CAJ | 학술논문

目的：观察揉散按摩操在中小学女性教师乳腺增生病中的应用效果。方法：将125例中小学女性教师乳腺增生病患者按年龄分为青年组（<35岁，63例）和中年组（≥35岁，62例），两年龄组又再分别分为治疗组和对照组；对照组给予乳房保健宣教，治疗组则在宣教基础上教授揉散按摩操，嘱其每日1次自我按摩，3个月经周期后回访，观察患者乳房疼痛积分、乳房肿块积分、伴随症状积分、抑郁及焦虑情志积分等指标的改善情况。结果：青年组、中年组中的治疗组总有效率均高于对照组（P<0.05）；两年龄组总疗效比较、肿块积分、SDS评分、伴随症状积分均无显著性差异（P>0.05）；青年组治疗后乳房疼痛积分、SAS评分均优于中年组（P<0.05）。结论：揉散按摩操可有效缓解乳腺增生病患者的乳房疼痛症状，改善其抑郁、焦虑情绪，且青年患者疗效更佳，是改善乳腺增生病肿块的有效方法。
목적：관찰유산안마조재중소학녀성교사유선증생병중적응용효과。방법：장125례중소학녀성교사유선증생병환자안년령분위청년조（<35세，63례）화중년조（≥35세，62례），량년령조우재분별분위치료조화대조조；대조조급여유방보건선교，치료조칙재선교기출상교수유산안마조，촉기매일1차자아안마，3개월경주기후회방，관찰환자유방동통적분、유방종괴적분、반수증상적분、억욱급초필정지적분등지표적개선정황。결과：청년조、중년조중적치료조총유효솔균고우대조조（P<0.05）；량년령조총료효비교、종괴적분、SDS평분、반수증상적분균무현저성차이（P>0.05）；청년조치료후유방동통적분、SAS평분균우우중년조（P<0.05）。결론：유산안마조가유효완해유선증생병환자적유방동통증상，개선기억욱、초필정서，차청년환자료효경가，시개선유선증생병종괴적유효방법。
Objective:To observe the effect of kneading and dispersing massage exercise on female teachers with cyclomastopathy in primary and sec-ondary school. Methods:125 cases of cyclomastopathy patients were divided into youth group (<35 years old, 63 cases) and middle aged group (≥35 years old, 62 cases), and the two age groups were again respectively divided into traatment group and control group;the control groups were giv-en breast health education, while the kneading and dispersing massage exercise was taught to the treatment groups on the basis of health education, told the patients self-massage once a day and paid a return visit after 3 menstrual cycles to observe the improvement of indexes such as breast pain score, breast lump score, simultaneous symptoms score, depression and anxiety scores. Results:The total effective rate of treatment groups in youth and middle aged group were both higher than those of control groups (P<0.05); the total effectiveness, lump score, SDS score and simultaneous symptoms score of the two age group were all no significant difference (P>0.05);the breast pain score and SAS score of youth group after treatment were both better than those of middle aged group (P<0.05). Conclusion:Kneading and dispersing massage exercise can effectively ease the breast pain of cyclomastopathy patients, improve their depression and anxiety emotion, and the younger patients have better effect, which is an effective way to improve lump caused by cyclomastopathy.