刮痧拔罐法治疗乳腺增生的临床疗效观察

【目的】验证刮痧拔罐法治疗乳腺增生的临床疗效。【方法】将80例乳腺增生病例随机分为刮痧拔罐组42例和常规组38例。常规组给予常规基础治疗(包括心理疏导和口服中成药小金丸等),刮痧拔罐组在常规基础治疗的同时应用刮痧和拔罐疗法,取穴璇玑、膻中、肩井、库房、天宗、大椎、阿是穴(乳房结块或疼痛处)。观察2组治疗前后主症疼痛模拟量表(VAS)评分、世界卫生组织生活质量测定简式量表(WHOQOL-BREF)评分,并比较2组临床疗效。【结果】(1)刮痧拔罐组的总有效率为88.10%,优于常规组的65.79%,2组间比较,差异有统计学意义(P0.01)。(2)治疗后,刮痧拔罐组的VAS评分显著降低(P0.01);常规组有降低趋势,但差异无统计学意义(P0.05)。组间比较,刮痧拔罐组改善VAS评分作用优于常规组(P0.05)。(3)治疗后,刮痧拔罐组在生理领域的评分显著提高(P0.05),其余各领域评分差异均无统计学意义(P0.05);常规组治疗前后各领域评分比较,差异均无统计学意义(P0.05)。组间比较,刮痧拔罐组改善WHOQOL-BREF生理领域评分作用优于常规组(P0.05)。【结论】刮痧拔罐治疗乳腺增生可以改善患者临床症状,提高患者生活质量。

Clinical Observation of Cutaneous Scraping and Cupping Therapy for Treatment of Hyperplasia of Mammary Glands

Objective To evaluate the clinical efficacy of cutaneous scraping and cupping therapy for the treatment of hyperplasia of mammary glands. Methods Eighty patients with hyperplasia of mammary glands were randomized into test group(42 cases) and control group(38 cases). Both groups were given conventional basic treatment including psychological counseling and oral use of Chinese patent medicine, and the test group additionally received cutaneous scraping and cupping therapy on acupoints of Xuanji(CV21), Danzho ng (CV17), Jianjing(GB21), Kufang(ST14) , Tianzhong(SI11), Dazhui(GV14), and Ashi(focus of mammary mass and pain). The scores of pain visual analog scale(VAS) and World Health Organization Quality of Life Scale Brief Version(WHOQOL-BREF) were observed, and the clinical efficacy of the two groups was evaluated. Results (1) The total effective rate of the test group was 88.10%, and that of the control group was 65.79%, the inter-group difference being statistically significant (P<0.01). (2) After treatment, VAS scores of the test group were decreased obviously(P<0.01), and the control group showed a decreasing trend(P>0.05). Test group had better effect on improving VAS scores than the control group(P<0.05).(3) After treatment , the scores in physiological dimension of WHOQOL-BREF were much increased(P<0.05), and the changes in the scores of other dimensions were not obvious(P>0.05). The control group showed no obvious changes in the scores of each dimension of WHOQOL-BREF before and after treatment(P>0.05). The inter-group comparison showed that the test group had better effect on improving the scores in physiological dimension of WHOQOL-BREF (P<0 . 05). Conclusion Cutaneous scraping and cupping therapy is effective on relieving pain and improving QOL of patients with hyperplasia of mammary glands.