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一项针对伴有纤维囊性乳腺改变的周期性乳房疼痛女性的试验性液体营养配方的随机对照多中心试验。

A Randomized Controlled Multicenter Trial of an Investigational Liquid Nutritional Formula in Women with Cyclic Breast Pain Associated with Fibrocystic Breast Changes.

机构信息

1 Department of Surgery, Cardiff University , Cardiff, Wales, United Kingdom .

2 Research and Development , Abbott Nutrition, Columbus, Ohio.

出版信息

J Womens Health (Larchmt). 2018 Mar;27(3):333-340. doi: 10.1089/jwh.2017.6406. Epub 2017 Dec 13.

Abstract

OBJECTIVE

A randomized, multicenter, controlled double-blind trial was performed in women with cyclic breast pain (mastalgia) associated with fibrocystic breast changes (FBCs) to determine whether a nutritional formula reduced breast pain and/or nodularity.

STUDY DESIGN

Women were randomized to receive a specifically designed liquid formulation (n = 93) (1 g gamma-linolenic acid [GLA], 750 μg iodine, and 70 μg selenium) or control formula (n = 95) (without GLA, iodine, and selenium) daily for three cycles. Women recorded breast pain, medications, and menstrual signs daily using interactive voice-response system. Nodularity was determined by physical breast examination.

RESULTS

Breast pain scores decreased similarly in the experimental (-32.2%) and control (-33.1%) groups (p = 0.64). Nodularity was reduced in the experimental, but not the control group (p = 0.03). Among women who continued pain medication, the amount was reduced in the experimental group relative to controls (p = 0.02).

CONCLUSION

Women with FBC using the formula containing GLA, iodine, and selenium experienced reduced nodularity and in those women who took over-the-counter breast pain medication, a decrease in the quantity of pain medication was observed.

摘要

目的

在患有与纤维囊性乳腺变化(FBC)相关的周期性乳房疼痛(乳房痛)的女性中进行了一项随机、多中心、对照双盲试验,以确定营养配方是否减轻乳房疼痛和/或结节。

研究设计

将女性随机分配接受专门设计的液体配方(n=93)(1g γ-亚麻酸[GLA],750μg碘和 70μg硒)或对照配方(n=95)(不含 GLA、碘和硒)每天三个周期。女性使用交互式语音响应系统每天记录乳房疼痛、药物和月经体征。通过物理乳房检查确定结节。

结果

实验组(-32.2%)和对照组(-33.1%)的乳房疼痛评分下降相似(p=0.64)。实验组的结节减少,但对照组没有(p=0.03)。在继续服用止痛药的女性中,实验组的用量相对于对照组减少(p=0.02)。

结论

使用含有 GLA、碘和硒的配方的 FBC 女性经历了结节减少,并且在那些服用非处方乳房疼痛药物的女性中,观察到疼痛药物的用量减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5981/5865258/006af71ed323/fig-1.jpg

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