【作者】 王旭；

【导师】 陈松鹤；

【作者基本信息】 河北大学 ， 中西医结合临床， 2017， 硕士

【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(P<0.05);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(P<0.05),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(P>0.05);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(P<0.05)。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。更多还原

【Abstract】 Object: To observe the clinical efficacy of acupuncture at the reaction point of acromiocre to the elbow fossa to treat liver stagnation of breast hyperplasia and to explore its principle of action to explore a practical and more effective treatment for the treatment of breast hyperplasia.Methods: According to the inclusion and exclusion criteria,57 cases of hyperplasia of mammary gland were obtained from January 2016 to December 2016 in the Acupuncture and moxibustion department of Gu’an People’s Hospital,Hebei Province.Were randomly divided into acupuncture group and control group,29 cases of acupuncture group and 28 cases in control group.Observation group used acupuncture the armpit to the elbow fossa area of granular nodular nodules or tender point for acupuncture,1 day,a total of 3 consecutive treatment,followed up for a month.The control group was treated with conventional acupuncture on acupuncture textbooks,1 day,a total of 3 consecutive treatment,followed up for a month.Two groups of patients before and after treatment were followed up for 1 month after the main symptoms and signs of the score,respectively,from the breast pain,mass hardness,mass range and mass size and other aspects of control,and observe the results.Results: Observation group after treatment,the scores of breast pain,lump hardness score,lump range score and lump size score were significantly better than those before treatment(P <0.05).There was no significant change in the breast mass score and lump size score after treatment in the control group(p>0.05).The clinical curative effect of the observation group was 3 cases,accounting for 10.34%;markedly effective in 12 cases,accounting for 41.38%;effective in 14 cases,accounting for 48.28%;invalid in 0 cases;the total effective rate was 100%.Conclusion: Acupuncture armor to the elbow fossa area response point of treatment of breast hyperplasia,and achieved satisfactory clinical efficacy,especially in the treatment of pain,the effect is more significant.This method is easy to operate,no side effects,worthy of clinicalpromotion.After treatment,acupuncture group of breast symptoms and signs were significantly better than the control group.更多还原