耳穴贴压时长对乳腺增生症患者治疗效果的影响研究  

Influence of the Duration of Auricular Point Plaster Therapy on the Treatment of Cyclomastopathy

作　　者：朱国香 吴晓萍[3] 高雅文[4] 魏素兰[2] 钟建亮 蓝素华[6] 徐向红[1] 

机构地区：[1]浙江省杭州市萧山区中医院护理部,311201 [2]浙江省杭州市萧山区中医院耳穴门诊,311201 [3]浙江省杭州市萧山区中医院乳腺外科,311201 [4]浙江省杭州市萧山区中医院内分泌科,311201 [5]浙江省杭州市萧山区中医院统计室,311201 [6]浙江省杭州市萧山区中医院眼科,311201

出　　处：《中国全科医学》2015年第19期2357-2360,共4页Chinese General Practice

基　　金：萧山区科技计划项目(2012464);杭州市卫生科技计划一般(B)类项目(2012B042)

摘　　要：目的探讨耳穴贴压时长对乳腺增生症患者治疗效果的影响。方法于2012年3月—2013年7月,在杭州市萧山区中医院乳腺外科门诊抽取肝郁气滞型乳腺增生症患者120例。按患者门诊号顺序,将其平均分为4个组(中药组及3、5、7 d组)。中药组患者采用常规中药治疗;3、5、7 d组患者在常规中药治疗的基础上,进行耳穴贴压治疗,分别以3、5、7 d为更换另一耳的间隔时长。3个疗程后,比较并分析4组患者的疗效和3个耳穴贴压组患者的复发率。结果 (1)4组疗效比较,差异有统计学意义(H=18.93,P<0.05);3、5、7 d组与中药组的疗效比较,差异有统计学意义(D3 d=24.63,D5 d=32.28,D7 d=30.21,P<0.05);而3 d组与5 d组(D=7.65,P>0.05)、3 d组与7 d组(D=5.58,P>0.05)、5 d组与7 d组(D=2.07,P>0.05)的疗效比较,差异无统计学意义。(2)3个耳穴贴压组的复发率比较,差异有统计学意义(χ2=7.19,P<0.05);5、7 d组与3 d组的复发率比较,差异有统计学意义(χ25 d=4.72,χ27 d=4.99,P<0.05);而5 d组与7 d组的复发率比较,差异无统计学意义(χ2=0.00,P>0.05)。结论常规中药联合耳穴贴压治疗乳腺增生症的临床效果较好,贴压时长为3、5、7 d的患者疗效无差异;贴压时长为3 d的患者复发率较高,但贴压时长为5 d和7 d的患者复发率无差异。在保证患者疗效、降低患者复发率的前提下,将贴压时长定为5 d可缩短患者治疗时间,提高患者治疗依从性。Objective To investigate the influence of the duration of auricular point plaster therapy on the treatment of cyclomastopathy. Methods A total of 120 patients with cyclomastopathy induced by liver qi stagnation who received treatment in the outpatient department of breast surgery in the Hospital of Traditional Chinese Medicine of Xiaoshan District in Hangzhou from March 2012 to July 2013 were enrolled. Based on the outpatient order,the subjects were divided into four groups： TCM group,3 d group,5 d group and 7 d group,with each group 30 people. The four groups all received common TCM therapy, while3 d group,5d group and 7 d group were also given auricular point plaster therapy,and the durations of the therapy on one ear for the three groups were 3 days,5 days and 7 days respectively. After 3 curses were completed,the efficacy of the four groups and the recurrence rate of the three groups given auricular point plaster therapy were compared and analyzed. Results（ 1） The four group had significant differences（ H = 18. 93,P〈0. 05） in the efficacy; the TCM group was significantly different from the 3 d group,5 d group and 7 d group in efficacy（ D3 d= 24. 63,D5 d= 32. 28,D7 d= 30. 21,P〈0. 05）. There were no significant differences in efficacy between 3 d group and 5 d group（ D = 7. 65,P〉0. 05）,between 3 d group and 7 d group（ D = 5. 58,P〈0. 05） and between 5 d group and 7 d group（ D = 2. 07,P〈0. 05）.（ 2） The three groups given auricular point plaster therapy were significantly different（ χ^2= 7. 19,P〈0. 05） in recurrence rate. The 5 d group and the 7 d group were significantly different from the 3 d group in recurrence rate（ χ^25 d= 4. 72,χ^27 d= 4. 99,P〈0. 05）,while the 5 d group was not significantly different（ χ^2= 0. 00,P〈0. 05） from 7 d group in recurrence rate. Conclusion On the basis of common TCM therapy,the extra use of auricular point plaster therapy may improve efficacy on cyclomastopathy. The 3 day,5 day and 7 day durations of auricular point pla

关 键 词：耳穴贴压 时长 乳腺纤维囊性病 治疗结果 

分 类 号：R655.82[医药卫生—外科学]