“通利枢机针法”结合逍遥丸治疗肝郁气滞型乳腺增生的临床研究

Clinical Study of Tongli Zhuji Acupuncture Method Combined with Xiaoyao Pill in the Treatment of Mammary Gland Hyperplasia of Liver Depression of Qi Stagnation Type

目的观察"通利枢机针法"结合逍遥丸治疗肝郁气滞型乳腺增生病(mammary gland hyperplasia,MGH)的临床治疗效果。方法按照患者就诊顺序,将符合本研究的60例肝郁气滞型MGH患者随机分为两组,"通利枢机针法"+逍遥丸组(治疗组)30例和逍遥丸组(对照组)2每组各30例,两组均持续治疗3个疗程。研究结果表明,治疗后治疗组和对照组的乳疼评分、乳腺超声指标、血清雌二醇(E2)和孕酮(P)水平均较治疗前显著降低和改善(p<0.05),且治疗组显著高于对照组(p<0.05);临床总疗效,治疗组治愈9例,显效11例,有效8例,无效2例;对照组治愈5例,显效8例,有效10例,无效7例;治疗组总有效率为93.3%,对照组总有效率为76.7%,治疗组临床总疗效明显优于对照组(p<0.05)。据此研究结果说明,电针结合逍遥丸治疗肝郁气滞型MGH效果明显优于单纯逍遥丸,具有一定的推广应用价值。

Objective To investigate the clinical effect of Tongli Zhuji Acupuncture Method combined with Xiaoyao Pill in the treatment of Mammary Gland Hyperplasia(MGH). Methods According to the order of patients’ visits, 60 MGH patients with liver depression and qi stagnation were randomly divided into two groups, 30 cases in Tongli Zhuji Acupuncture plus Xiaoyao pill group(treatment group) and 30 cases in Xiaoyao pill group(control group), the two groups continued to treat 3 courses. Results The results showed that the breast pain score, breast ultrasound index, serum estradiol(E2) and progesterone(P) levels in the treatment group and the control group were significantly decreased and improved after treatment(p < 0.05), and the treatment group was significantly higher than the control group(p < 0.05). The total clinical effect were:the treatment group was cured in 9 cases, markedly effective in 11 cases, effective in 8 cases, ineffective in 2 cases;control group cured in 5 cases, markedly effective in 8 cases, effective in 10 cases, ineffective 7.The total effective rate of the treatment group was 93.3%, and that of the control group was 76.7%. The total clinical effect of the treatment group was significantly better than that of the control group(p < 0.05).Conclusion According to the research results, the effect of electro-acupuncture combined with Xiaoyao Pill in treating liver depression and qi stagnation type MGH is obviously better than that of Xiaoyao Pill alone, which has certain application value.