杵针“膻中八阵、河车天膻段”治疗肝郁凝型乳腺增生的临床疗效分析及其对血清雌二醇、孕酮水平的影响  

Clinical Curative Effect Analysis of"Danzhong Bazhen,Heche Tiandan⁃duan"and Its Influence on Serum E2 and P Levels in the Treatment of Liver Depression and Coagulation Mammary Hyperplasia

作　　者：寇君 颜宇轩 吴强 邓雨 KOU Jun;YAN Yuxuan;WU Qiang;DENG Yu(Department of Rehabilitation,Traditional Chinese Medicine Hospital of Shuangliu District,Chengdu City,Chengdu 610200,Sichuan,China)

机构地区：[1]成都市双流区中医医院康复科,四川成都610200

出　　处：《系统医学》2024年第19期14-17,共4页Systems Medicine

基　　金：四川省中医药管理局科学技术研究专项课题(2021MS365);2021年成都市医学科研课题(2021100)。

摘　　要：目的 探讨杵针“膻中八阵、河车天膻段”治疗肝郁凝型乳腺增生的临床疗效及其对血清雌二醇(estradiol,E2)和孕酮(progestrone,P)水平的影响。方法 目的选取2021年6月—2023年5月成都双流区中医医院收治的88例肝郁痰凝型乳腺增生患者为研究对象,根据针灸治疗方法不同分为观察组和研究组,每组44例。观察组采取常规针灸治疗,研究组在观察组基础上加杵针“膻中八阵、河车天膻段”治疗。比较两组患者的乳房肿块大小、视觉模拟法(Visual Analogue Scale,VAS)疼痛评分、临床疗效、血清E2和P水平、不良反应。结果 治疗后,研究组乳房肿块大小计分为(3.46±1.87)分,低于观察组的(4.45±1.42)分,差异有统计学意义(t=2.806,P<0.05)。研究组VAS评分低于观察组,差异有统计学意义(P<0.05)。研究组血清E2、P水平优于观察组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于观察组,差异有统计学意义(P<0.05)。两组均未发生不良反应。结论 杵针“膻中八阵、河车天膻段”治疗肝郁凝型乳腺增生具有确切疗效,可有效缩小乳房肿块,减轻疼痛,调节性激素,与常规针灸联合使用时,能够产生协同增效的效果,同时不需要刺入皮肤,从而避免了对患者的额外痛苦。Objective To investigate the clinical efficacy of the"Danzhong Bazhen,Heche Tiandanduan"method in treating liver depression and coagulation-type mammary hyperplasia,and its effects on serum estradiol(E2)and pro-gesterone(P)levels.Methods A total of eighty-eight patients with liver depression and phlegm coagulation-type mam-mary hyperplasia who were admitted to Chengdu Shuangliu District Traditional Chinese Medicine Hospital between June 2021 and May 2023 were objectively selected for this study.The patients were divided into an observation group and a study group based on different acupuncture treatments,with forty-four in each groups.The observation group re-ceived conventional acupuncture,while the study group received"Danzhong Bazhen,Heche Tiandanduan"therapy in addition to the conventional acupuncture.The two groups were compared in terms of breast mass size,Visual Ana-logue Scale(VAS)pain scores,clinical efficacy,serum E2 and P levels,and adverse reactions.Results After treat-ment,the score of breast mass size in the study group was 3.46±1.87,which was lower than 4.45±1.42 in the observa-tion group,and the difference was statistically significant(t=2.806,P<0.05).The VAS score of the study group was lower than that of the observation group,and the difference was statistically significant(P<0.05).The serum E2 and P levels in the study group were better than those in the observation group,and the differences were statistically signifi-cant(both P<0.05).The total effective rate of the study group was higher than that of the observation group,and the difference was statistically significant(P<0.05).No adverse reactions occurred in both groups.Conclusion The"Shan-zhong Bazhen,Hechetian Shanduan"method demonstrates clear efficacy in treating liver depression and coagulation-type mammary hyperplasia.It can effectively reduce breast mass size,alleviate pain,and regulate sex hormones.When used in conjunction with conventional acupuncture,it produces a synergistic effect without the need for skin penetration,thereby

关 键 词：乳腺增生 杵针 肝郁凝型 雌二醇 孕酮 

分 类 号：R246[医药卫生—针灸推拿学]