皮内针周期选穴联合中药外敷治疗乳腺增生症临床观察  

Clinical Observation of Intradermal Acupuncture with Periodic Points Selection and External Application of Chinese Medicinals in Treating Hyperplasia of Mammary Glands

作　　者：赵杉[1] 莫爵飞[2] 张玉杰[1] 李宏燕[1] 韩兵[1] 黄浩然 王如然[1] ZHAO Shan;MO Juefei;ZHANG Yujie;LI Hongyan;HAN Bing;HUANG Haoran;WANG Ruran(Surgical Department,South District,Guang’anmen Hospital,China Academy of Chinese Medical Science,Beijing 102600,China;Surgical Department,Guang’anmen Hospital,China Academy of Chinese Medical Science,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院南区外科,北京102600 [2]中国中医科学院广安门医院外科,北京100053

出　　处：《山东中医杂志》2023年第10期1090-1094,1121,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：北京市中医药科技发展资金(编号:JJ2018-59);中国中医科学院广安门医院南区所级课题(编号:Y2021-11)。

摘　　要：目的:探讨皮内针周期选穴联合中药外敷对乳腺增生症(HMG)的临床疗效。方法:选取HMG患者132例,利用随机数字表法分为观察组和对照组各66例。两组均予中药外敷,对照组加用固定穴位皮内针治疗,观察组皮内针治疗在对照组基础上加周期(经前期、经后期、经间期)选穴治疗,两组疗程均为3个月经周期。观察治疗前后两组患者B超下乳腺腺体厚度变化,比较两组治疗前后同一月经周期节点的乳房疼痛评分、肿块情况评分、全身伴随症状评分,统计治疗有效率,评估疗效。结果:治疗后两组患者的乳腺腺体厚度、乳房疼痛评分、肿块情况及全身伴随症状评分较治疗前均有好转(P<0.05),观察组乳腺腺体厚度小于对照组(P<0.05),乳房疼痛评分、肿块情况评分及全身伴随症状评分均较对照组低(P<0.05);观察组总有效率95.45%,对照组74.24%,观察组疗效优于对照组(P<0.05)。结论:皮内针周期选穴治疗联合中药外敷可明显缓解HMG患者乳房疼痛,减小肿块,改善全身伴随症状,具有较好的临床疗效。Objective:To study clinical efficacy of intradermal acupuncture with periodic points selection and external application of Chinese medicinals on hyperplasia of mammary glands(HMG).Methods:Using a random number table,132 patients with HMG were randomly divided into control group and observation group,66 patients in each group.Both groups were treated with external application of Chinese medicinals.The control group was further treated with intradermal acupuncture on fixed points,while the observation group was further treated with intradermal acupunc-ture on points varied based on menstrual stage(premenstrual period,postmenstrual period and intermenstrual period).Both groups were treated for 3 menstrual cycles,and then the changes of breast gland thickness in the two groups before and after treatment were observed by breast ultrasound.The breast pain score,mass score,and systemic symptom score at the same menstrual cycle time point before and after treatment were compared between the two groups to statistically calculate the effectiveness rate and to evaluate the efficacy.Results:After treatment,the breast gland thickness,breast pain score,mass condition,and systemic symptom score in both groups were improved compared to before treatment(P<0.05).The thickness of breast gland in the observation group was lower than that in the control group(P<0.05);the scores of breast pain,mass and systemic symptoms in the observation group were lower than those in the control group(P<0.05).The total effectiveness rate in the observation group was 95.45%,and 74.24%in the control group.In the clinical efficacy,the observation group was better than the control group(P<0.05).Conclusion:Intradermal acupuncture with periodic points selection and external application of Chinese medicinals can significantly reduce breast pain,reduce mass size and improve systemic symptoms in patients with HMG,with good clinical efficacy.

关 键 词：乳腺增生症 皮内针 中药外敷 中医周期疗法 月经周期 

分 类 号：R246.3[医药卫生—针灸推拿学] R271.44[医药卫生—中医临床基础]