扎跳法联合揿针治疗肝郁痰凝证乳癖临床研究  

Clinical Study of Zha Tiao Acupuncture Combined with Thumbtack Needling in Treatment of Hyperplasia of Mammary Glands due to Liver Stagnation and Phlegm Coagulation

作　　者：王芳芳 孙云霞 褚胜杰 马立新[2] WANG Fangfang;SUN Yunxia;CHU Shengjie;MA Lixin(Cangzhou Central Hospital,Cangzhou 061000,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100010,China)

机构地区：[1]河北省沧州市中心医院,河北沧州061000 [2]北京中医药大学东直门医院,北京100010

出　　处：《针灸临床杂志》2024年第5期46-51,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：河北省中医药管理局科研计划,编号:2020519。

摘　　要：目的:观察扎跳法联合揿针治疗肝郁痰凝型乳癖患者的临床疗效。方法:将90例肝郁痰凝型乳癖的育龄女性,随机分为针药组30例、中药组30例与揿针组30例。揿针组行局部阳性反应点揿针治疗,中药组口服开郁散结颗粒治疗,针药组在两组基础上加用肩井“扎跳”和调肝神针刺治疗,12周后统计分析3组患者治疗前后的临床疗效、乳房肿块积分、伴随症状积分、彩超腺体厚度和管径及不良反应,治疗结束3个月后对针药组患者进行随访。结果:治疗后针药组总有效率93.33%(28/30),高于中药组73.33%(22/30)和揿针组46.67%(14/30),差异有统计学意义(P<0.05);治疗后针药组乳房肿块各方面积分低于中药组和揿针组,差异有统计学意义(P<0.05);治疗后针药组善郁易怒、心烦口苦与月经异常积分低于中药组,差异有统计学意义(P<0.05),针药组伴随症状各积分均低于揿针组,差异有统计学意义(P<0.05);治疗后针药组腺体厚度和管径均低于中药组和揿针组,差异有统计学意义(P<0.05);治疗结束3个月后,针药组乳房肿块各方面积分及伴随症状总积分与治疗后比较差异无统计学意义(P>0.05)。结论:扎跳法联合揿针结合开郁散结颗粒治疗肝郁痰凝型乳癖患者,临床疗效较好,可有效缓解乳房疼痛、减小乳房肿块大小、改善肿块质地及减轻伴随症状,且该治疗方法作用持久,复发率低,不良反应少。Objective:To investigate the clinical effect of Zha Tiao acupuncture combined with thumbtack needling in treatment of hyperplasia of mammary glands due to Liver stagnation and phlegm coagulation.Methods:90 patients with hyperplasia of mammary glands of Liver stagnation and phlegm coagulation type were randomly divided into the acupuncture and medication group(n=30),the medication group(n=30)and the thumbtack needling group(n=30).The thumbtack needling group was treated thumbtack needling positive reaction points,the medication group was treated with Kaiyu Sanjie Granule;on the basis of treatment in these two groups,the acupuncture and medication group was also treated with Zha Tiao acupuncture and regulating Liver-Shen acupuncture.The course of treatment was 12 weeks.Clinical effect,breast lump score,concomitant symptoms score,ultrasonic examination and adverse reactions were observed in the three groups.The patients in the acupuncture and medication group were followed up three months after the treatment.Results:The total effective rate of the acupuncture and medication group was 93.33%(28/30),which was higher than 73.33%(22/30)of the medication group and 46.67%(14/30)of the thumbtack needling group(P<0.05).The scores of breast lumps in the acupuncture and medication group were lower than those in the medication group and in the thumbtack needling group(P<0.05).The scores of concomitant symptoms,including easily irritability,bitter in the mouth and abnormal period,were lower in the acupuncture and medication group than those in the medication group(P<0.05);the scores of concomitant symptoms,including easily irritability,bitter taste in the mouth,abnormal period,fullness and stuffiness in the chest and hypochondria,as well as insomnia and vivid dreams,were lower in the acupuncture and medication group than those in the thumbtack needling group(P<0.05).The ultrasonic examination showed that the gland thickness and diameter were lower in the acupuncture and medication group than those in the medication group and in

关 键 词：乳癖 调肝神 揿针 开郁散结颗粒 肝郁痰凝型 

分 类 号：R246.2[医药卫生—针灸推拿学]