Li Dandan, Wang Cheng, Ruan Di, Li Jingjing, Ji Ning, Ma Xinwen, Li Yongtao, Qu Yujiang, Xuan Zhijin, Song Lihua
Department of Massage, Traditional Chinese Medicine Hospital of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang, China.
Medicine (Baltimore). 2020 May 22;99(21):e20300. doi: 10.1097/MD.0000000000020300.
To study the effects of Tui Na therapy on patients with mammary gland hyperplasia.A total of 68 female patients with mammary gland hyperplasia were included in this retrospective study from May 2016 to May 2017 and assigned into control group (N = 34) treated with Rupixiao only (a proprietary Chinese medicine) or Tui Na group (N = 34) treated with Tui Na (Chinese massage) combined with Rupixiao. The pain intensity (visual analogous scale, VAS) and serum levels of luteinizing hormone (LH), estradiol (E2), prolactin (PRL), and progesterone (P) were examined before and after the treatment.The efficacies were 94.1% (32/34) in the Tui Na group and 76.5% (26/34) in the control group (P = .04). After treatment, VAS in Tui Na groups was significantly lower than that in control group (2.1 ± 1.1 vs 3.1 ± 1.1, P < .05). After follow-up for five months, the recurrence rates were 12.5% (4/32) in the Tui Na group and 23.1% (6/26) in the control group (P = .01). The levels of all 4 hormones in the Tui Na group increased significantly after treatment. In control group, only LH and E2 levels were significantly increased after treatment.In patients with mammary gland hyperplasia, Tui Na combined with Rupixiao could improve clinical symptoms, regulate sex hormone levels, and decrease the recurrence rate than Rupixiao alone. Our finding suggests that Tui Na can be potentially used for the treatment of mammary gland hyperplasia.
研究推拿疗法对乳腺增生患者的影响。本回顾性研究纳入了2016年5月至2017年5月期间68例女性乳腺增生患者,分为对照组(N = 34),仅用乳癖消(一种中成药)治疗,以及推拿组(N = 34),采用推拿(中医按摩)联合乳癖消治疗。在治疗前后检测疼痛强度(视觉模拟评分法,VAS)以及血清促黄体生成素(LH)、雌二醇(E2)、催乳素(PRL)和孕酮(P)水平。推拿组有效率为94.1%(32/34),对照组为76.5%(26/34)(P = 0.04)。治疗后,推拿组的VAS显著低于对照组(2.1±1.1 vs 3.1±1.1,P < 0.05)。随访五个月后,推拿组复发率为12.5%(4/32),对照组为23.1%(6/26)(P = 0.01)。推拿组治疗后4种激素水平均显著升高。对照组治疗后仅LH和E2水平显著升高。对于乳腺增生患者,推拿联合乳癖消比单用乳癖消能更好地改善临床症状、调节性激素水平并降低复发率。我们的研究结果表明,推拿可能可用于治疗乳腺增生。