四肢阴经刮疗配合针刺对乳腺增生病患者微循环血流灌注量的影响

发布时间：2018-06-21 20:27

本文选题：乳腺增生病 + 微循环　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：观察四肢阴经刮疗配合针刺对乳腺增生病(Hyperplastic disease of breast, HDB)的临床疗效及其对微循环血流灌注量的影响,探讨其可能的作用机制,以期为患者提供一种在日常生活里操作便捷、可自行护养又有一定疗效的方法。方法：本研究将48例HDB患者按1：1随机分为治疗组和对照组,治疗组采用四肢阴经刮疗配合针刺治疗,对照组单纯进行针刺治疗。运用乳腺彩超和激光多普勒血流仪检测,观察其治疗前、后的变化；同时于治疗前、后评定患者症状体征的积分,并进行统计数据分析。结果：1.治疗组和对照组疗程结束后的总有效率分别为95.83%和91.31%,总有效率经卡方检验,差异具有统计学意义(P0.05),说明治疗组疗效优于对照组。2.经过3个月经周期的治疗后,两组组内治疗前、后症状体征总积分、疼痛积分、肿块积分及伴随症状积分均有下降,且具有显著性差异(aP0.01),说明治疗组与对照组治疗HDB均有效果。3.经过3个月经周期的治疗后,治疗组、对照组的症状体征总积分分别为(17.44±7.77)分、(23.48±6.24)分,具有显著性差异(bP0.01)；治疗组、对照组的疼痛积分分别为(7.25±2.49)分、(10.17±3.35)分,具有显著性差异(bP0.01)；治疗组、对照组的伴随症状积分分别为(6.00±3.34)分、(8.61±3.16)分,具有显著性差异(bP0.01)；而治疗后治疗组、对照组肿块积分分别为(4.19±4.53)分、(4.70±4.32)分,无显著性差异(cP0.05),说明治疗组对患者症状体征总积分、疼痛积分及伴随症状积分优于对照组,肿块积分与对照组无差异。4.经过3个月经周期的治疗后,与同组治疗前比较,治疗组在治疗后天池穴、神封穴和期门穴的血流量均升高,且均具有显著性差异( aP0.01)；对照组在治疗后神封穴的血流量升高,且具有显著性差异(aP0.01),而天池穴与期门穴的血流量改变不明显,不具有显著性差异(bP0.05)。5.经过3个月经周期的治疗后,治疗组与对照组天池穴血流量分别为(68.52±27.00)PU、(50.41±30.09)PU,治疗组血流量升高优于对照组(cP0.01)；治疗后,治疗组与对照组神封穴血流量分别为(69.82±22.07)PU、(48.23±29.18)PU,治疗组血流量升高优于对照组(cP0.01)；治疗后,治疗组与对照组期门穴血流量分别为(58.30±24.83)PU、(42.24±15.82)PU,治疗组血流量升高优于对照组(cP0.01)结论：1.四肢阴经刮疗配合针刺治疗HDB的疗效优于单纯针刺。不仅可以缓解乳房疼痛,减轻肿块大小,且能改善全身伴随症状。2.四肢阴经刮疗配合针刺可加快血流速度,提高血流灌注量,改善乳腺的微循环障碍,这可能是本疗法对HDB治疗作用的主要机制。
[Abstract]:Objective: to observe the clinical effect and the effect on the blood flow perfusion of microcirculation of hyperplastic disease of breast, HDBs in patients with hyperplastic disease of breast, HDBs treated with curettage of Yin meridian of extremities, and to explore its possible mechanism, in order to provide a kind of convenient operation in daily life for patients. The method that can take care of oneself also has certain curative effect. Methods: 48 patients with HDB were randomly divided into treatment group and control group according to 1:1. The changes before and after treatment were observed by using mammary gland color Doppler ultrasonography and laser Doppler flow meter, and the scores of symptoms and signs of patients were evaluated before and after treatment, and the statistical data were analyzed. The result is 1: 1. The total effective rates of treatment group and control group were 95.83% and 91.31%, respectively. The total effective rate was significantly higher than that of control group by chi-square test, indicating that the curative effect of treatment group was better than that of control group. After three menstrual cycles, the total score of symptoms and signs, the score of pain, the score of mass and the score of accompanying symptoms were all decreased in the two groups before and after treatment, and the difference was significant (P 0.01), indicating that the treatment group and the control group were all effective in the treatment of HDB. After three menstrual cycles, the total scores of symptoms and signs in the treatment group and the control group were 23.48 卤6.24) and 10.17 卤3.35, respectively, and the pain scores in the treatment group were 7.25 卤2.49 and 10.17 卤3.35, respectively. In the treatment group, the scores of associated symptoms in the control group were 6.00 卤3.34 and 8.61 卤3.16, respectively, with significant difference between the two groups, while in the treatment group, the scores of mass in the control group were 4.19 卤4.53 and 4.70 卤4.32, respectively, indicating that there was no significant difference in the total score of symptoms and signs between the treatment group and the control group, indicating that the total scores of symptoms and signs of the patients in the treatment group were higher than those in the control group. The score of pain and associated symptoms was superior to that of the control group, and there was no difference between the mass score and the control group. 4. After three menstrual cycles, compared with the same group before treatment, the blood flow at Tianchi point, Shenfeng point and Shimen point in the treatment group increased after treatment, and there were significant differences (aP0.01), and the blood flow of Shenfeng acupoint in the control group was increased after treatment. There was no significant difference in blood flow between Tianchi acupoint and Zhimen acupoint, and there was no significant difference in blood flow between Tianchi acupoint and Zhimen acupoint, and there was no significant difference in blood flow between Tianchi acupoint and Zhimen acupoint. After three menstrual cycles, the blood flow at Tianchi point in the treatment group and the control group was 68.52 卤27.00 Pu (50.41 卤30.09) respectively, and the increase of blood flow in the treatment group was better than that in the control group (P 0.01). The blood flow at Shenfeng point in the treatment group and the control group was 48.23 卤29.18 渭 g / L respectively. The increase of blood flow in the treatment group was better than that in the control group (P 0.01), and after treatment, the blood flow at the portal point in the treatment group and the control group was 58.30 卤24.83 Pu (42.24 卤15.82), and the blood flow in the treatment group was higher than that in the control group (P 0.01). The curative effect of acupuncture combined with curettage of Yin meridian of extremities was better than that of simple acupuncture. Not only can alleviate the breast pain, reduce the size of the mass, and can improve the whole body associated symptoms. 2. 2. Combined with acupuncture and curettage of extremities yin meridian can accelerate blood flow speed, increase blood flow perfusion and improve microcirculation disturbance of mammary gland, which may be the main mechanism of this therapy in the treatment of HDB.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.2

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