逍遥蒌贝汤加减配合中医情志疗法治疗乳腺增生的疗效
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

上海市中医药管理局科技发展专项项目(2016-017Y)


Efficacy of Modified Xiaoyao Baobei Decoction Combined with Traditional Chinese Medicine Emotional Therapy in the Treatment of Breast Hyperplasia
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨逍遥蒌贝汤加减配合中医情志疗法治疗乳腺增生的疗效。方法:选取2019年3月至2019年10月上海中医药大学附属龙华医院收治的乳腺增生患者103例作为研究对象,按照随机数字表法分为对照组(n=51)和观察组(n=52)。对照组给予逍遥蒌贝汤内服治疗,观察组在对照组基础上配合中医情志疗法治疗,2组均连续治疗3个月。统计2组治疗后的临床疗效;比较2组治疗前后主要症状、体征,血清雌激素水平,心理状态及生命质量改善情况。结果:与治疗前比较,治疗后2组乳房疼痛、乳房肿块、全身伴随症状、彩超积分、总评分及血清雌二醇(E2)、泌乳素(PRL)水平均显著降低,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后观察组临床有效率(92.31%)显著高于对照组(76.47%),差异有统计学意义(P<0.05);与治疗前比较,治疗后2组血清孕酮(P)水平及QOL-BERF评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组敌对、人际敏感、抑郁、焦虑等项目SCL-90评分均降低,且低于对照组,差异有统计学意义(P<0.05)。结论:逍遥蒌贝汤加减配合中医情志疗法可更有效地改善乳腺增生患者临床症状与雌激素水平,同时改善患者不良心理状态,提高其生命质量。

    Abstract:

    To explore the efficacy of Xiaoyao Baobei Decoction combined with traditional Chinese medicine(TCM)emotional therapy in the treatment of breast hyperplasia.Methods:A total of 103 cases breast hyperplasia patients admitted to Longhua Hospital,Shanghai University of Traditional Chinese Medicine were selected as the research objects and were divided into a control group(n=51)and an observation group(n=52)according to random number table method.Patients in the control group were treated with Xiaoyao Baobei Decoction,while patients in the observation group were treated with TCM emotional therapy on the basis of the control group.Both groups were treated continuously for 3 months.The clinical efficacy in 2 groups were statisticsed after treatment.The main symptoms,signs,serum estrogen level,the improvement of psychological status and life quality in 2 groups were compared before and after treatment.Results:Compared with those before treatment,the breast pain,breast lumps,generalized symptoms,color doppler ultrasound scores,total score and serum E2 and PRL levels after treatment in 2 groups decreased significantly,and observation group was lower than that of the control group(P<0.01); after treatment,the total clinical effective rate of the observation group was 92.31%,significantly higher than that of the control group(76.47%)(P<0.05); compared with those before treatment,the serum P levels and QOL-BERF scores in the 2 groups increased,and observation group was higher than that of the control group.(P<0.01); the SCL-90 scores of hostile,interpersonal sensitivity,depression,anxiety projects in the observation group decreased,which were lower than those in control group(P<0.01).Conclusion:Xiaoyao Baobei Decoction combined with TCM emotional therapy can effectively improve the clinical symptoms and estrogen levels of patients with breast hyperplasia,and improve the patients' bad mental state and their quality of life.

    参考文献
    相似文献
    引证文献
引用本文

王冰,陈红风.逍遥蒌贝汤加减配合中医情志疗法治疗乳腺增生的疗效[J].世界中医药,2020,(16).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-06-09
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-09-04
  • 出版日期:
文章二维码