayu decoction. With 3 months of treatment, clinical effects were observed. Results:In the Ganyu Qizhi group, 11 cases were markedly effective, 17 cases were improved, 2 cases were invalid, and the total efficiency was 93.33%;while in the Yuxue Zuluo group, 10 cases were markedly effective, 6 cases were improved, 4 cases were invalid, and the total efficiency was 80.35%, there was significant difference in the total efficiency between two groups (P<0.05). Conclusion:Ganyu Qizhi type is the early development of the disease, clinical efficacy was better, Yuxue Zuluo type for advanced disease, less effective. In clinical treatment, misdiagnosis or missed diagnosis should be prevented and the opportunity of early treatment should be seized to improve patient prognosis.