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顺势疗法在乳腺癌手术中能发挥作用吗?一项关于使用[具体药物未给出]进行治疗以减少全乳房切除术患者术后血清肿和出血的首次随机临床试验。

Is there a role for homeopathy in breast cancer surgery? A first randomized clinical trial on treatment with to reduce post-operative seroma and bleeding in patients undergoing total mastectomy.

作者信息

Sorrentino Luca, Piraneo Salvatore, Riggio Eliana, Basilicò Silvia, Sartani Alessandra, Bossi Daniela, Corsi Fabio

机构信息

Surgery Division, ASST Fatebenefratelli Sacco, Luigi Sacco Hospital, Milan, Italy; Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy.

Surgery Division, Niguarda Ca' Granda Hospital, Milan, Italy.

出版信息

J Intercult Ethnopharmacol. 2017 Jan 3;6(1):1-8. doi: 10.5455/jice.20161229055245. eCollection 2017 Jan-Mar.

Abstract

AIM

This study aimed to evaluate the benefits of on post-operative blood loss and seroma production in women undergoing unilateral total mastectomy by administering 1000 Korsakovian dilution (1000 K).

MATERIALS AND METHODS

From 2012 to 2014, 53 women were randomly assigned to or placebo and were followed up for 5 days. The main end point was the reduction in blood and serum volumes collected in drainages. Secondary end points were duration of drainage, a self-evaluation of pain, and the presence of bruising or hematomas.

RESULTS

The per-protocol analysis revealed a lower mean volume of blood and serum collected in drainages with (-94.40 ml; 95% confidence interval [CI]: 22.48-211.28; = 0.11). A regression model including treatment, volume collected in the drainage on the day of surgery, and patient weight showed a statistically significant difference in favor of (-106.28 ml; 95% CI: 9.45-203.11; = 0.03). Volumes collected on the day of surgery and the following days were significantly lower with at days 2 ( = 0.033) and 3 ( = 0.0223). Secondary end points have not revealed significant differences.

CONCLUSIONS

1000 K could reduce post-operative blood and seroma collection in women undergoing unilateral total mastectomy. Larger studies are needed with different dilutions of to further validate these data.

摘要

目的

本研究旨在通过给予1000 Korsakovian稀释液(1000 K)来评估其对接受单侧全乳切除术的女性术后失血和血清肿形成的益处。

材料与方法

2012年至2014年,53名女性被随机分配至1000 K组或安慰剂组,并随访5天。主要终点是引流液中血液和血清量的减少。次要终点是引流持续时间、疼痛自评以及瘀伤或血肿的存在情况。

结果

符合方案分析显示,1000 K组引流液中收集的血液和血清平均量较低(-94.40 ml;95%置信区间[CI]:22.48 - 211.28;P = 0.11)。一个包括治疗、手术当天引流液收集量和患者体重的回归模型显示,有利于1000 K组的统计学显著差异(-106.28 ml;95% CI:9.45 - 203.11;P = 0.03)。在第2天(P = 0.033)和第3天(P = 0.0223),1000 K组手术当天及随后几天收集的量显著更低。次要终点未显示出显著差异。

结论

1000 K可减少接受单侧全乳切除术女性的术后失血和血清肿形成。需要用不同稀释度的1000 K进行更大规模的研究以进一步验证这些数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62ea/5289077/fdf29eeefdc3/JIE-6-1-g002.jpg

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