加减附子理中汤治疗痰瘀互结型乳腺增生临床研究
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Clinical Study on Modified Fuzi Lizhong Tang for Hyperplasia of Mammary Glands of Binding of Phlegm and Blood Stasis Type
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    摘要:

    目的:观察加减附子理中汤治疗痰瘀互结型乳腺增生的临床疗效。方法:选取82 例痰瘀互结型乳腺增生患者,依据不同治疗方法分为观察组和对照组,每组41 例。对照组给予乳癖消片治疗,观察组给予加减附子理中汤治疗,2 组均治疗8 周。比较2 组临床疗效;比较2 组治疗前后中医证候积分、激素水平及免疫功能。结果:观察组总有效率为95.12%,高于对照组的78.05% (P<0.05)。治疗后,2 组乳房刺痛、胸闷咳痰、心烦口苦、月经不畅、腰膝酸软积分均较治疗前降低(P<0.05),观察组上述5 项中医证候积分均低于对照组(P<0.05)。治疗后,2 组促黄体生成素(LH)、孕酮(P)、CD3+、CD4+水平均较治疗前升高,观察组LH、P、CD3+、CD4+水平均高于对照组(P<0.05);2 组雌二醇(E2)、催乳素(PRL)、CD8+水平均较治疗前降低,观察组E2、PRL、CD8+水平均低于对照组(P<0.05)。结论:加减附子理中汤治疗痰瘀互结型乳腺增生,可有效缓解患者的临床症状,纠正内分泌失衡,改善免疫功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of modified Fuzi Lizhong tang for hyperplasia of mammary glands of binding of phlegm and blood stasis type. Methods: A total of 82 cases of patients with hyperplasia of mammary glands of binding of phlegm and blood stasis type were selected and divided into the observation group and the control group according to different treatment methods, 41 cases in each group. The control group was treated with Rupixiao tablets, and the observation group was treated with modified Fuzi Lizhong tang. Both groups were treated for eight weeks. Clinical effects in the two groups were compared;Chinese medicine syndrome scores, hormone levels and immune function before and after treatment were compared between the two groups. Results:The total effective rate was 95.12% in the observation group, higher than that of 78.05% in the control group(P<0.05). After treatment, the scores of mammalgia, chest tightness and expectoration, upset and bitter mouth, weak waist and knees, and irregular menstruation in the two groups were decreased when compared with those before treatment, and the above five Chinese medicine syndrome scores in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of luteinizing hormone (LH), progesterone(P), CD3 + and CD4 + in the two groups were increased when compared with those before treatment, and the above four levels in the observation group were higher than those in the control group(P<0.05);the levels of estradiol (E2), prolactin(PRL) and CD8 + in the two groups were decreased when compared with those before treatment, and the above three levels in the observation group were lower than those in the control group(P<0.05). Conclusion:Modified Fuzi Lizhong tang for hyperplasia of mammary glands of binding of phlegm and blood stasis type can effectively relieve clinical symptoms, correct endocrine imbalance and improve immune function.

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燕飞,窦晨辉,安慎富.加减附子理中汤治疗痰瘀互结型乳腺增生临床研究[J].新中医,2021,53(24):39-42

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  • 在线发布日期: 2021-12-27
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