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发酵乳杆菌CECT5716联合阳和汤治疗阴证非哺乳期乳腺炎的临床观察

黄天健 陈佳英 喻江婷 周一鸣 许雷来 顾锡冬

中国现代医生2026,Vol.64Issue(10):51-54,65,5.
中国现代医生2026,Vol.64Issue(10):51-54,65,5.DOI:10.3969/j.issn.1673-9701.2026.10.012

发酵乳杆菌CECT5716联合阳和汤治疗阴证非哺乳期乳腺炎的临床观察

Clinical observation of Lactobacillus fermentum CECT5716 combined with Yanghe decoction in the treatment of Yin syndrome non-lactating mastitis

黄天健 1陈佳英 1喻江婷 1周一鸣 1许雷来 2顾锡冬2

作者信息

  • 1. 浙江中医药大学第一临床医学院,浙江 杭州 310053
  • 2. 浙江中医药大学附属第一医院乳腺外科,浙江 杭州 310006
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of Lactobacillus fermentum CECT5716 combined with Yanghe decoction in the treatment of Yin syndrome non-lactating mastitis(NLM).Methods A total of 42 patients with Yin syndrome NLM admitted to the First Affiliated Hospital of Zhejiang Chinese Medical University from April 2023 to December 2024 were selected and divided into combined group(22 cases)and traditional Chinese medicine group(20 cases)according to the random number table method.The combined group was treated with Lactobacillus fermentum CECT5716 combined with Yanghe decoction,while the traditional Chinese medicine group was treated with Yanghe decoction.The 36-item short form health survey(SF-36),TCM syndrome score,granulomatous mastitis disease activity index(GMDAI),breast appearancy-related indicators and clinical treatment effective rate of two groups of patients were compared.Results After the treatment,the scores of each dimension and total score of SF-36,TCM syndrome score,GMDAI,mass size and nipple discharge of patients in combined group were significantly improved compared with those before the treatment(P<0.05).The role physical,social function,and percentage reduction in TCM syndrome score of patients in combined group were significantly better than those in traditional Chinese medicine group(P<0.05).The total effective rate of patients in combined group was slightly higher than that in traditional Chinese medicine group(72.7%vs.60.0%),but there was no statistically significant difference between two groups(χ2=0.764,P=0.382).Conclusion Lactobacillus fermentum CECT5716 combined with Yanghe decoction can alleviate the clinical symptoms of NLM patients with Yin syndrome,improve breast appearance,reduce disease activity,enhance quality of life and treatment effectiveness,and is worthy of clinical promotion and application.

关键词

非哺乳期乳腺炎/发酵乳杆菌CECT5716/阳和汤/阴证/临床观察

Key words

Non-lactating mastitis/Lactobacillus fermentum CECT5716/Yanghe decoction/Yin syndrome/Clinical observation

分类

医药卫生

引用本文复制引用

黄天健,陈佳英,喻江婷,周一鸣,许雷来,顾锡冬..发酵乳杆菌CECT5716联合阳和汤治疗阴证非哺乳期乳腺炎的临床观察[J].中国现代医生,2026,64(10):51-54,65,5.

中国现代医生

1673-9701

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