针刺膻中穴治疗产后缺乳：多中心随机对照研究  

Randomized controlled multi-central study on acupuncture at Tanzhong(CV 17) for treatment of postpartum hypolactation

作　　者：何军琴[1] 陈宝英[1] 黄涛[2] 李宁[3] 白剑[3] 古梅[1] 余梅 何湘萍 王华英 

机构地区：[1]首都医科大学附属北京妇产医院中医科,北京100026 [2]中国中医科学院针灸研究所 [3]首都医科大学附属北京妇幼保健院 [4]海淀妇幼保健院

出　　处：《中国针灸》2008年第5期317-320,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局《中华人民共和国针灸穴典》专项临床研究课题资助项目:03 XDLZ09

摘　　要：目的:研究针刺膻中穴治疗产后缺乳的临床作用,为腧穴主治提供临床依据。方法:本课题采用北京妇产医院、北京妇幼保健院、海淀妇幼保健院3个临床中心单盲随机对照研究方法,将276例乳汁不足的产妇随机分为针刺组与中药组。针刺组针刺膻中穴;中药组采用传统中药通乳汤治疗。观察乳房充盈程度、泌乳量、泌乳素及新生儿体重、人工喂养次数、人工喂养容量、婴儿小便次数、哭闹时间长短等指标,对照比较治疗产后缺乳的临床疗效。结果:针刺组与中药组均能有效改善缺乳状态,乳房充盈程度、泌乳量及新生儿体重、人工喂养次数、人工喂养容量、婴儿小便次数等指标,2组治疗前后差异均有统计学意义,2组之间差异无显著性意义。针刺组治疗前后泌乳素无改变。结论:针刺膻中穴能有效促进乳汁的分泌,效果与传统中药相当。Objective To study on clinical role of acupuncture at Tanzhong （CV 17） for treatment of postpartum hypolactation and to provide clinical basis for indications of acupoints. Methods This was a single blind randomized controlled multi-center study by Beijing obstetrical and gynecological hospital, Beijing Mother and Child health insti- tute and Haidian Mother and Child health institute, 276 cases of postpartum hypolactation were randomly divided in- to an acupuncture group and a Chinese drug group. The acupuncture group were treated with acupuncture at Tanzhong （CV 17） and the Chinese drug group with traditional drug Tongru Decoction. Degree of breast engorge, lactating volume, prolactin, neonate body weight, artificial feeding frequency and volume, urination frequency and crying time of neonate were recorded for comparison of therapeutic effects. Results After treatment, degree of breast engorge, lactating volume, neonate body weight, artificial feeding frequency and volume, urination frequency and crying time of neonate were significantly improved in the two groups, with no significant difference between the two groups. Conclusion Acupuncture at Tanzhong （CV 17） can effectively promote lactation with a same therapeutic effect as the traditional Chinese dru~ Tongru Decoction.

关 键 词：泌乳障碍/针灸疗法 穴 膻中 产褥期疾病/针灸疗法 产后缺乳 

分 类 号：R246.3[医药卫生—针灸推拿学]