中药穴位敷贴治疗乳腺增生病疗效观察

目的比较中药穴位敷贴与口服＂乳癖消＂中成药治疗乳腺增生病患者的临床疗效。方法选择90例乳腺增生病患者,分为两组,治疗组60例,采用中药敷贴乳房阿是穴、神阙穴治疗;对照组30例,采用口服＂乳癖消＂中成药治疗。观察对比两组乳房疼痛、乳房增生肿块、乳腺影像报告与数据系统（Breast imaging reporting and data system,BI-RADS）分级变化、不良反应及临床疗效。结果两组治疗前后在乳房疼痛缓解、增生肿块缩小及分布减少（彩超检测下）方面均有较好效果,差异有统计学意义（P〈0.05）。治疗后两组患者BI-RADS分级均有明显降低（P〈0.05）;治疗组总有效率96.7%,对照组为93.3%;两组治疗期间均未发生严重的全身不良反应。结论中药穴位敷贴疗法能够消除或减轻乳房疼痛,减小乳腺增生肿块及分布范围,降低BI-RADY分级,提高治疗乳腺增生病疗效,不良反应较少,患者使用方便。

Observations on the Therapeutic Effect of Acupoint Application of Chinese Herbal Medicine on Hyperplasia of Mammary Glands

Objective To compare the clinical efficacy of acupoint application of Chinese herbal medicine with oral administration of prepared Chinese herbal medicine ＂Rupixiao＂ in treating hyperplasia of mammary glands.Methods Ninety patients with hyperplasia of mammary glands who had regular menstruation were enrolled and allocated to two groups.The treatment group of 60 cases received application of Chinese herbal medicine at mammary Ashi point and point Shenque and the control group of 30 cases took prepared Chinese herbal medicine ＂Rupixiao＂ orally.Breast pains,breast lumps,Breast imaging reporting and data system（BI-RADS） grades,adverse effects and clinical therapeutic effects were compared between the two groups.Results Breast pains were relieved,the size of the lump decreased and the range of lump distribution reduced（under color ultrasonography） in both groups after treatment.There were statistically significant differences（P0.05）.The BI-RADS grade decreased markedly in both groups of patients（P0.05）.The total efficacy rate was 96.7% in the treatment group and 93.3% in the control group.No severe general adverse reaction occurred in both groups during treatment.Of the treatment group,a local itch occurred in 1 patient and skin redness in 2 patients.Conclusion Acupoint application of Chinese herbal medicine can remove or relieve breast pains,reduce breast lumps and the range of their distribution,decrease the BI-RADS grade and improve the therapeutic effect on hyperplasia of mammary glands.The therapy produces less adverse reactions and is convenient for patients to use.