长白山通经调脏手法治疗肝郁气滞型乳痛症的临床效果

Clinical efficacy of Changbai Mountain dredging meridians and regulating viscera manipulations in the treatment of mastodynia with liver depression and qi stagnation syndrome

目的探讨长白山通经调脏手法治疗肝郁气滞型乳痛症的临床效果。方法选择2019年7月至2020年8月于广州中医药大学深圳医院针灸推拿科门诊和深圳市妇幼保健院针灸推拿科门诊诊断为乳痛症患者72例,按照随机数字表法分为对照组和治疗组,每组36例。对照组口服柴胡舒肝丸治疗,治疗组采用通经调脏手法治疗,包括经络推拿和揿针治疗。两组均连续治疗2个月经周期。比较两组治疗前后乳痛视觉模拟评分法(VAS)、简式McGill疼痛问卷(SF-MPQ)评分和中医证候评分,并比较两组临床疗效。结果治疗后,两组乳痛VAS评分和SF-MPQ评分均低于治疗前,且治疗组低于对照组,差异有高度统计学意义(P<0.01)。治疗后,两组中医证候评分低于治疗前,且治疗组低于对照组,差异有高度统计学意义(P<0.01)。两组临床总有效率比较,差异无统计学意义(P>0.05)。结论通经调脏手法治疗肝郁气滞型乳痛症的效果确切,可有效改善其临床症状,提高患者生活质量,且优于口服柴胡舒肝丸治疗。

Objective To explore clinical efficacy of Changbai Mountain dredging meridians and regulating viscera manipulations in the treatment of mastodynia with liver depression and qi stagnation syndrome.Methods Seventy-two patients with mastodynia diagnosed at Outpatient Department of Acupuncture&Massage,Shenzhen Hospital of Guangzhou University of Chinese Medicine and Outpatient Department of Acupuncture&Massage,Shenzhen Maternity&Child Healthcare Hospital from July 2019 to August 2020 were selected and divided into control group and treatment group by random number table method,with 36 cases in each group.Control group was treated with Chaihu Shugan Pills,and treatment group was treated with dredging meridians and regulating viscera manipulations,including meridian massage and pressing needle.Both groups were treated for two menstrual cycles.Mastodynia visual analogue scale(VAS),short form McGill pain questionnaire(SF-MPQ)and Chinese medicine syndrome scores of two groups were compared before and after treatment,and clinical effects of two groups were compared.Results After treatment,mastodynia VAS score and SF-MPQ score in two groups were lower than those before treatment,and treatment group was lower than control group,the difference was highly statistically significant(P<0.01).After treatment,Chinese medicine syndrome score of two groups was lower than that before treatment,and treatment group was lower than control group,the difference was highly statistically significant(P<0.01).There was no significant difference of total clinical effective rate between two groups(P>0.05).Conclusion Dredging meridians and regulating viscera manipulations is effective in the treatment of mastodynia with liver depression and qi stagnation syndrome,which can effectively improve its clinical symptoms,the quality of life of patients,and it is better than oral Chaihu Shugan Pills.