【摘要】 目的:观察穴位埋线治疗乳腺增生病的临床疗效。方法:将所选乳腺增生病病例按就诊单双日分为穴位埋线组(单日)40例和口服乳癖消对照组(双日)40例。穴位埋线选择屋翳、乳根、膻中、血海、足三里、阳陵泉穴,15 d埋线1次,6次为一疗程,共治疗1个疗程。观察两组1个疗程后近期疗效和6个月后随访远期疗效(包括乳房疼痛程度和肿块大小),并检测治疗前后患者卵泡期雌二醇、孕酮、泌乳素以及乳腺B超。结果:埋线组总有效率明显优于对照组(P<0.05),两组近期、远期疗效(疼痛分级、肿块大小)显著(P<0.01),埋线组仍明显优于对照组(P<0.01);埋线组降低雌二醇含量的效应优于对照组(P<0.01),乳腺B超改善埋线组优于对照组(P<0.01)。结论:穴位埋线治疗乳腺增生病近期、远期疗效显著,优于口服乳癖消。更多还原

【Abstract】 Objective To evaluate the clinical therapeutic effect of acupoint-catgut-embedment therapy in the treatment of mammary gland hyperplasia(MGH).Methods Eighty MGH patients were equally randomized into acupoint-catgut-embedment(ACE) group and medication(Rupixiao,a herbal patent drug for relieving MGH) group according to odd-numbered days or even-numbered days of visiting.Subcutaneous catgut-embedment was performed in Wuyi(ST 15),Rugen(ST 18),Tanzhong(CV 17),Xuehai(SP 10),Zusanli(ST 36) and Yanglingquan(GB 34),once every 15 days for 3 months.Patients of the medication group were treated by oral administration of Rupixiao(3 tablets,3 times per day,3 months altogether).The degree of breast pain and the size of the hyperplastic lump were observed before and after the treatment.Serum estrodiol,progesterone and prolactin contents on day 1 to day 3 of menstruation were detected by using an automation chemiluminescence immune analysator.Results After the treatment,of the two 40 MGH patients in the ACE and medication groups,16(40.0%) and 5(12.5%) were cured basically,8(20.0%) and 8 were improved markedly in their symptoms and signs,16(40.0%) and 22(55.0%) were effective,and 0 and 5(12.5%) failed in the treatment,with the effective rates being 100% and 87.5%,respectively.The therapeutic effect of the ACE group was significantly better than that of the medication group(P<0.05).In comparison with the pre-treatment,the pain grades and the size of the hyperplastic lump in both ACE and medication groups decreased significantly after immediate termination of the treatment and 6 months after the treatment(P<0.01),and the therapeutic effects of the ACE group were significantly superior to those of the medication group in reducing pain grade and hyperplastic lump size(P<0.01).After the treatment,serum estrodiol and progesterone contents were decreased evidently in both ACE and medication groups(P<0.01,P<0.05).Type-B ultrasonic examination showed that of the two 40 MGH patients in the ACE and medication groups,16 and 5 cases turned to normal in their mammary glands,and the cure rate of the ACE group was evidently higher than that of the medication group(P<0.01).Conclusion Acupoint-catgut-embedment is effective in relieving MGH,and its therapeutic effect is apparently superior to that of medication(oral administration of Rupixiao).更多还原