發(fā)布時(shí)間：2018-06-30 01:30

  本文選題：乳癖 + 針刺治療　； 參考：《河北大學(xué)》2017年碩士論文

【摘要】：目的:觀察針刺腋下到肘窩區(qū)域反應(yīng)點(diǎn)治療肝郁氣滯型乳癖的臨床療效,并探討其作用原理,旨在摸索出一種對(duì)治療乳癖切實(shí)可行且更加高效的治療方法。方法:依據(jù)納入、排除標(biāo)準(zhǔn)選取河北省固安縣人民醫(yī)院針灸科門診2016年1月到2016年12月期間乳癖患者57例。隨機(jī)分為觀察組和對(duì)照組,觀察組29例,對(duì)照組28例。觀察組采用針刺腋下到肘窩區(qū)域豆粒狀結(jié)節(jié)反應(yīng)點(diǎn)或壓痛點(diǎn)的方法進(jìn)行治療,每日1次,一共連續(xù)治療3次,隨訪一個(gè)月。對(duì)照組采用針灸課本上常規(guī)針刺的方法進(jìn)行治療,每日1次,一共連續(xù)治療3次,隨訪一個(gè)月。兩組病例在治療前后及隨訪1個(gè)月后均進(jìn)行主要癥狀和體征的評(píng)分,分別從乳房疼痛、腫塊硬度、腫塊范圍和腫塊大小等方面進(jìn)行對(duì)照,并觀察結(jié)果。結(jié)果:觀察組治療后的乳房疼痛評(píng)分、腫塊硬度評(píng)分、腫塊范圍評(píng)分和腫塊大小評(píng)分較治療前均有明顯改變(P0.05);對(duì)照組治療后的乳房疼痛評(píng)分、腫塊硬度評(píng)分較治療前有明顯改變(P0.05),乳房腫塊范圍評(píng)分和腫塊大小評(píng)分較治療前均沒有明顯改變(P0.05);臨床療效評(píng)價(jià)結(jié)果為,觀察組:痊愈3例,占10.34%;顯效12例,占41.38%;有效14例,占48.28%;無效0例;總有效率為100%。對(duì)照組:痊愈0例;顯效6例,占21.43%;有效11例,占39.29%;無效11例,占39.29%;總有效率為60.71%。治療后,觀察組乳房各項(xiàng)癥狀體征積分均明顯優(yōu)于對(duì)照組(P0.05)。結(jié)論:針刺腋下到肘窩區(qū)域反應(yīng)點(diǎn)治療乳癖,取得了比較滿意的臨床療效,尤其在治療疼痛方面,效果更加顯著。此方法操作方便,無副作用,值得臨床推廣。
[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.
【學(xué)位授予單位】：河北大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.2

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本文編號(hào)：2084258