[1]李燕明,何淑玲,黄娜娜,等.腹针引气归元法治疗气血亏虚型产后缺乳临床研究*[J].陕西中医,2019,(9):1281-1283.
 LI Yanming,HE Shuling,HUANG Nana,et al.Clinical study of abdominal acupuncture Yinqi Guiyuan in treatment of postpartum lack of breast in Qixue Kuixu[J].,2019,(9):1281-1283.
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腹针引气归元法治疗气血亏虚型产后缺乳临床研究*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年9期
页码:
1281-1283
栏目:
针灸经络
出版日期:
2019-09-05

文章信息/Info

Title:
Clinical study of abdominal acupuncture Yinqi Guiyuan in treatment of postpartum lack of breast in Qixue Kuixu
文章编号:
DOI:10.3969/j.issn.10007369.2019.09.038
作者:
李燕明1何淑玲1黄娜娜1邱少红2潘碧琦2邓 倩1
1.广东省中山市中医院(中山 528400);2.广东省妇幼保健院(广州 511400)
Author(s):
LI YanmingHE ShulingHUANG Nanaet al.
Zhongshan Hospital of Traditional Chinese Medicine in Guangdong Province(Zhongshan 528400)
关键词:
腹针引气归元法气血亏虚产后缺乳血清泌乳素临床研究
Keywords:
Key words Abdominal acupunctureYinqi GuiyuanQixue KuixuPostpartum lactationSerum prolactinClinical research.
分类号:
R271.43
文献标志码:
A
摘要:
摘 要 目的:探究腹针引气归元法治疗气血亏虚型产后缺乳的临床疗效。方法:将100例气血亏虚型产后缺乳的患者,随机分为两组,各50例。对照组予口服补血生乳颗粒,治疗组在对照组的基础上进行腹针治疗(主穴为引气归元穴:中脘、下脘、气海、关元),两组患者均每日治疗1次,疗程均为1周,连续治疗两个疗程。观察并比较治疗前后两组患者血清泌乳素(PRL)、乳房充盈程度、24h乳汁分泌量、补授乳量、舌象、脉象及其他临床症状等指标。结果:治疗结束后,缺乳程度比较,治疗组的总有效率94.0%,对照组总有效率56.0%,差异有统计学意义(P<0.05)。乳房充盈程度比较,治疗组总有效率96%,对照组总有效率48%,差异有统计学意义(P<0.05)。两组治疗后血清PRL分泌量、24h泌乳量均增加,补授乳量均降低,且治疗组改善情况优于对照组(P<0.05)。两组治疗后,治疗组乳房充盈程度改善情况优于对照组(P<0.05)。两组治疗后临床症状积分均降低,且治疗组改善情况优于对照组(P<0.05)。结论:腹针引气归元法治疗气血亏虚型产后缺乳疗效较好。
Abstract:
Abstract Objective:To explore the clinical effect of abdominal needling Yinqi Guiyuan in treating postpartum hypogalactia of Qixue Kuixu type.Methods:100 cases of postpartum lack of breast in Qixue Kuixu were divided into two groups randomly,50 cases in each group.The control group was given Buxue Shengru granule orally.The treatment group was given abdominal acupuncture on the basis of the control group orally (the main points were Yinqi Guiyuan acupoint:Zhongwan,Xia Wan,Qihai,Guanyuan).Both groups were treated once a day,and the course of treatment was one.Week,continuous treatment for two courses.The serum prolactin (PRL),breast filling,24hour milk secretion,supplementary milk,tongue,pulse and other clinical symptoms were observed and compared between the two groups before and after treatment.Results:After the treatment,the total effective rate of the treatment group (94.0%) was higher than that of the control group (56.0%).The difference was statistically significant (P<0.05);the total effective rate of the treatment group (94%) was higher than that of the control group (48%)(P<0.05).After treatment,PRL secretion and 24hour lactation increased and supplementary lactation decreased in both groups,and the improvement of the treatment group was better than that of the control group (P<0.05).After treatment,the improvement of breast filling degree in the treatment group was better than that in the control group (P<0.05).The scores of clinical symptoms decreased in both groups,and the improvement of the treatment group was better than that in the control group (P<0.05).The situation was better than that of the control group(P<0.05).Conclusion:The abdominal needle method of Yinqi Guiyuan is effective in treating postpartum hypogalactia of Qixue Kuixu type,which is worthy of clinical popularization and application.

参考文献/References:

[1] 何军琴,陈宝英,古 梅,等.中医对产后缺乳的认识及治疗现状[J] .中国中医药信息杂志,2006,13(4):9395.
[2] 李秋霞,李嘉慧.针刺治疗气血亏虚型产后缺乳的临床研究[J] .针灸临床杂志,2016,32(12):2829.
[3] 国家中医药管理局.中医病证诊断疗效标准[M] .北京:中国中医药出版社,2016:249250.
[4] 中华人民共和国卫生部.中药新药临床研究指导原则[M] .北京:中国医药科技出版社,1997:1920.
[5] 郑 燕,谢 萍,郑 静,等.产后缺乳的中西医病因病机与治疗[J] .中药与临床,2013,4(1):4446.
[6] 周 晨,董元花,张 晶,等.脐灸治疗气血虚弱型产后缺乳30例[J] .中国针灸,2017,37(7):733.
[7] 罗元恺,曾敬光.中医妇科学[M] .上海:上海科学技术出版社,1986:146147.
[8] 冀秋凤.中医治疗产后缺乳临床体会[J] .陕西中医,2012,33(9):1272.
[9] 高式国.高式国针灸穴名解[M] .北京:人民军医出版社,2013:2425.
[10] 刘海智,林孝文,李瑞满,等.临床应用补血生乳颗粒的催乳效果分析[J] .中国实用医药,2016,11(32):3436.

备注/Memo

备注/Memo:
*广东省中医药管理局科研项目(20171279)
更新日期/Last Update: 2019-09-24