[1]房涛1 惠建荣2.“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[J].陕西中医药大学学报,2019,(06):096-99.[doi:10.13424/j.cnki.jsctcm.2019.06.026]
 FangTao,HuiJianrong.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[J].Journal of Shaanxi College of Traditional Chinese Medicine,2019,(06):096-99.[doi:10.13424/j.cnki.jsctcm.2019.06.026]
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“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 ()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2019年06期
页码:
096-99
栏目:
针推推拿
出版日期:
2019-11-15

文章信息/Info

Title:
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
文章编号:
2096-1340(2019)06-096-05
作者:
房涛1 惠建荣2
(1.铜川九三中医医院,陕西铜川727031;2.陕西中医药大学,陕西咸阳712046)
Author(s):
FangTao1HuiJianrong2
1. 93 TCM Hospital of Tongchuan, Tongchuan China, 727031; 2. Shaanxi University of Chinese Medicine, Xianyang China, 712046
关键词:
:电针法逍遥丸乳腺增生病临床疗效
Keywords:
electric acupuncture Xiaoyao Pill MGH clinical effect
分类号:
R271.4
DOI:
10.13424/j.cnki.jsctcm.2019.06.026
文献标志码:
摘要:
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(mammaryglandhyperplasia, 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
Abstract:
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.

参考文献/References:

[1]黎国屏,王送鹤.实用临床乳腺病学[M].北京:中国医药科技出版社,2002,1:115-116.
[2]ChenCC,JiangCG,ChenQQ,etal.Efficacyofpsychologicalin-terventionsforpatientswithbreasthyperplasia[J].CellBiochemBiophys,2015,71(3):1663-1669.
[3]HartmannLC,DegnimAC,SantenRJ,etal.Atypicalhyperplasiaofthebreast-riskassessmentandmanagementoptions[J].NEnglJMed,2015,372(1):78-89.
[4]张永红,张志刚,申希平,等.流动时间及自报健康与女性青壮年流动人口乳腺增生健康风险相关性分析[J].中华疾病控制杂志,2018,22(2):178-182.
[5]马丹丹.乳腺良性病变癌变风险影响因素的研究[D].济南:山东大学,2016,1-10.
[6]郭莉,刘鹏熙.乳腺增生病诊断与疗效标准的评价//全国中医暨中西医结合乳腺病学术会议论文集[C].广州,2007:156-160.
[7]王丽,王银凤,胡文英.散结止痛颗粒对乳腺增生病患者雌二醇及孕酮的影响[J].山东中医杂志,2017,36.
[8]刘东生,连新福,袁少英,等.原发性失眠症中医证候群筛选的研究[J].中国当代医药,2015,22(4):102-105.
[9]左玉静.朱建贵辨证治疗失眠经验的临床研究[D].北京:中国中医科学院,2013.
[10]张星平,刘在新,黄刚.根据失眠症状表现不同归属五脏辨识探析[J].中华中医药杂志,2009,24(5):554-557.
[11]张金霞,顾锡镇.原发性慢性失眠的中医研究概况[J].吉林中医药,2010,30(12):1111-1112.
[12]胡琪,李七一.失眠的中医治疗研究进展[J].国际中医中药杂志,2016,38(6):573-574.
[13]何筑,况时祥.况时祥教授治疗失眠经验辑要[J].云南中医中药杂志,2014,35(11):3-5.
[14]张压西,李璇.从中医古籍“肝藏血、血舍魂”理论中探究不寐的内涵[J].中华中医药杂志,2011,26(10):2211-2216.
[15]岑小龙.引阳入阴治疗失眠证探究[J].实用中医药杂志,2012,28(4):301.
[16]江凌圳,阮步青.阮氏针刺法治疗失眠症临床经验[J].中国针灸,2013,33(7):645-647.
[17]谷凌云,王蕴伶,查青山.从阴阳失调辨治失眠[J].云南中医学院学报,2013,36(5):20-27.
[18]刘延华.治疗失眠从肝入手[J].中华中医药杂志,2015,30(6):1941-1943.
[19]欧碧阳,李艳,杨志敏,等.柴胡加龙骨牡蛎汤治疗失眠的机理[J].时珍国医国药,2010,21(8):1887-1888.
[20]张佳丽,杨毅玲.李海聪教授治疗顽固性失眠的经验介绍[J].吉林中医药,2010,30(2):107-108.
[21]秦秀芳.心肾不交理论在睡眠障碍治疗中的应用[J].上海中医药杂志,2013,47(11):5-7.
[22]张鹏鹏,范丽娜.王世民从肾论治失眠治验举隅[J].山西中医,2015,31(7):48-60.
[23]高叶梅.从肝论治失眠体会[J].北京中医药大学学报(中医临床版),2010,17(2):40-41.
[24]王志丹,陈少玫.失眠症中西医治疗的研究进展[J].中西医结合心脑血管病杂志,2013,11(3):355-356.
[25]刁远明,陈群,陈新林,等.安寐汤对失眠大鼠脑组织单胺类神经递质的影响[J].广州中医药大学学报,2011,28(4):409-411.
[26]周艳丽,高希言,王培育,等.针刺不同腧穴对失眠大鼠下丘脑γ-氨基丁酸和γ-氨基丁酸A受体的影响[J]针刺研究,2012,37(4):302-307.
[27]肖斌斌,罗湘箱,沈雅辱.平衡针治疗顽固性失眠症疗效观察[J].中国针灸,2013,33(6):101-104.
[28]李崖雪,刘梦佳,张洋,等.傍刺阿是穴结合音乐疗法治疗亚健康失眠[J].中医药信息,2019,36(1):29-30.
[29]夏宇欣,周仁来.认知情绪调节策略在职业人群失眠与负性心境间的中介作用[J].中国临床心理学杂志,2010,18(3):353-356.
[30]中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南[J].中华神经科杂志,2012,45(7):534-540.
[31]李志铃,阮经文.睡眠相关神经递质与阴阳变化的相关性探讨[J].广州中医药大学学报,2019,36(1):145-146.(11):951-953.

更新日期/Last Update: 2019-11-01