穴位埋线治疗中重度乳腺增生病临床研究  

Clinical Study on Catgut Embedment in Acupoint for Moderate to Severe Mammary Gland Hyperplasia

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作  者:卢仙球[1] 孙健岚 戴灵琳 周睿[1] 王樟连[1] 陈利芳[1] LU Xianqiu;SUN Jianlan;DAI Linglin;ZHOU Rui;WANG Zhanglian;CHEN Lifang(The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang,310053,China;Tonglu County First People's Hospital,Hangzhou Zhejiang 311500,China;The Second Affiliated hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310005,China)

机构地区:[1]浙江中医药大学附属第三医院,浙江杭州310053 [2]桐庐县第一人民医院,浙江杭州311500 [3]浙江中医药大学附属第二医院,浙江杭州310005

出  处:《新中医》2024年第16期117-122,共6页New Chinese Medicine

基  金:浙江省中医药科技计划项目(2018ZB068,2022ZB193)。

摘  要:目的:观察穴位埋线治疗中重度乳腺增生病(MGH)的疗效。方法:选取72例中重度MGH患者,按随机数字表法分为对照组及观察组各36例。对照组采用小金丸口服,观察组采用聚对二氧环己酮(PPDO)对折旋转穴位埋线治疗。2组均连续治疗8周,随访3个月。比较2组临床疗效,比较2组治疗前后乳房疼痛评分、乳房肿块大小、情绪评分[汉密尔顿焦虑量表-14项(HAMA)、汉密尔顿抑郁量表-17项(HAMD)]的变化。结果:观察组总有效率为90.63%,对照组为63.64%,2组比较,差异有统计学意义(P<0.05)。2组不同时间点乳房疼痛评分在时间因素、时点交互因素方面比较,差异有统计学意义(P<0.05)。治疗后及随访期,2组乳房疼痛评分均较治疗前下降(P<0.05),观察组治疗后及随访期的乳房疼痛评分均低于同一时间段的对照组(P<0.05)。2组不同时间点乳房肿块大小在时间因素、组间因素、时点交互因素方面比较,差异有统计学意义(P<0.05)。治疗后及随访期,2组乳房肿块大小均较治疗前缩小(P<0.05),观察组治疗后及随访期乳房肿块均小于同一时间段的对照组(P<0.05)。2组不同时间点HAMA评分、HAMD评分在时间因素、组间因素、时点交互因素方面比较,差异有统计学意义(P<0.05)。治疗后及随访期,2组HAMA、HAMD评分均较治疗前下降(P<0.05);观察组治疗后及随访期HAMA评分、HAMD评分均低于同一时间段的对照组(P<0.05)。结论:穴位埋线治疗中重度MGH疗效较好,可减轻乳房疼痛程度,缩小肿块大小,改善患者情绪。Objective:To observe the curative effect of catgut embedment in acupoint on moderate to severe mammary gland hyperplasia(MGH).Methods:A total of 72 patients with moderate to severe MGH were selected and randomly divided into the control group and the observation group,with 36 cases in each group.The control group was treated with Xiaojin Pills orally,and the observation group was treated with twisted and rotated poly p-dioxanone(PPDO)catgut embedment in acupoint.Both groups were treated continuously for eight weeks and followed up for three months.The clinical effects were compared between the two groups.The changes in breast pain scores,breast lump size,and emotional scores[Hamilton Anxiety Scale 14(HAMA),and Hamilton Depression Scale 17(HAMD)]were compared before and after treatment.Results:The total effective rate was 90.63%in the observation group,and 63.64%in the control group,the intergroup comparison showed that the difference being significant(P<0.05).There was significant difference in breast pain scores between the two groups at different time points in terms of time factors and time point interaction factors(P<0.05).After treatment and during the follow-up period,the breast pain scores in the two groups were reduced when compared with those before treatment(P<0.05),and the breast pain scores in the observation group were lower than those in the control group at the same time period(P<0.05).There was significant difference in the breast lump size between the two groups at different time points in terms of time factors,inter group factors,and time point interaction factors(P<0.05).After treatment and during the follow-up period,the breast lump size in the two groups were decreased when compared with those before treatment(P<0.05),and the breast lump size in the observation group was smaller than that in the control group at the same time period(P<0.05).There was significant difference in HAMA and HAMD scores between the two groups at different time points in terms of time factors,inter group factors,and

关 键 词:乳腺增生病 中重度 穴位埋线 小金丸 乳房肿块 疼痛视觉模拟评分法 

分 类 号:R271.44[医药卫生—中医妇科学]

 

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