针挑治疗乳腺增生病的临床的研究.pdfVIP

目 录 中文摘要 ············································1 英文摘要 ············································2 引言 ···············································3 正文 ···············································5 1 研究对象与方法 ······································5 1．1 研究对象 ·········································5 1．2 病例选择标准 ······································5 1．3 研究方法 ········································7 2 疗效分析 ··········································1 0 2．1 针挑组与针刺组治疗前的均衡性比较 ···················1 0 2．2 针挑组与针刺组治疗后的疗效比较 ······················11 2．3 治疗后两组乳腺 B 超的结果对照 ························1 3 3 讨论 ··········································1 3 3.1 乳房的解剖结构特点和生理变化 ·······················13 3．2 乳腺增生病病理分型 ································14 3．3 文献研究 ········································1 6 3．4 针挑疗法 ········································2 2 3．5 针挑治疗乳腺增生的机理探讨 ·························2 7 4 结语 ·············································3 3 参考文献 ···········································3 3 综述 ··············································3 8 致谢 ··············································5 0 攻读学位期间发表的学术论文目录 ···················51 作者声明 ·········································52 个人简历 ·········································53 1 中 文 摘 要 目的：本课题通过观察针挑治疗乳腺增生病的临床疗效，并结合乳腺超 声波诊断仪评价，以探讨针挑法治疗乳腺增生病的可能机制。 方法：从广西中医学院附属瑞康医院南城分院及秀厢分院针灸门诊选取 60 例乳腺增生病患者，采用数字随机法，将患者随机分配为针挑治疗组 30 例，针刺治疗组 30 例。根据2002 年中华中医外科学会乳腺病专业委 员会第八次会议通过的辨证参考标准，辨证为肝郁气滞型、痰瘀互结型 和冲任失调型。针挑组选用大椎、肩井、天宗、肝俞；肩胛骨周围压痛 点及乳房局部的阿是穴挑刺。每周二次，每次约 1 小时，经期自第一天 开始停止治疗一周。约1 个半月为1 个疗程，治疗1 个疗程；对照组:针 刺组，隔天一次，每周 3 次，月经期间自第一天开始停止治疗一周，15 次为 1 个疗程，治疗 1 个疗程。分别记录治疗前后总积分、伴随症状治 疗前后积分等。建立数据库，运用SPSS13.O 进行统计分析。 结果：针挑组治疗一个半月后的近期疗效较好，可明显改善乳腺增生病 患者常见的乳房疼痛的临床表现。在肝郁气滞型患者中，针挑组的总疗 效、乳房疼痛改善疗效优于针刺组。在痰瘀互结型患者中，针挑组在改 善乳房疼痛、月经异常等临床症状方面优于针刺组。 结论：针挑法治疗乳腺增生病的疗效肯定，对缓解患者乳房疼痛等临床 症状尤其明显。本方法具有使用简便，依从性好，毒副作用小等特点， 是治