摘要
目的探究经络推拿结合穴位点按治疗肝郁气滞型乳腺增生症的的临床疗效。方法选取2017年1月-2018年12月在新疆医科大学第四附属医院妇科住院,符合肝郁气滞型乳腺增生症的120例患者,随机分为对照组和试验组,对照组患者饭后口服乳康片,2片/次,2次/d;试验组患者饭后口服安慰剂,2片/次,2次/d,经络推拿结合穴位点按膀胱经和督脉,由脊柱中心沿肋骨方向两侧分推3～5次,拇指着重点按肩井、天宗、膈俞、肝俞、曲池、三阴交等穴位,横擦腰眼及肾俞至发热,由下向上捏脊3遍,行滚法或掌揉等放松手法5 min,按揉胸大肌、乳房部及腹部,30 min/次,1次/d,20 d为1个疗程。治疗前、后通过中医证候积分、乳房疼痛VAS评分和疗效评价,对比分析2种治疗方法的临床疗效。结果与治疗前比较,2组患者治疗后中医证候积分、乳房疼痛VAS评分均降低,差异有统计学意义(P<0.01)。与对照组比较,试验组患者有效率、显效率均无明显变化,差异无统计学意义(P>0.05)。结论经络推拿结合穴位点按治疗肝郁气滞型乳腺增生症可改善患者的临床证候和乳房疼痛状况。
Objective To explore the clinical effect of meridian massage combined with acupoint point pressing in the treatment of liver depression and qi stagnation type mammary gland hyperplasia. Methods 120 patients with breast hyperplasia of stagnation of Liver-qi type were randomly divided into control group and experimental group. The patients in experimental group took Rukang tablets orally after meals, 2 tablets per time, 2 times per day;the patients in control group took placebo orally after meals, 2 tablets per time, 2 times per day. The points of meridian massage combined with Acupoints according to bladder meridian and Du meridian, were divided into two groups. The center of the column was pushed 3-5 times along the rib direction. The thumb focused on Jianjing, Tianzong, Geyu, Ganshu, Quchi and Sanyinjiao points, rubbed lumbar eyes and Shenshu to get fever, kneaded the ridge three times from the bottom to the top, rolled or palm kneaded for 5 minutes, kneaded the pectoralis major muscle, breast and abdomen 30 minutes per time, once a day, 20 days as a course of treatment. Before and after treatment, the clinical efficacy of the two treatment methods was compared and analyzed by TCM syndrome score, breast pain VAS score and curative effect evaluation. Results Compared with those before treatment, the scores of TCM syndromes and VAS of breast pain in both groups decreased after treatment, and the difference was statistically significant(P<0.01). Compared with the control group, there was no significant difference in the effective rate and marked efficiency between the experimental group and the control group(P>0.05). Conclusion Meridian massage combined with acupoint pressing can improve the clinical symptoms and breast pain of patients with liver depression and Qi stagnation type mammary gland hyperplasia.
作者
李丹丹
阮迪
沈明球
LI Dandan;RUAN Di;SHENG Mingqiu(Department of Traditional Chinese Medicine,the Forth Affiliated Hospital of Xinjiang Medical University,Urumqi 830002,China)
出处
《新疆医科大学学报》
CAS
2019年第6期813-816,共4页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金青年基金(2018D01C287)
关键词
经络推拿
穴位点按
乳腺增生症
肝郁气滞型
meridian massage
acupoint pressure
mammary hyperplasia
liver depression and Qi Stagnation
