肝郁痰凝型乳腺增生症中西医治疗疗效观察  

Clinical Effects Observation on Mammary Gland Hyperplasia Type of Liver-qi Stagnation Treated by Traditional Chinese and Western Medicine

作　　者：郭佳[1] 王剑平[1] 曹娟[1] 吴增安[1] 

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《实用中西医结合临床》2012年第6期13-15,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:观察分析中成药合用(加味逍遥丸+小金胶囊)、西药(他莫昔芬)、心理疏导三种方法治疗肝郁痰凝型乳腺增生症的临床疗效。方法:将120例患者随机分为三组,每组40例:A组中成药合用(加味逍遥丸+小金胶囊)治疗,B组西药(他莫昔芬)治疗,C组心理疏导治疗。治疗21d后比较三组疗效。结果:根据乳房疼痛及乳腺结节大小的分级变化确定疗效。A组总有效率为92.5%,B组总有效率为77.5%,C组总有效率为57.5%。三组比较,P值均<0.01,差异有显著性差异。结论:中成药合用(加味逍遥丸+小金胶囊)治疗肝郁痰凝型乳腺增生症,比他莫昔芬、单纯心理疏导起效快,疗效显著,毒副作用少,值得临床推广应用。Objective：To observe and analyse the clinical effects of chinese medicine （modified Xiaoyao pill plus Xiaojin capsule）, TAM and only psychological counseling in treating mammary gland hyperplasia type of Liver-qi stagnation and phlegm stagnation. Methods：120 Patients were randomly divided into 3 groups,40 cases in each group.Group A was treated by chinese medicine（modified Xiaoyao pill plus Xiaojin capsule）,group B was treated by TAM and group C was offered psychological counseling.The therapeutic effects were compared in 3 groups.Result：According to the change of pain in the breast and the change of the structure and the size of mammary tubereules,the total effective rate Of group A was 92.5%,group B was 77.5%,and group C was 57.5%.When compared among the three groups,P 〈0.01 respectively, showing that the differences were highly significant.Conclusion：Compared with TAM and only psychological counseling,chinese medicine （modified Xiaoyao pill plus Xiaojin capsule） has great advantages in treating mammary gland hyperplasia type of Liver-qi stagnation and phlegm stagnation,more effective and with less side effects.Therefore,chinese medicine （Modified Xiaoyao pill plus Xiaojin capsule） can be spreaded in treating mammary gland hyperplasia type of Live-qi stagnation and phlegm stagnation.

关 键 词：乳腺增生症 肝郁痰凝型 加味逍遥丸 小金胶囊 他莫昔芬 

分 类 号：R655.8[医药卫生—外科学]