本文關(guān)鍵詞：特定腧穴拔罐結(jié)合針刺辨證治療早期乳癰的臨床研究　出處：《河北醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 拔罐 針刺治療 癥狀學(xué)積分 早期乳癰 特定腧穴

【摘要】：目的:本課題通過(guò)開(kāi)展特定腧穴拔罐結(jié)合針刺辨證治療早期乳癰的臨床研究,旨在觀察特定腧穴拔罐結(jié)合針刺治療早期乳癰的臨床療效及作用規(guī)律,從而為臨床尋找一種療效肯定、簡(jiǎn)便安全、易于接受、無(wú)毒副作用,且能有效保護(hù)患者乳房、不影響患兒哺乳的治療方法。方法:本研究采用隨機(jī)、對(duì)照的方法,將120例早期乳癰患者隨機(jī)分為治療組和對(duì)照組,各60例,其中治療組又分為肝氣郁結(jié)型(26例)和胃熱壅盛型(34例)兩種證型,所有入選患者均清淡飲食,并予以心理疏導(dǎo),保持心情舒暢,去除所有可能加劇乳癰的各種因素。治療組予特定腧穴拔罐結(jié)合針刺辨證治療,拔罐治療取膺窗、乳根、神封、阿是穴,辨證配以相應(yīng)背俞穴,每日1次;針刺治療以膻中、肩井為主穴,佐以相應(yīng)的配穴,施以相應(yīng)操作手法,每日1次。對(duì)照組予目前臨床常用治療方法口服頭孢羥氨芐膠囊,每次0.5g,每日2次。兩組均以3日為1個(gè)療程,連續(xù)治療2個(gè)療程后行療效判定。觀察兩組治療患者前后疼痛、腫塊等證候評(píng)分變化,觀察兩組患者治療前后彩超的改善情況,并比較兩組治療的總有效率。結(jié)果:1.兩組治療前后疼痛積分均有差異,且治療組優(yōu)于對(duì)照組(P0.05)。2.兩組治療前后腫塊積分均有差異,且治療組優(yōu)于對(duì)照組(P0.05)。3.兩組治療前后癥狀學(xué)積分均有差異,且治療組優(yōu)于對(duì)照組(P0.05)。4.治療后兩組彩超結(jié)果比較,腫塊消散情況治療組優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。5.治療后治療組總有效率96.67%,對(duì)照組總有效率78.33%,治療組療效優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:特定腧穴拔罐結(jié)合針刺能有效治療早期乳癰,且療效優(yōu)于單純口服頭孢羥氨芐膠囊治療。
[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.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.3

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