刮痧结合电针治疗肝郁气滞证乳腺增生病的临床研究

发布时间：2018-11-28 12:02

【摘要】：目的：通过观察刮痧结合电针与单纯电针对肝郁气滞型乳腺增生病的治疗效果是否存在差异,为刮痧治疗该病提供临床依据。方法：将60例合格的受试者随机分成治疗组30例,对照组30例。治疗组行刮痧结合电针治疗,对照组行电针治疗,两组选穴均为膻中、屋翳、期门、内关、足三里、三阴交、太冲、肩井、天宗、肝俞、脾俞。治疗组刮痧每周治疗1次,两组电针每周治疗2次,6次为1疗程,共治疗2个疗程,经期时停止治疗。分别记录两组治疗前后疼痛、乳房肿块及伴随症状等指标的评分,并进行疗效评价。结果：治疗前,两组受试者在年龄、病程及病情方面均具有可比性(P0.05)；两种方法在改善乳房疼痛、肿块、伴随症状方面均有较好疗效(P0.05)；其中在改善在改善肿块硬度及大小方面,刮痧结合电针组有效而单纯电针组无效(P0.05)；在改善肿块范围、情绪变化、月经异常、两胁胀满方面,治疗组优于对照组(P＜0.05)；两组在改善疼痛方面疗效相当(P0.05)；治疗组总有效率为96.67%,对照组总有效率为90.0%,治疗组显效率为40%,对照组显效率为23.33%,经秩和检验,两组在疗效上的差异具有统计学意义(P0.05)。结论：两种方法对肝郁气滞证乳腺增生病疗效确切,乳房疼痛、肿块和伴随症状在治疗后均有改善；在改善肿块硬度、范围、大小、情绪变化、月经异常、两胁胀满方面,选择刮痧结合电针治疗效果比单纯电针治疗更好；治疗组显效率明显优于对照组,总有效率两组相当。刮痧结合电针治疗肝郁气滞证乳腺增生病疗效优于单纯电针治疗组,临床上值得推广。
[Abstract]:Objective: to observe the effect of scraping combined with electroacupuncture (EA) and simple electroacupuncture (EA) on the treatment of hyperplasia of mammary gland with liver stagnation and qi stagnation, so as to provide clinical basis for scraping treatment of the disease. Methods: 60 eligible subjects were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with scraping combined with electroacupuncture, the control group was treated with electroacupuncture. The two selected points were Tanzhong, Wuyi, phase gate, Neiguan, Zusanli, Sanyinjiao, Taochong, shoulder well, Tianzong, Ganshu and Pesu. The treatment group was treated with scraping once a week, the two groups were treated with electroacupuncture twice a week, 6 times as a course of treatment, a total of 2 courses of treatment, and stopped treatment at the menstrual period. The scores of pain, breast mass and associated symptoms before and after treatment were recorded and evaluated. Results: before treatment, the two groups were comparable in age, course of disease and condition (P0.05), the two methods were effective in improving breast pain, mass and accompanying symptoms (P0.05). In improving the hardness and size of the mass, the scraping combined with electroacupuncture group was effective, but the simple electroacupuncture group was not (P0.05). The treatment group was superior to the control group in improving the area of mass, emotional change, abnormal menstruation and full flank (P < 0.05), and the two groups had the same curative effect in improving pain (P0.05). The total effective rate in the treatment group was 96.67, the total effective rate in the control group was 90.0. The effective rate in the treatment group was 40 and that in the control group was 23.33.The difference between the two groups was statistically significant by rank sum test (P0.05). Conclusion: the two methods are effective in the treatment of hyperplasia of mammary gland with stagnation of liver-qi. The breast pain, mass and associated symptoms are improved after treatment. In improving the hardness, range, size, mood change, abnormal menstruation, full of two flanks, the effect of scrapping combined with electroacupuncture was better than that of simple electroacupuncture, the effective rate of the treatment group was obviously better than that of the control group, and the total effective rate was the same between the two groups. The curative effect of scraping combined with electroacupuncture in treating hyperplasia of mammary gland with liver stagnation and qi stagnation is better than that in simple electroacupuncture group, and it is worth popularizing clinically.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R269

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