Abstract: ［Abstract］ Objective To explore the efficacy of semiconductor laser therapy combined with psychological care in the treatment of breast pain and summarize care experience. Methods One hundred and twenty patients with breast pain were selected， with an average age of 35±2.4 years. The criterion for admission was pain score above 4. Ultrasound or/and Mammography were all grade Ⅲ or below. The patients were divided into laser group （60 cases） and control group （60 cases） according to their wishes. The laser group was treated with SUNDOM?300IB?130 semiconductor laser combined with psychological care. The laser treatment course was 7 days， once a day， 20 minutes each time. Evaluation of therapeutic effect after 3 courses of treatment. The control group received psychological care. According to the change of pain score before and after treatment， the curative effect was evaluated. Reducing the score by more than 3 points was considered effective. All patients were followed up for 3 months by specially?assigned person. Results After treatment， the effective rate was 87.5%（49/56）in the laser group and 67.31%（35/52）in the control group. There was significant difference between the two groups （χ2=6.361，P=0.012）. After 3 months of follow?up， the effective rate of the laser group was 60.71%（34/56） and that of the control group was 40.38%（21/52）. There was significant difference between the two groups （χ2=4.459， P=0.035）. Conclusion Semiconductor laser therapy combined with psychological care can effectively alleviate breast pain， and can be used as one of the preferred adjuvant treatment measures for breast pain.

Key words: laser therapy, psychological care, breast pain

摘要： ［摘要］ 目的 探讨半导体激光疗法联合心理护理治疗乳房疼痛的疗效并总结护理经验。方法 选取门诊主诉为乳房疼痛的患者共120例，平均年龄35±2.4岁，入组标准为疼痛程度评分在4分以上，超声或/和乳腺X线检查均为Ⅲ级及以下。根据患者意愿将入组患者分为激光组60例和对照组60例，激光组采用SUNDOM?300IB?130型半导体激光治疗联合心理护理，激光治疗疗程为7天，每天照射一次，每次20 min。3个疗程结束后评估疗效。对照组采用心理护理，根据治疗前后疼痛评分的变化评价疗效，评分降低3分以上视为有效。所有患者均由专人追踪随访3个月。结果 完成治疗后，激光组有效率为87.5%（49/56），对照组为67.31%（35/52），两组对比，差异有统计学意义（χ2=6.361，P=0.012）。随访3个月后，激光组有效率为60.71%（34/56），对照组为40.38%（21/52），两组对比，差异有统计学意义（χ2=4.459，P=0.035）。结论 半导体激光治疗联合心理护理可有效缓解乳房疼痛，可作为乳房疼痛的首选辅助治疗措施之一。

关键词: 激光治疗, 心理护理, 乳房疼痛