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1、中醫(yī)辨證論治乳腺增生癥臨床探究【摘要】目的:探討中西醫(yī)配合治療乳腺增生癥的高效、低復(fù)發(fā)的方法。方法:自2009年6月至2012年6月隨機(jī)抽取乳腺增生病患者600例,按就診順序分為治療組300例,對(duì)照組300例。運(yùn)用中醫(yī)辨證理論,將治療組300例患者分為氣血虧虛型、肝郁氣滯型和沖任失調(diào)型等三型,在分型論治的同時(shí)輔以維生素A、維生素E及三苯氧胺等內(nèi)分泌治療。同時(shí)和對(duì)照組300例中,采用純中藥治療的1組,單純內(nèi)分泌藥物治療的二組進(jìn)行比較。結(jié)果:治療組,治愈率為86%;顯效率為10%;有效10例;對(duì)照組治愈率為58%,顯效率為32%,兩組比較,前者療效明顯高
2、于后者。且復(fù)發(fā)率在治療組為9%,明顯低于對(duì)照組的35%,二者差異性非常顯著。結(jié)論:運(yùn)用中醫(yī)辨證論治,從氣血虧虛、肝氣郁結(jié)、沖任失調(diào)等乳腺增上病的病因著手,治病求本,配合使用三苯氧胺、維生素A和維生素E,方便靈活,能明顯緩解乳房疼痛的癥狀,縮小乳房腫塊,使療程縮短,副作用減少,鞏固療效時(shí)間長(zhǎng),復(fù)發(fā)率低,是治療乳腺增生病較為理想的中西醫(yī)配伍應(yīng)用方案?!娟P(guān)鍵詞】中醫(yī)辨證論治;內(nèi)分泌治療;乳腺增生病[Abstrat】ObjectiveToinvestigatetheWesterntreatmentofbreasthyperplasiawithhigheffi
3、ciency,low-recurreneeapproach.MethodsFromJune2009toJune2012wererandomlyselectedpatientswithbreastSection600casesofhyperplasiaofmammaryglands,accordingtotheorderofvisitsintothetreatmentgroup300cases,300casesofthecontrolgroup.TheuseoftraditionalChinesemedicinetheory,thetreatmentg
4、roup,300casesweredividedintoqiandblooddeficiencytype,liverQistagnation,andtheChongandRendisorderssuchastypeIII,inthetypeofgovernanceissupplementedbyvitaminA,vitaminE,andtamoxifenandotherendocrinetreatment?Atthesametimeandthecontrolgroup,300cases,theuseofpureChinesemedicinetreat
5、mentofagroup,simpletreatmentofthetwoendocrinedrugswerecompared.ResuItsThetreatmentgroup,thecureratewas86%;effectiverateis10%;10cases;controlgroupwas58%,effectiverate32%,thetwogroups,theformereffectwassignificantlyhigherthanthelatter.Andtherecurrencerateof9%inthetreatmentgroupwa
6、ssignificantlylowerthanthecontrolgroup35%ofthedifferencebetweenthetwoverysignificant.ConclusionTheuseoftraditionalChinesemedicine,fromqiandblooddeficiency,liverqistagnation,ChongandRendisorderscauseofbreastdiseasebythestart,treatthisrequest,withtheuseoftamoxifen,vitaminAandvita
7、minE,convenientandflexible,canrelievethesymptomsofbreastpainnarrowthebreastlumpstoshortenthecourseoftreatment,sideeffectsofreducingandconsolidatingeffectalongtime,recurrencerate,istheidealtreatmentofmammaryglandsofChineseandWesterncombinedwithapplications.【中圖分類號(hào)】R335【文獻(xiàn)標(biāo)識(shí)碼】A【文章
8、編號(hào)】1672-3783(2014)01-0045-01乳腺增生病雖屬良性病范疇,但具有一定的惡變率,臨床變