特定腧穴拔罐结合针刺辨证治疗早期乳痈的临床研究

发布时间：2018-01-11 08:05

本文关键词：特定腧穴拔罐结合针刺辨证治疗早期乳痈的临床研究　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本课题通过开展特定腧穴拔罐结合针刺辨证治疗早期乳痈的临床研究,旨在观察特定腧穴拔罐结合针刺治疗早期乳痈的临床疗效及作用规律,从而为临床寻找一种疗效肯定、简便安全、易于接受、无毒副作用,且能有效保护患者乳房、不影响患儿哺乳的治疗方法。方法:本研究采用随机、对照的方法,将120例早期乳痈患者随机分为治疗组和对照组,各60例,其中治疗组又分为肝气郁结型(26例)和胃热壅盛型(34例)两种证型,所有入选患者均清淡饮食,并予以心理疏导,保持心情舒畅,去除所有可能加剧乳痈的各种因素。治疗组予特定腧穴拔罐结合针刺辨证治疗,拔罐治疗取膺窗、乳根、神封、阿是穴,辨证配以相应背俞穴,每日1次;针刺治疗以膻中、肩井为主穴,佐以相应的配穴,施以相应操作手法,每日1次。对照组予目前临床常用治疗方法口服头孢羟氨苄胶囊,每次0.5g,每日2次。两组均以3日为1个疗程,连续治疗2个疗程后行疗效判定。观察两组治疗患者前后疼痛、肿块等证候评分变化,观察两组患者治疗前后彩超的改善情况,并比较两组治疗的总有效率。结果:1.两组治疗前后疼痛积分均有差异,且治疗组优于对照组(P0.05)。2.两组治疗前后肿块积分均有差异,且治疗组优于对照组(P0.05)。3.两组治疗前后症状学积分均有差异,且治疗组优于对照组(P0.05)。4.治疗后两组彩超结果比较,肿块消散情况治疗组优于对照组,差异有统计学意义(P0.05)。5.治疗后治疗组总有效率96.67%,对照组总有效率78.33%,治疗组疗效优于对照组,差异有统计学意义(P0.05)。结论:特定腧穴拔罐结合针刺能有效治疗早期乳痈,且疗效优于单纯口服头孢羟氨苄胶囊治疗。
[Abstract]:Objective: in order to observe the clinical effect and rule of action of acupoint cupping combined with acupuncture in the treatment of early breast carbuncle, the clinical research on the treatment of early breast carbuncle with special acupoint cupping combined with acupuncture was carried out in order to observe the clinical effect of acupoint cupping combined with acupuncture on early breast carbuncle. In order to find a kind of effective, simple, safe, easy to accept, no toxic side effects, and can effectively protect the breast of patients, do not affect the nursing of children. Methods: this study was randomized. In the control group, 120 patients with early breast carbuncle were randomly divided into treatment group (n = 60) and control group (n = 60). The treatment group (n = 26) was divided into two syndromes: liver-qi stagnation type (n = 26) and stomach heat accumulation type (n = 34). All the selected patients were light diet and psychological guidance to maintain a comfortable mood and remove all factors that may aggravate breast carbuncle. The treatment group was treated with acupoint cupping combined with acupuncture differentiation of symptoms and signs. Milk root, Shenfeng, Ashi, syndrome differentiation to the corresponding back Shu point, once a day; Acupuncture treatment in Shanzhong, Shaojing mainly point, with the corresponding matching points, the corresponding operation, 1 times a day. The control group is currently commonly used clinical treatment method oral cefadroxil capsule, 0.5 g each time. Two times a day. The two groups were treated with 3rd as a course of treatment. After two consecutive courses of treatment, the curative effect was determined. The changes of pain, mass and other syndromes were observed before and after treatment in both groups. Observe the improvement of color Doppler ultrasound before and after treatment in two groups, and compare the total effective rate of treatment between the two groups. Results there were differences in pain scores between the two groups before and after treatment. And the treatment group is better than the control group (P 0.05). 2.There is difference between the two groups before and after treatment, and the treatment group is better than the control group (P 0.05). 3. There are differences in the symptom score between the two groups before and after treatment. And the treatment group is better than the control group P0.05. 4. After the treatment of the two groups compared with the results of color ultrasound, the mass dissipation in the treatment group is better than that in the control group. The total effective rate of the treatment group was 96.677.The total effective rate of the control group was 78.33.The curative effect of the treatment group was better than that of the control group. Conclusion: acupoint cupping combined with acupuncture can effectively treat early breast carbuncle, and the curative effect is better than that of cefadroxil capsule alone.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.3

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