浮针配合再灌注活动治疗乳腺增生病疼痛疗效观察

Effect observation of float needle combined with reperfusion activity for pain induced by cyclomastopathy

目的:观察浮针配合再灌注活动治疗乳腺增生病疼痛的临床疗效。方法:将35例女性乳腺增生病患者随机分为综合组(18例)和浮针组(17例)。综合组在肱二头肌肌腹中央或于患侧乳头与乳房结节连线上、距乳房外缘约4cm处进行浮针操作,并配合活动患者上肢及乳房的再灌注活动。浮针组采用单纯浮针治疗。两组均在月经来潮前(7±3)天开始治疗,隔日1次,治疗3次后,观察两组治疗前后简明McGill疼痛问卷(SF-MPQ)评分表的变化、初次治疗镇痛起效时间、临床疗效及治疗后3个月复发情况和不良反应。结果:在初次治疗起针即刻、治疗3次后、随访1个月时,两组SF-MPQ各分项评分及总分均较治疗前明显降低(均P<0.05),综合组SF-MPQ各分项评分及总分较浮针组降低更明显(均P<0.05);综合组在初次治疗乳房疼痛缓解起效时间上短于浮针组[(94.72±33.67)s vs(162.06±29.16)s,P<0.01]。综合组治疗后3个月复发率为5.9%(1/17),优于浮针组的20.0%(3/15,P<0.01)。结论:浮针配合再灌注活动和单纯浮针均能安全有效治疗乳腺增生病,浮针配合再灌注活动在即时、远期治疗疼痛方面优于单纯浮针治疗。

Objective To observe the clinical effect of float needle therapy combined with reperfusion activity for pain induced by cyclomastopathy.Methods Thirty-five female patients with cyclomastopathy were randomly divided into a comprehensive group（18 cases）and a float needle group（17 cases）.In the comprehensive group,float needle manipulation was used at the centre of the biceps brachii belly or the ligature between the affected nipple and breast nodule,about 4cm beside the exterior margin of the breast,and the reperfusion activity of the affected upper limb and breast was combined.In the float needle group,simple float needle therapy was adopted.In the two groups,treatment was started 7±3 days before menstruation,once every other day.After 3-time treatment,the changes of short form McGill Pain Questionnaire（SF-MPQ）scores before and after treatment,the time of pain relieved during the first treatment,recurrence in 3 months after treatment and the adverse reaction were observed.Also,the clinical effects of the two groups were compared.Results Immediately at the end of the first treatment,after 3-time treatment and while followed up for one month,each item score and the total score of SFMPQ were decreased apparently than the scores before treatment（all P〈0.05）,and all the scores mentioned above of the comprehensive group were declined more obviously than those of the float needle group（all P〈0.05）.The time of pain relieved during the first treatment of the comprehensive group was much shorter than that of the float needle group[（94.72±33.67）s vs（162.06±29.16）s,P〈0.01].The recurrence rate of the comprehensive group in 3 months after treatment was 5.9%（1/17）,which was better than 20.0%（3/15）of the float needle group（P〈0.01）.Conclusion Float needle therapy combined with reperfusion activity and simple float needle therapy can both safely and effectively improve cyclomastopathy,and the combination therapy is better than simple float needle therapy in the aspects of pain relieving effect at once and the long term effect.