浮针疗法对乳腺增生病疼痛的疗效观察  

Clinical Effect Observation of Superficial Needling Therapy on the Breast Tenderness Caused by Mammary Glands Hyperplasia

作　　者：陈冬[1] 夏有兵[1,2] 凌立君[3] 符仲华[4] 肖安菊[1] 吕凯露[1] 

机构地区：[1]南京中医药大学第二临床医学院,江苏南京210023 [2]南京医科大学校长办公室,江苏南京210029 [3]江苏省人民医院乳腺外科,江苏南京210029 [4]南京中医药大学浮针研究所,江苏南京210023

出　　处：《南京中医药大学学报》2016年第2期134-137,共4页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省中医药局科研基金(LZ13246)

摘　　要：目的观察浮针与药物在治疗乳腺增生病疼痛的疗效差异,探讨最佳治疗方法。方法将105例女性乳腺增生病患者随机分为浮针组、夏枯草组、维生素E组,每组各35例。浮针组进行浮针操作,并留置5h;夏枯草组采取夏枯草口服液口服;维生素E组采取维生素E软胶囊口服。3组均在经前(7±3)天开始治疗,浮针隔日1次,治疗3次,夏枯草口服液每日早晚各服1次,维生素E每日服1次,经期停止治疗。观察3组治疗前后及随访1月后简明McGill疼痛问卷(SF-MPQ)评分表的变化、浮针组初次治疗疼痛缓解时间及3组不良反应情况。结果治疗后3组乳腺增生病疼痛均较治疗前有明显改善(P<0.01);浮针组在乳腺增生病疼痛的改善方面优于夏枯草组、维生素E组(P<0.01),且在随访1月内保持较好疗效(P<0.01);夏枯草组在乳腺增生病疼痛的改善方面优于维生素E组(P<0.05)。浮针组在初次治疗乳房疼痛缓解时间上取效迅捷。结论浮针疗法治疗乳腺增生病能迅速缓解疼痛,疗效持久,对患者疼痛的改善优于夏枯草口服液和维生素E软胶囊。OBJECTIVE To observe the differences of curative effect among superficial needle therapy,Xiakucao oral solution and Vitamin E soft capsules on the breast tenderness caused by mammary glands hyperplasia and to explore the optimum therapeutic method.METHODS 105 patients with mammary glands hyperplasia were randomly divided into the superficial needling group,the Xiakucao group and the Vitamin E group,with 35 cases in every group.Patients in the superficial needling group were treated with the superficial needling retaining for 5hours.Patients in the Xiakucao group and the Vitamin E group took medicine with oral administration.Treatment in the three groups all began from 7±3days before menstruation and stopped during menstruation.The superficial needling group was treated once every other day with total 3times.Patients in the Xiakucao group took medicine twice a day in the morning and evening.The Vitamin E group was treated once a day.Compare the scores of short form McGill pain Questionnaire（SF-MPQ）before and after the treatment and after one month followup.Record the time needed for pain relieving in the first treatment of the superficial needling group and the adverse effects in the three groups.RESULTS After the treatment,the breast tenderness was improved obviously in the three groups（P〈0.01）and the superficial needling group was superior to the other groups（P〈0.01）.During the one-month follow up,the superficial needling group showed good effects（P〈0.01）.It also showed fast effect on relieving the pain in the first treatment.The Xiakucao group was superior to the Vitamin E group in the improvement of the breast tenderness（P〈0.05）.CONCLUSION The superficial needling therapy shows fast and lasting effects on relieving the pain of mammary glands hyperplasia,which is superior to Xiakucao oral solution and Vitamin E soft capsules.

关 键 词：乳腺增生病 疼痛 浮针 即时疗效 远期疗效 

分 类 号：R245.31[医药卫生—针灸推拿学]