隔药饼灸治疗肝郁痰凝型乳腺增生病的临床研究

发布时间：2018-01-03 11:20

本文关键词：隔药饼灸治疗肝郁痰凝型乳腺增生病的临床研究　出处：《云南中医学院》2017年硕士论文　论文类型：学位论文

【摘要】：目的观察隔药饼灸治疗肝郁痰凝型乳腺增生病的临床疗效。方法采用随机数字表法把60例患者随机分成两组,即治疗组30例和对照组30例。治疗组采用隔药饼灸治疗,对照组采用常规针刺治疗,治疗2个疗程后,观察两组治疗前后主要症状和伴随症状的积分,计算其改善率,做出疗效评价。结果(1)治疗结束后,治疗组总有效率为90%,对照组为83%。治疗后两组疗效比较有显著性差异(P0.05),结果表明:治疗组疗效优于对照组。(2)两组治疗后乳房疼痛、肿块硬度、肿块范围和大小较治疗前有极显著性差异(P0.01);两组治疗后胸闷胁胀、月经异常、善郁易怒、失眠多梦、心烦口苦较治疗前有极显著性差异(P0.01)。两组治疗后雌二醇较治疗前有极显著性差异(P0.01)。结果表明:治疗组与对照组均能明显改善乳腺增生患者的主要症状及伴随症状,降低雌二醇水平。(3)治疗后,治疗组在改善乳房疼痛、肿块硬度、胸闷胁胀、月经异常、善郁易怒方面与对照组相比较有显著性差异(P0.05)。其中在改善肿块范围、大小、失眠多梦、心烦口苦及降低雌二醇水平上与对照组疗效相当(P0.05)。结论本课题的研究结果表明:对于肝郁痰凝型乳腺增生病,隔药饼灸与常规针刺均能达到缓解临床症状的目的,但隔药饼灸总体疗效优于常规针刺疗法,尤其在改善乳房疼痛、肿块硬度及胸闷胁胀、月经异常、善郁易怒方面更为明显,隔药饼灸治疗乳腺增生病安全舒适,疗效可靠,值得临床推广应用。
[Abstract]:Objective To observe the clinical curative effect of Moxibustion in treatment of liver stagnation and phlegm of hyperplasia of mammary glands. Methods randomly 60 cases of patients were randomly divided into two groups, 30 patients in treatment group and 30 cases in the control group. The treatment group moxibustion therapy, the control group with routine acupuncture treatment, 2 course of treatment after observing the main symptoms before and after treatment in two groups and the accompanying symptoms integral, calculate the improvement rate, evaluate the curative effect. Results (1) after the end of treatment, the total efficiency of treatment group was 90%, the control group 83%. after treatment the curative effect of the two groups had significant difference (P0.05). The results showed that the curative effect of the treatment group better than the control group. (2) in two groups after the treatment of breast pain, lumps hardness, mass and size range than before treatment had significant difference (P0.01); chest abdominal distension, two groups after the treatment of abnormal menstruation, good depression irritability, insomnia, upset and pain than before treatment with significant difference (P0. 01). Two groups after treatment than before treatment with estradiol had significant difference (P0.01). The results showed that the treatment group and the control group can obviously improve the main symptoms of breast hyperplasia and associated symptoms, reduce the estradiol level. (3) after treatment, the treatment group in improving breast pain, lumps hardness. Chest abdominal distension, abnormal menstruation, good irritability depression compared with the control group had significant difference (P0.05). The improvement in the mass range, size, insomnia, upset mouth pain and reduce the levels of estradiol and control group efficacy (P0.05). Conclusion this topic research results show that: for hyperplasia liver qi stagnation and phlegm stagnation type breast, moxibustion and conventional acupuncture can relieve the clinical symptoms, but the overall curative effect of moxibustion is superior to conventional acupuncture therapy, especially in improving breast pain, chest tightness, mass hardness and flank pain, abnormal menstruation, irritability more good Yu Ming The medicine cake moxibustion for the treatment of mammary hyperplasia is safe and comfortable, and the curative effect is reliable. It is worthy of clinical application.

【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.2

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