乳痈汤联合针灸对乳痈患者视觉模拟评分法评分、数字分级法评分和生命质量评价量表-36评分的影响  

Effects of Ruyong Decoction Combined with Acupuncture on VAS,NRS and SF-36 Scores of Patients with Acute Mastitis

作　　者：王冬梅[1] 修文明[1] 孙雅宁 宋金阳 Wang Dongmei;Xiu Wenming;Sun Yaning;Song Jinyang(Rehabilitation Department of Dalian City Hospital of Traditional Chinese Medicine,Dalian 116013,China)

机构地区：[1]辽宁省大连市中医医院康复科,大连116013

出　　处：《世界中医药》2019年第4期1016-1019,共4页World Chinese Medicine

基　　金：大连市科技创新项目(2013E15SF143)

摘　　要：目的:研究乳痈汤联合针灸对乳痈患者视觉模拟评分法(VAS)评分、数字分级法(NRS)评分和生命质量评价量表-36(SF-36)评分的影响。方法:选取2015年4月至2017年4月大连市中医医院收治乳痈患者98例作为研究对象。按照随机数字表法分为观察组和对照组,每组49例。观察组患者乳痈汤联合针灸并辅以按摩治疗;对照组患者给予针灸并辅以按摩治疗,比较2组临床疗效,镇痛效果,SF-36评分及复发情况等。结果:观察组患者临床痊愈为81. 63%(40/49),总有效为97. 96%(48/49),明显高于对照组63. 27%(31/49),85. 71%(42/49),差异有统计学意义(P <0. 05);治疗后,2组患者各生命质量指标均明显上升,且观察组上升幅度明显高于对照组,差异有统计学意义(P <0. 05);治疗后2组患者VAS评分与NRS评分均明显下降,且观察组下降幅度均明显优于对照组,差异有统计学意义(P <0. 05);观察组患者治疗后复发率6. 12%(3/49),明显少于对照组28. 57%(14/49),差异有统计学意义(P <0. 05)。结论:乳痈汤联合针灸并结合常规按摩能有效提高对乳痈患者的临床治愈率,最大程度改善患者生命质量,减轻患者痛苦,同时还能有效降低复发的发生。Objective: To explore the effects of Ruyong Decoction combined with acupuncture on VAS,NRS and SF-36 scores patients. Methods: A total of 98 acute mastitis patients admitted into Dalian City Hospital of Traditional Chinese Medicine from April 2015 to April 2017 were included as study objects,who were randomly divided into the observation group(49 cases)and the control group(49 cases).The observation group received combined treatment of Ruyong Decoction and acupuncture,assisted with massage therapy;the control group received acupuncture and massage therapy.The clinical efficacy,analgesia effect,SF-36 score,and recurrence rate of the 2 groups were compared. Results: 81.63%(40/49)of the patients in the observation group achieved clinical recovery,with total effective rate being 97.96%(48/49),which was significantly higher than the control group[63.27%(31/49),85.71%(42/49)];after the treatment,the life quality of patients of both group was improved,and the degree of which of the observation group was significantly higher than that of the control group;after the treatment,the VAS score and NRS score of the patients from both group were all significantly decreased,and the extent of that of the observation group were significantly greater than the control group;in the observation group,the recurrence rate after treatment of was 6.12%(3/49),which was significantly lower than that of the control group 28.57%(14/49).The difference was statistically significant( P <0.05). Conclusion: Ruyong Decoction combined with acupuncture,assisted with conventional massage can effectively improve the cure rate of clinical mastitis patients,significantly improve the life quality of patients,reduce the pain,and effectively reduce the recurrence rate,which is worthy of clinical reference.

关 键 词：乳痈汤 针灸 乳痈 视觉模拟评分法 数字分级法评分 生命质量评价量表-36 

分 类 号：R245[医药卫生—针灸推拿学]