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1.广州中医药大学附属广州中医医院针灸康复科,广州 510130
2.广州医科大学附属中医医院针灸康复科,广州 510130
夏帆,女,27岁,硕士。研究方向:针药结合治疗全科疾病。
明康文,E-mail:mkw1976828@sina.com
收稿日期:2024-03-24,
纸质出版日期:2025-06-25
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夏帆,陈小华,明康文.通元针法联合乳核散结片治疗肝郁痰凝型乳腺增生症的临床研究[J].北京中医药,2025,44(6):692-696.
XIA Fan,CHEN Xiaohua,MING Kangwen.Clinical study of the Tongyuan acupuncture technique combined with Ruhesanjie Tablets in the treatment of liver depression and phlegm stagnation-type hyperplasia of mammary glands[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):692-696.
夏帆,陈小华,明康文.通元针法联合乳核散结片治疗肝郁痰凝型乳腺增生症的临床研究[J].北京中医药,2025,44(6):692-696. DOI: 10.16025/j.1674-1307.2025.06.004.
XIA Fan,CHEN Xiaohua,MING Kangwen.Clinical study of the Tongyuan acupuncture technique combined with Ruhesanjie Tablets in the treatment of liver depression and phlegm stagnation-type hyperplasia of mammary glands[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):692-696. DOI: 10.16025/j.1674-1307.2025.06.004.
目的
2
观察通元针法联合乳核散结片治疗肝郁痰凝型乳腺增生症(HMG)的临床疗效。
方法
2
选取2023年7月—2024年1月于广州中医药大学附属广州中医医院针灸康复科、乳腺科门诊及住院部就诊的66例HMG女性患者,采用随机数字表分为观察组和对照组,各33例。2组均给予基础治疗,对照组给予乳核散结片口服治疗,观察组给予乳核散结片口服加通元针法治疗。对比2组治疗前后疼痛视觉模拟量表(VAS)评分、患者健康问卷抑郁量表(PHQ-9)评分、乳房局部症状评分、中医证候积分,观察临床疗效及安全性。
结果
2
治疗结束时、治疗后第4周2组VAS评分、PHQ-9评分、乳房局部症状评分、中医证候积分均低于治疗前(
P
<
0.05,
P
<
0.01),且观察组各项指标均低于对照组(
P
<
0.05,
P
<
0.01)。观察组疗效优于对照组(
P
<
0.05)。2组患者在治疗过程中,生命体征平稳,均未发生不良反应,安全性良好。
结论
2
通元针法联合乳核散结片治疗肝郁痰凝型HMG效果显著,可改善患者临床及局部症状,效果优于单用乳核散结片治疗。
Objective
2
To observe the clinical efficacy of the
Tongyuan
acupuncture technique combined with
Ruhesanjie Tablets
in the treatment of liver depression and phlegm stagnation-type hyperplasia of mammary glands (HMG).
Methods
2
A total of 66 female patients with HMG who visited the Department of Acupuncture and Moxibustion Rehabilitation or the Breast Department (outpatient and
inpatient) of AffiliatedGuangzhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, between July 2023 and January 2024, were selected and randomly divided into an observation group and a control group using a random number table. Both groups received basic treatment. The control group was treated with oral
Ruhesanjie Tablets
, while the observation group received
Tongyuan
acupuncture combined with oral
Ruhesanjie Tablets
. Visual Analogue Scale (VAS) scores for pain, Patient Health Questionnaire-9 (PHQ-9) scores, local breast symptom scores,traditional Chinese medicine (TCM) syndrome scores, clinical efficacy, and safety were compared between the two groups before and after treatment.
Results
2
At the end of treatment and at week 4 after treatment, VAS scores, PHQ-9 scores, local breast symptom scores, and TCM syndrome scores in both groups were significantly lower than those before treatment (
P
<
0.05,
P
<
0.01), and the reductions in the observation group were significantly greater than those in the control group (
P
<
0.05,
P
<
0.01). The overall efficacy in the observation group was significantly superior to that in the control group (
P
<
0.05). During the treatment, all patients in both groups remained stable in vital signs, with no adverse reactions observed, indicating good safety.
Conclusion
2
Tongyuan
acupuncture combined with
Ruhesanjie Tablets
is significantly effective in treating liver depression and phlegm stagnation-type HMG. It can improve both clinical and local symptoms and demonstrates superior efficacy compared to
Ruhesanjie Tablets
alone.
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