Clinical Study On The Treatment Of Postoperative Phlegm And Granulomatous Mastitis With Phlegm And Blood Stasis

Objective:Based on the theory of TCM treatment,this paper evaluates the clinical effect of Jianpi Huatan Qushi Decoction on postoperative wound recovery and recurrence after treatment in patients with phlegm and granulomatous mastitis,and analyzes its mechanism of action.Aspects of the diagnosis and treatment of granulomatous mastitis provide ideas.Methods:（1）Refer to the diagnostic criteria for granulomatous mastitis^[1]and the diagnostic criteria for TCM phlegm and blood stasis^[2],and include 58 patients who met the criteria.They were randomly divided into a test group and a control group,with 29 in each group.（2）The two groups were given different treatments,the treatment group（basic treatment+Jianpi Huatan Qushi Recipe）,the control group（basic treatment）,and the course of treatment was 14 days.The postoperative stress symptoms（degree of pain,color of the flap in the operation area,color of drainage,and traits of drainage fluid）were observed and recorded,and the scores were recorded.The drainage volume,total drainage time,length of hospital stay,and recurrence were recorded.Data analysis leads to conclusions.（3）Test data Statistical analysis was performed using SPSS 22.0 software.Results:（1）After statistical analysis,the postoperative stress symptoms were relieved in the treatment group compared with the control group（P<0.05）.There was a statistical difference between the two groups.The total effective rate was 100%in the treatment group and 93%in the control group.Better than the control group.（2）The drainage volume of the two groups of patients at 24 hours on the first,third and fifth days after operation showed that the drainage volume of the treatment group was significantly less than that of the control group.（3）There was a statistically significant difference between the treatment group and the control group in the total drainage time and hospital stay（P<0.05）.（4）Among the 29 patients in the treatment group,25 patients had grade A healing,3 patients had grade B healing,and 0 had grade C healing.Among the 29 patients in the control group,18 had grade A healing,and 7 had grade B healing.Grade C healing 3cases;the wound healing of the treatment group was better than the control group,the difference was statistically significant（P<0.05）.（5）Although the TCM physical fitness score is still above 40 points,the phlegm-dampness constitution has not improved,but the physical fitness score has decreased significantly after treatment.The physical fitness score of the treatment group is significantly lower than that of the control group,and the difference is statistically significant（P<0.05）.（6）Among the 29 patients in the treatment group,1 patient relapsed,and 6 of the 29 patients in the control group relapsed.The recurrence rate of the treatment group was lower than that of the control group,and the difference was statistically significant（P<0.05）.Conclusion:Jianpi Huatan Qushi Recipe has obvious relief effect on postoperative stress response of granulomatous mastitis,which can alleviate postoperative pain and other discomfort symptoms,prevent skin flap necrosis,reduce drainage volume,and shorten hospitalization.The number of days,promote wound healing,and can significantly reflect the recurrence rate of granulomatous mastitis,and its clinical effect is significant.After 14 days of physical intervention,the score of physical fitness was significantly lower than that before treatment,which provided a new direction for the clinical treatment of granulomatous mastitis.