耳穴贴压联合消癖煎治疗乳腺增生病临床观察

Clinical observation of breast hyperplasia treated with auricular point sticking therapy and Xiaopijian

目的:观察耳穴贴压联合消癖煎与单纯消癖煎对比治疗乳腺增生病的疗效差异。方法:将91例患者随机分为观察组(46例)和对照组(45例)。观察组采用耳穴贴压配合口服中药消癖煎,耳穴取乳腺、内分泌、卵巢、神门、肝、脾,每耳贴压1周,两耳交替;消癖煎为院内制剂,主要成分为柴胡、夏枯草、白芍、赤芍等,水煎服,每次30mL,每天3次。对照组仅采用口服消癖煎,每次30mL,每天3次。两组均月经期停止治疗,1个月经周期为一疗程,观察治疗3个疗程。比较两组患者治疗前后症状、体征积分,包括乳房疼痛程度,肿块硬度、范围、大小及全身伴随症状积分变化,并比较两组临床疗效。结果:两组患者治疗后症状体征积分较治疗前积分均明显下降(均P<0.05),同时观察组的积分下降较对照组幅度更大(11.02±1.78vs 9.82±1.53,P<0.05);观察组的总有效率为95.7%(44/46),明显高于对照组的80.0%(36/45,P<0.05)。结论:耳穴贴压联合消癖煎治疗乳腺增生病疗效优于单纯口服消癖煎。

Objective To observe the efficacy difference in the treatment of breast hyperplasia between the combined therapy of auricular point sticking and Xiaopijianand the simple application of Xiaopijian.MethodsNinety-one patients were randomized into an observation group（46cases）and a control group（45cases）.In the observation group,the sticking therapy on the auricular points was applied in combination with the oral medication of Chinese herbal medicine,Xiaopijian.Auricular points included Ruxian,Neifenmi（CO18）,Luanchao,Shenmen（TF4）,Gan（CO12）,Pi（CO13）.The auricular point sticking therapy was applied once a week on the auricular points of one side alternatively.Xiaopijian was the self-prepared decoction.The main ingredients are radix bupleuri Bupleurum chinense,spica prunellae prunella vulgaris and radix paeoniae alba Paeonia lactiflora,30 mL each time,three times a day.In the control group,Xiaopijian was simply prescribed for oral administration,30 mL each time,3times a day.The treatment was discontinued during menstruation in the two groups.The menstrual cycle of one month made one session of treatment.The treatments for 3sessions were observed.The scores of symptoms and physical signs,including the degree of breast pain,hardness and size of breast masses as well as the scores of general and supplementary symptoms were compared before and after treatment in the patients of the two groups.The clinical efficacy was compared between the two groups.Results After treatment,the scores of symptoms and physical signs were reduced apparently as compared with those before treatment in the patients of the two groups（both P〈0.05）.The score reduction in the observation group was much more than that in the control group（11.02±1.78 vs 9.82±1.53,P〈0.05）.The total effective rate was 95.7%（44/46）in the observation group,higher apparently than 80.0%（36/45,P〈0.05）.Conclusion The combined therapy of auricular point sticking and Xiaopijianachieves the superior efficacy on breast hyperplasia as compared with the simple application of Xiaopijian.