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朱晓平 许月萍 朱 云.天宗穴刮痧在肝郁痰凝型乳癖的临床观察[J].中国现代医生,2021,59(14):168-173
天宗穴刮痧在肝郁痰凝型乳癖的临床观察
Clinical observation of scraping therapy at Tianzong point in the treatment of breast nodules of liver qi depression and phlegm stasis
  
DOI:
中文关键词:  护理干预  天宗穴  刮痧  肝郁痰凝  乳癖
英文关键词:Nursing intervention  Tianzong point  Scraping therapy  Liver qi depression and phlegm stasis  Breast nodules
基金项目:浙江省中医药科技计划项目(2019ZA123)
作者单位
朱晓平 许月萍 朱 云 浙江省嘉兴市中医医院浙江嘉兴 314001 
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中文摘要:
      目的 探讨天宗穴刮痧应用在肝郁痰凝型乳癖患者中的治疗效果及临床应用价值。方法 选取2019 年1 至12 月在本院开展治疗的肝郁痰凝型乳癖患者130 例,按照数字表法随机分为对照组和观察组,对照组采取常规治疗,观察组联合天宗穴刮痧治疗,疗程1 个月,对比两组治疗总有效率、乳房疼痛和肿物分级、炎症因子和体内激素变化、生活质量及超声指标。结果 观察组化疗总有效率为93.85%,高于对照组的76.92%,差异有统计学意义(P<0.05)。观察组治疗后乳房疼痛评分(8.01±1.25)分,乳房肿物分级评分(10.02±1.03)分均低于对照组治疗后评分,差异有统计学意义(P<0.05)。观察组治疗后雌二醇(121.65±1.98)pg/mL 低于对照组,观察组治疗后孕酮(16.44±2.02)ng/mL,促黄体生成素(16.16±2.36)mIU/mL 高于对照组,差异有统计学意义(P<0.05)。观察组治疗后SOD(89.54±8.97)U/L 高于对照组;观察组治疗后MDA(4.11±1.03)μmol/L,TNF-α(1.02±0.76)ng/mL 低于对照组,差异有统计学意义(P<0.05)。观察组治疗后生理评分(85.12±8.21)分,心理评分(74.65±5.79)分,社会关系评分(75.23±5.67)分,环境评分(70.96±6.03)分均高于对照组,差异有统计学意义(P<0.05)。观察组治疗后低回声直径(14.02±1.25)mm,肿块直径(1.44±0.21)mm,输乳管内径(1.32±0.23)mm,腺体层厚度(6.02±1.03)mm 均低于对照组,差异有统计学意义(P<0.05)。结论 天宗穴刮痧应用在肝郁痰凝型乳癖患者可以提升治疗效果,减轻患者乳房疼痛程度,缩小乳房肿物,调节体内激素变化,减轻氧化应激反应程度,提升患者生活质量,值得在临床推广应用。
英文摘要:
      Objective To explore the therapeutic effect and clinical application value of scraping at Tianzong point in patients with breast nodules of liver qi depression and phlegm stasis.Methods A total of 130 patients with breast nodules of liver qi depression and phlegm stasis treated in our hospital from January 2019 to December 2019 were selected and randomly divided into the control group and the observation group according to the number table method.The control group was given the conventional treatment,and the observation group received scraping therapy at Tianzong point.Both groups were treated for one month.The total effective rate of treatment,breast pain and tumor grade,inflammatory factors and hormone changes in the body,quality of life and ultrasound indicators were compared between the two groups.Results The total effective rate of chemotherapy in the observation group was 93.85%,which was higher than 76.92% in the control group,with statistically significant differences(P<0.05).The breast pain score (8.01±1.25) of the observation group after treatment and the breast mass grading score (10.02±1.03) were lower than those of the control group after treatment,with statistically significant difference (P<0.05).After treatment,the estradiol was (121.65±1.98)pg/mL in the observation group,lower than that in the control group,and the progesterone was (16.44±2.02) ng/mL and luteinizing hormone was(16.16±2.36) mIU/mL in the observation group,which was higher than that in the control group,with statistically significant differences (P<0.05).SOD of the observation group was (89.54±8.97) U/L,higher than that of the control group after treatment.MDA was (4.11±1.03) μmol/L and TNF-α was (1.02±0.76) ng/mL of the observation group,which were lower than that of the control group after treatment,with statistically significant differences (P<0.05).After treatment,the scores of physiology,psychology,social relations and environment in the observation group were(85.12±8.21),(74.65±5.79),(75.23±5.67) and (70.96±6.03),respectively,which were significantly higher than those in the control group,with statistically significant differences(P<0.05).After treatment,the diameter of hypoecho,lump,inner diameter of lactiferous duct and thickness of gland layer in observation group were (14.02±1.25)mm,(1.44±0.21)mm,(1.32±0.23) mm and(6.02±1.03)mm,which were lower than those in control group,with statistically significant differences(P<0.05).Conclusion The application of scraping therapy at Tianzong point can improve the therapeutic effect,reduce breast pain,reduce breast mass,adjust hormone changes in the body,reduce oxidative stress,and improve the quality of life of patients with liver qi depression and phlegm stasis.It is worthy of clinical applications.
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