Clinical Observation Of Abdominal Warm Moxibustion And Scraping On Breast Hyperplasia Patients With Phlegm-Dampness Constitution

Objective to standardize the operation process of abdominal warm moxibustion and scraping technology and improve the quality of traditional Chinese medicine nursing.At the same time,to explore the clinical nursing effect of its combined with conventional breast hyperplasia scraping treatment in improving the main and systemic accompanying symptoms,phlegm dampness constitution,comfort and satisfaction of patients with breast hyperplasia,so as to provide new ideas for clinical intervention of patients with breast hyperplasia.Methods（1）On the basis of the hospital’s current operation process of abdominal warm moxibustion and scraping technology,systematically and comprehensively search modern literature,according to the various elements of nursing operation in “Nursing Staff Manual of TCM”,extract and summarize the operation process content,discuss with the research group,and consult Experts in related fields have formed a standardized operation process of abdominal warm moxibustion and scraping technology.（2）From January 2021 to may 2021,patients with phlegm dampness constitution and breast hyperplasia in the treatment and prevention center of a third class hospital of TCM in Hubei Province were selected as the research object.The subjects were divided into two groups: the intervention group（routine scraping treatment of breast hyperplasia + abdominal warm moxibustion scraping treatment）and the control group（routine scraping treatment of breast hyperplasia）.The patients in both groups received three courses of intervention,and each course of treatment was treated with three times of scraping treatment.The quantitative integral table of main and systemic accompanying symptoms of breast hyperplasia,phlegm dampness physical symptom score table,general comfort questionnaire（GCQ）and TCM nursing technology satisfaction evaluation table were used to evaluate the effect of clinical treatment and nursing.Results（1）Baseline data balance test: A total of 46 patients with phlegm-dampness constitution with breast hyperplasia completed all courses of treatment.The general data（age,marriage,occupation,education level）and outcome indicators（quantitative score of breast and systemic accompanying symptoms,In terms of phlegm-dampness constitution symptom score）,the difference was not statistically significant（P>0.05）,which was comparable.（2）Comparison of breast-related symptoms and systemic accompanying symptoms scores: After the intervention,the breast（pain,mass hardness,distribution range）score and total score of the observation group were significantly improved compared with the control group（P<0.05）,but the breast mass size was significantly lower in both groups.There was no significant difference between groups（P>0.05）.Compared with in the group,the symptom scores and total scores of the observation group were significantly different from those before treatment（P<0.05）.There was no significant difference in tumor distribution and tumor size（P>0.05）.Compared with the control group,the scores of mood,abnormal menstruation,chest and flank distending pain,blood stasis,soreness and weakness of the waist and knees and the total score of the patients in the observation group were significantly different from those in the control group（P<0.05）.In-group comparison,the scores of mood,waist and knees,abnormal menstruation,chest and flank pain,blood stasis,and total scores of patients in the observation group were significantly different from those before the intervention（P<0.05）,and the control group The patients’ mood,menstrual abnormalities,chest and flank pain,blood stasis symptoms and total score were significantly different from those before intervention（P < 0.05）,but there was no significant difference in the improvement of waist and knee soreness and weakness（P>0.05）.（3）Comparison of Phlegm-dampness constitution symptom score: After the intervention,the phlegm-dampness constitution symptom scores of the two groups of patients were decreased,and the improvement effect of the phlegm-dampness constitution symptoms of the patients in the observation group was more obvious（P<0.05）.The symptoms of phlegm-dampness constitution were improved compared with those before intervention（P < 0.05）.（4）Comparison of GCQ and satisfaction of TCM Nursing Technology: after the intervention,the overall comfort score and satisfaction of the observation group were significantly higher than those of the control group（P<0.05）.Conclusion In this study,through scientific research methods,a standardized operation procedure model of abdominal warm moxibustion and scraping technique with strong operability was formed,which provided theoretical basis and reference for clinical application.Through clinical research comparing the effectiveness,treatment and nursing experience of conventional scraping combined with abdominal warm moxibustion scraping and scraping alone in intervention of patients with phlegm-dampness constitution mammary gland hyperplasia,it is proved that the combined application of two TCM nursing techniques can effectively improve the breast（pain,lump hardness）of patients.It also has a good effect in improving the patient’s mood,abnormal menstruation,fullness of the chest and flank,blood stasis,soreness and weakness of the waist and knees and other accompanying symptoms.At the same time,it can regulate the patient’s phlegm-damp constitution,and the comfort and satisfaction are better.Clinical treatment and nursing of breast hyperplasia provide new ideas.