目的 探讨半刺配合按摩的方法治疗肝郁气滞型产后缺乳的疗效.方法 将120例肝郁气滞型产后缺乳患者按就诊顺序随机分成半刺按摩治疗组(半刺按摩组)和针刺对照组(针刺组),每组各60例.半刺按摩组采用胸、背部腧穴半刺配合乳房局部按摩的方法;针刺组采用毫针针刺少泽、内关、太冲、膻中及乳根的方法,测量两组治疗前后泌乳量及血清雌二醇(E2)、催乳素(PRL)的含量并进行比较.结果 治疗后,两组泌乳量均增加,但组间同期比较差异无统计学意义(P>0.05);两组血清E2、PRL的含量均明显降低,组间同期比较差异亦无统计学意义(P>0.05).结论 半刺配合按摩法相比针刺法痛苦小、适应性好,是无毒副作用的绿色疗法.
Objective To investigate the effect of semi - acupuncture plus massage for patients with postpartum hy- pogalactia of liver - qi stasis pattern. Methods Totally 120 patients with postpartum hypogalactia of liver - qi stasis pattern were randomly divided as semi - acupuncture group receiving semi - acupuncture at the acupoints in the chest and back in combination with massage on the local breast, and acupuncture control group receiving traditional filiform acupuncture at Shaoze, Neiguan, Taichong, Danzhong and Rugen points, with 60 in each. The amount of lactation, the levels of serum estradiol (E2) and pro- lactin were measured and compared before and after the treatment. Results After the treatment, the amont of lactation in- creased in both groups, but no statistically significant difference was found between the two grdups over the same period (P 〉 0. 05 ). Serum levels of E2 and prolactin were significantly reduced, but no statistically significant difference was found between the two groups over the same period ( P 〉 0.05 ) . Conclusion The semi - acupuncture plus massage, as compared with acupuncture therapy, is of less pain, good adaptability, and non - toxic side effects, being a green therapy.