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目的探讨益气活血法在乳腺癌术后的治疗及运用。方法选择我院2011年1月—2012年8月治疗的22例女性乳腺癌患者作为治疗组,选择我院同期治疗的22例乳腺癌患者作为对照组,患者均行乳腺癌改良根治术治疗。术后使用表柔比星+环磷酰胺3周1次治疗,术后1周开始应用,并采用抗生素预防感染。治疗组在对照组的基础上采用益气活血法进行中医治疗。观察并记录二组患者的腋下引流管拔管时间,以及各种并发症的发生情况。结果二组患者的拔管时间差异有统计学意义(P<0.05)。二组患者的皮下积液、上肢水肿麻木等并发症发生率差异均有统计学意义(P<0.05)。二组患者的淋巴管瘘、切口愈合延迟发生率差异均无统计学意义(P>0.05)。二组患者均未发生皮瓣坏死。对照组有2例患者因无法承受放化疗不良反应而退出治疗。结论益气活血法对乳腺癌患者术后可扶正祛邪、益气养阴,治疗效果较好,值得临床上推荐使用。
Objective To investigate the treatment and application of Yiqi Huoxue Therapy after breast cancer surgery. Methods Twenty-two female breast cancer patients treated in our hospital from January 2011 to August 2012 were selected as the treatment group. Twenty-two breast cancer patients treated in our hospital as the control group were treated with modified radical mastectomy for breast cancer. Postoperative epirubicin + cyclophosphamide once a week for 3 weeks, 1 week after the start of application, and the use of antibiotics to prevent infection. The treatment group on the basis of the control group using traditional Chinese medicine therapy. Observed and recorded two groups of patients with armpit drainage tube extubation time, and the occurrence of various complications. Results There was significant difference in extubation time between the two groups (P <0.05). Subcutaneous fluid in patients in two groups, upper limb edema numbness and other complications were significantly different (P <0.05). There was no significant difference in the incidence of lymphatic fistula and incision delayed healing between the two groups (P> 0.05). Flap necrosis did not occur in both groups. Two patients in the control group were withdrawn from treatment due to unacceptable adverse reactions to radiotherapy and chemotherapy. Conclusion The method of invigorating qi and invigorating the circulation of blood can help the patients with breast cancer to cure positive and eliminate qi after nourishing the qi and nourishing yin, and the treatment effect is better, which is worth to be recommended clinically.