针刺腋下到肘窝区域反应点治疗肝郁气滞型乳癖的临床研究

发布时间：2018-06-30 01:30

本文选题：乳癖 + 针刺治疗　；参考：《河北大学》2017年硕士论文

【摘要】：目的:观察针刺腋下到肘窝区域反应点治疗肝郁气滞型乳癖的临床疗效,并探讨其作用原理,旨在摸索出一种对治疗乳癖切实可行且更加高效的治疗方法。方法:依据纳入、排除标准选取河北省固安县人民医院针灸科门诊2016年1月到2016年12月期间乳癖患者57例。随机分为观察组和对照组,观察组29例,对照组28例。观察组采用针刺腋下到肘窝区域豆粒状结节反应点或压痛点的方法进行治疗,每日1次,一共连续治疗3次,随访一个月。对照组采用针灸课本上常规针刺的方法进行治疗,每日1次,一共连续治疗3次,随访一个月。两组病例在治疗前后及随访1个月后均进行主要症状和体征的评分,分别从乳房疼痛、肿块硬度、肿块范围和肿块大小等方面进行对照,并观察结果。结果:观察组治疗后的乳房疼痛评分、肿块硬度评分、肿块范围评分和肿块大小评分较治疗前均有明显改变(P0.05);对照组治疗后的乳房疼痛评分、肿块硬度评分较治疗前有明显改变(P0.05),乳房肿块范围评分和肿块大小评分较治疗前均没有明显改变(P0.05);临床疗效评价结果为,观察组:痊愈3例,占10.34%;显效12例,占41.38%;有效14例,占48.28%;无效0例;总有效率为100%。对照组:痊愈0例;显效6例,占21.43%;有效11例,占39.29%;无效11例,占39.29%;总有效率为60.71%。治疗后,观察组乳房各项症状体征积分均明显优于对照组(P0.05)。结论:针刺腋下到肘窝区域反应点治疗乳癖,取得了比较满意的临床疗效,尤其在治疗疼痛方面,效果更加显著。此方法操作方便,无副作用,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of acupuncture from axillary to cubital fossa in the treatment of liver-stagnation and qi stagnation type mammary disease, and to explore the mechanism of its action, in order to find out a more effective and practical treatment for nipple. Methods: according to the inclusion and exclusion criteria, 57 patients with nipples were selected from the Department of Acupuncture and moxibustion Department of the people's Hospital of Guan County, Hebei Province from January 2016 to December 2016. They were randomly divided into observation group (n = 29) and control group (n = 28). The treatment group was treated with acupuncture of reaction point or tenderness point of soybean granulocyte nodule from axillary to cubital fossa once a day for 3 consecutive times and followed up for one month. The control group was treated with acupuncture and moxibustion textbook routine acupuncture once a day for 3 consecutive times and followed up for one month. The main symptoms and signs of the two groups were scored before and after treatment and one month after follow-up. The results were compared from the aspects of breast pain, mass hardness, mass area and tumor size. Results: there were significant changes in breast pain score, mass hardness score, mass range score and tumor size score after treatment in the observation group (P0.05), while in the control group, the breast pain score after treatment was higher than that before treatment (P0.05). There were significant changes in the hardness score of the mass (P0.05), but there was no significant change in the score of the range of the breast mass and the score of the size of the mass (P0.05). The results of clinical efficacy evaluation were as follows: 3 cases were cured (10.34%), 12 cases (41.38%) were effective, 14 cases were effective. The total effective rate was 100. In the control group, 0 cases were cured, 6 cases were markedly effective (21.43%), 11 cases were effective (39.29%), 11 cases were ineffective (39.29%), and the total effective rate was 60.71%. After treatment, the scores of symptoms and signs in the observation group were significantly better than those in the control group (P0.05). Conclusion: acupuncture from axillary to cubital area has achieved satisfactory clinical effect in the treatment of lactocosis, especially in the treatment of pain. This method is easy to operate and has no side effect, so it is worth popularizing in clinic.
【学位授予单位】：河北大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.2

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