针刺少泽治疗产后乳汁分泌不足：多中心随机对照研究

目的:探讨少泽穴治疗乳汁分泌不足的作用。方法:采用多中心、随机、对照、单盲临床试验,将276例患者分为治疗组(138例)和对照组(138例)。治疗组采用电针少泽穴,对照组采用电针商阳穴,治疗2个疗程后,评价两组疗效及中医症候积分、乳房充盈程度、泌乳量、催乳素(PRL)的变化。结果:治疗组愈显率为97·8%,对照组为24·3%,两组相比,P<0·05;治疗组在改善患者症候积分、乳房充盈程度、提高泌乳量、升高产妇PRL水平等方面均优于对照组(P<0·01)。结论:针刺少泽穴治疗乳汁分泌不足疗效显著,值得临床推广应用。

Multicentral randomized controlled studies on acupuncture at Shaoze (SI 1) for treatment of postpartum hypolactation

Objective To explore effect of acupuncture at Shaoze (SI 1) for treatment of postpartum hypolactation. Methods Multicentral randomized controlled and single blind clinical trial was adopted, and 276 cases were divided into a treatment group and a control group, 138 cases in each group. The treatment group were treated with electroacupuncture (EA) at Shaoze (SI 1) and the control group with EA at Shangyang (LI 1). After treatment of 2 courses, the therapeutic effects and changes of cumulative score of TCM symptoms, mammary filling degree, lactation amount, prolactin level were evaluated and investigated. Results The cured and markedly effective rate was 97.8% in the treatment group and 24.3% in the control group with a significant difference between the two groups ( P<0.05 ). The treatment group in improvement of the cumulative score of TCM symptoms and the mammary filling degree, and increasing the lactation amount and the prolactin level were better than the control group ( P<0.01 ). Conclusion Acupuncture at Shaoze (SI 1) has obvious therapeutic effect on hypolactation.