本文選題：乳腺增生癥 + 肝郁氣滯證�。� 參考：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:通過觀察拔罐結(jié)合穴位埋線治療肝郁氣滯型乳腺增生癥的臨床療效,探討該療法治療肝郁氣滯型乳腺增生癥的機(jī)制及優(yōu)勢,為肝郁氣滯型乳腺增生癥的治療提供新的思路。方法:從廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院針灸科門診、乳腺專科門診及體檢中心選取60例肝郁氣滯型乳腺增生病患者,隨機(jī)分為觀察組和對照組各30例。觀察組采用拔罐結(jié)合穴位埋線進(jìn)行治療,對照組采用乳塊消片口服。所有病例治療前后均按照乳腺疼痛程度、乳腺腫塊的大小、肝郁氣滯證癥狀等方面進(jìn)行積分統(tǒng)計。建立數(shù)據(jù)表,采用統(tǒng)計軟件進(jìn)行統(tǒng)計,以觀察結(jié)果。結(jié)果:臨床研究觀察發(fā)現(xiàn),觀察組總有效率93.3%,對照組總有效率82.7%,經(jīng)秩和檢驗分析,觀察組和對照組兩組臨床療效的差異有統(tǒng)計學(xué)意義(P0.05),觀察組的臨床療效優(yōu)于對照組。觀察組及對照組均對乳房疼痛程度有改善,治療后觀察組與對照組相比:t=3.565,P0.05,差異有統(tǒng)計學(xué)意義;說明觀察組對于減輕乳房疼痛程度的效果優(yōu)于對照組。觀察組及對照組均對乳腺腫塊大小程度有改善,但治療后觀察組與對照組相比:t=0.790,P0.05,差異無統(tǒng)計學(xué)意義;觀察組與對照組均對肝郁氣滯證癥狀有改善,但治療后觀察組與對照組相比:t=1.176,P0.05,差異無統(tǒng)計學(xué)意義。結(jié)論:拔罐結(jié)合穴位埋線治療肝郁氣滯型乳腺增生癥具有疏肝理氣、散結(jié)止痛的作用,其改善乳房疼痛的效果尤為明顯。該療法療效確切,總體療效優(yōu)于口服乳塊消片,因此是一種值得臨床推廣的治療方法。
[Abstract]:Objective: to observe the clinical effect of cupping combined with catgut embedding at acupoints in the treatment of mammary gland hyperplasia with stagnation of liver and qi, and to explore the mechanism and advantages of this therapy in the treatment of hyperplasia of mammary gland with liver stagnation and qi stagnation. To provide a new idea for the treatment of liver stagnation of qi-stagnation type mammary gland hyperplasia. Methods: sixty patients with hyperplasia of mammary gland with liver stagnation and Qi stagnation were selected from Department of Acupuncture and moxibustion Department of Ruikang Hospital affiliated to Guangxi University of traditional Chinese Medicine, mammary gland specialist outpatient and physical examination center. They were randomly divided into observation group and control group (30 cases each). The observation group was treated with cupping combined with acupoint embedding, while the control group was treated with Rubuxiao tablets. All cases were counted according to the degree of breast pain, the size of breast mass and the symptoms of stagnation of liver qi before and after treatment. Set up the data table, use statistical software to carry on statistics, in order to observe the result. Results: clinical observation showed that the total effective rate was 93.3in the observation group and 82.7 in the control group. By rank sum test, the difference between the observation group and the control group was statistically significant (P 0.05). The clinical effect of the observation group was better than that of the control group. The observation group and the control group both improved the degree of breast pain, the observation group and the control group compared with the control group, the difference was statistically significant, indicating that the observation group is better than the control group in reducing breast pain. The size of breast masses was improved in the observation group and the control group, but there was no significant difference between the observation group and the control group in the size of breast mass after treatment, the observation group and the control group both improved the symptoms of liver stagnation and qi stagnation, and there was no significant difference between the observation group and the control group. But there was no significant difference between the observation group and the control group after treatment. Conclusion: cupping combined with acupoint embedding therapy has the effect of soothing liver and regulating qi and relieving pain, especially the effect of improving breast pain. The effect of this therapy is definite, and the overall curative effect is better than that of oral milk tablet, so it is worth popularizing in clinic.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R269

【參考文獻(xiàn)】

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本文編號：1789649