文献类型：期刊文献

中文题名：电针针刺治疗乳腺增生症的随机对照试验

英文题名：Randomized Controlled Trial on Electroacupuncture Treatment of Mammary Gland Hyperplasia

作者：张董晓[1];王慧[2,3];胡慧[2];郭鱼波[1]

第一作者：张董晓

机构：[1]首都医科大学附属北京中医医院乳腺科,北京100010;[2]北京中医药大学东方医院针灸科,北京100078;[3]甘肃中医药大学附属医院针灸中心,甘肃兰州730000

第一机构：首都医科大学附属北京中医医院乳腺科,北京100010

年份：2022

卷号：17

期号：8

起止页码：1562

中文期刊名：世界中西医结合杂志

外文期刊名：World Journal of Integrated Traditional and Western Medicine

收录：CSTPCD

基金：全国中医药创新骨干人才项目(2019年);国家区域诊疗中心项目(2019年);北京市自然科学基金(7202064);北京市百千万人才工程(2019A31);北京市东城区优秀人才(卫生)培养资助项目(2019WJGW-10-05);丰台区科委课题(2010年)。

语种：中文

中文关键词：针刺;乳腺增生症;临床试验;随机对照研究

外文关键词：Acupuncture;Mammary gland hyperplasia;Clinical trial;Randomized controlled study

摘要：目的观察电针针刺治疗乳腺增生症的临床疗效。方法选取2011年6月—2012年6月期间北京中医药大学东方医院门诊就诊的乳腺增生症患者160例,随机分为针刺组和中药组,每组各80例。针刺组采用电针治疗仪治疗,中药组口服乳康舒胶囊治疗。治疗1个月经周期后,观察比较两组患者1个月经周期内乳房疼痛评分(最痛分值、患者即时疼痛分值)、乳房触痛评分及停止治疗后疼痛痊愈患者随访期分值;乳房肿块大小、肿块分布范围、肿块质地;乳腺彩超检查(腺体厚度及肿块大小)及复发情况。结果两组患者治疗后乳房最痛分值及目前疼痛分值均较治疗前降低,差异有统计学意义(P<0.01);针刺组和中药组治疗后乳房最痛分值和目前疼痛分值比较,差异无统计学意义(P>0.05)。两组患者治疗后乳房触痛分值均较治疗前降低,差异有统计学意义(P<0.01);针刺组和中药组治疗后乳房触痛评分比较,差异无统计学意义(P>0.05)。两组患者治疗后乳房肿块大小、肿块质地、乳腺肿物分布范围均较治疗前降低,差异有统计学意义(P<0.01);针刺组和中药组治疗后乳房肿块大小、肿块质地、乳腺肿物分布范围比较,差异无统计学意义(P>0.05)。两组患者治疗后腺体厚度、肿物大小数值均较治疗前缩小,差异有统计学意义(P<0.01);针刺组和中药组治疗后腺体厚度、肿物大小比较,差异无统计学意义(P>0.05)。两组患者复发率比较,差异无统计学意义(P>0.05)。结论针刺可有效减轻乳腺增生症患者疼痛,缩小肿物并减少肿物分布范围,并降低超声下增生腺体厚度及结节大小。
Objective To observe the clinical effect of electroacupuncture on mammary gland hyperplasia.Methods A total of 160 patients with mammary gland hyperplasia treated in Dongfang Hospital of Beijing University of Chinese Medicine from June 2011 to June 2012 were randomly divided into acupuncture group(80 cases,1 excluded and 5 dropped off)and Chinese medicine group(80 cases,1 dropped off).Patients in the acupuncture group were treated with electroacupuncture apparatus,and the acupoints were Wuyi(ST 15),Rugen(ST 18),Danzhong(CV 17),Qimen(LR 14),Fenglong(ST 40)and Sanyinjiao(SP 6),15 times in each menstrual cycle.Patients in the Chinese medicine group took Rukangshu Capsules orally,3 capsules each time,3 times a day.One menstrual cycle was a course of treatment.All patients were included in luteal phase and were reviewed in luteal phase of next menstrual cycle.After 1 course of treatment,four pain-related indexes,including the maximum pain score in one menstrual cycle,current pain score,doctor′s palpation pain score and pain-cured patients′follow-up pain score after treatment discontinuity were compared between the two groups.In addition,the lump size,distribution,and texture,three lump-related indexes,and ultrasound-guided breast gland thickness and tumor sizeas well as the recurrence rate were compared between the two groups.Results In acupuncture group and Chinese medicine group,the maximum pain score,current pain score,and doctor′s palpation pain score were decreased after treatment(P<0.01).The lump size,texture,and distribution were also reduced in the two groups(P<0.01).Furthermore,the breast gland thickness and tumor size in ultrasound image were decreased(P<0.01).There were no significant differences in the above indexes and the recurrence rate between the two groups after treatment(all P>0.05).Conclusion Acupuncture could effectively relieve the pain of patients with mammary gland hyperplasia,reduce the lump size and distribution,and lowerthe breast gland thickness and tumor size in ultrasound image.