耳穴贴压联合催乳颗粒口服治疗产后气血虚弱型缺乳的临床研究

Clinical study on auricular points pressing combined with galactagogue granule in treating postpartal Qi and blood deficiency and hypogalactia

[目的]探讨耳穴贴压联合催乳颗粒口服治疗产后气血虚弱型乳汁分泌不足的作用。[方法]采用随机、对照临床试验,将102例剖宫产后气血虚弱型乳汁分泌不足患者随机分为治疗组(51例)和对照组(51例)。治疗组采用耳穴贴压,每日按压4次,同时口服催乳颗粒,每日1剂,分两次口服;对照组仅耳穴贴压。治疗5 d后,评价两组疗效及中医证候积分、泌乳量、补授乳量、血清催乳素(PRL)的变化。[结果]治疗组综合疗效愈显率为96.1%,对照组为88.2%,两组相比差异有统计学意义(P>0.05);治疗组在改善患者中医证候积分、提高泌乳量、减少补授乳量,升高产妇PRL水平等方面均优于对照组(P<0.01),差异有统计学意义。[结论]耳穴贴压联合催乳颗粒口服治疗剖宫产术后气血虚弱型乳汁分泌不足疗效显著,值得临床推广应用。

[Objective] To explore the effect of auricular points pressing combined with galactagogue granule on postpartal hypogalactia and Qi-blood deficiency（QBD）.[Methods] Randomized controlled clinical trial was adopted.One hundred and two patients with Qi-blood deficiency and hypogalactia after cesarean were divided into treatment group and control group with 51cases in each group.The treatment group patients were treated with auricular points pressing,four times a day and oral galactagogue granule,once a day simultaneously,while the control group was only received auricular pressing therapy.After treatment for 5 days,the therapeutic effects and changes of cumulative score of TCM symptoms,lactation amount,complemental lactation amount,prolactin level（PRL） were evaluated and investigated.[Results] The cured and markedly effective rate was 96.1% in the treatment group and 88.2% in the control group.The treatment group was superior in the improvement of the cumulative score of TCM symptoms and increase of the lactation amount and the prolactin level than the control group（P〈0.01）.[Conclusion] Auricular points pressing and galactogogue granule has obvious therapeutic effect on postpartal hypogalactia.