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2 The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=“十二五”国家临床重点专科建设项目 (财社〔2013〕239号); 阜阳市重点研究与开发计划项目临床医学研究转化专项项目 (FK20245528); 阜阳市卫生健康科研项目 (FY2024-042); 安徽中医药大学2023年度临床科研项目 (2023LCTH18)), CN=ArticleExt(id=1304438819252629699, articleId=1304438819021942978, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=柴胡龙骨牡蛎汤对肝郁气滞证乳腺增生的临床疗效及免疫功能的影响, columnId=1303760933084484510, journalTitle=中医药学报, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=目的: 探究柴胡龙骨牡蛎汤对肝郁气滞证乳腺增生的临床疗效及免疫功能的影响。 方法: 选取安徽中医药大学第一附属医院2023年7月—2024年7月收治的110例肝郁气滞证乳腺增生患者,根据治疗方法将其分为对照组和观察组,每组55例。对照组予以常规西医治疗,观察组予以西医联合柴胡龙骨牡蛎汤治疗。比较两组临床疗效、中医证候积分、乳房肿块改善情况、血清神经递质指标[5-羟色胺(5 - HT)、多巴胺(DA)]、雌激素指标[雌二醇(E2)、泌乳素(PRL)、孕酮(P)]、免疫功能指标、用药安全性。 结果: 与对照组相比,观察组临床疗效增加(P < 0.05)。治疗后,两组中医证候主症、次症积分、肿块最大径及视觉模拟评分法(VAS)评分均减少(P < 0.05),且观察组减少更明显(P < 0.05)。治疗后,两组E2、PRL、5 - HT、DA水平均减少(P < 0.05),观察组减少更明显(P < 0.05),两组P、CD3⁺、CD4⁺/CD8⁺水平增加(P < 0.05),观察组增加更明显(P < 0.05),与对照组比较,观察组不良反应更少(P < 0.05)。 结论: 柴胡龙骨牡蛎汤用于肝郁气滞证乳腺增生临床治疗,可通过改善临床症状、乳房肿块以及性激素水平,调节血清神经递质及免疫功能,提升临床疗效,且用药安全。, authors=李伟1, 张琦2, authorsList=李伟, 张琦, authorCompany=1 安徽中医药大学第一临床医学院,安徽 合肥 230031;
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柴胡龙骨牡蛎汤对肝郁气滞证乳腺增生的临床疗效及免疫功能的影响
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中医药学报 | 临床研究 2026,54(2): 83-87
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中医药学报 |临床研究 2026 , 54 (2) : 83 -87
柴胡龙骨牡蛎汤对肝郁气滞证乳腺增生的临床疗效及免疫功能的影响
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李伟1, 张琦2
作者信息
    1 安徽中医药大学第一临床医学院,安徽 合肥 230031;
    2 安徽中医药大学第一附属医院,安徽 合肥 230031
通讯作者:
* 张琦(1980-),男,博士,主任医师,从事中医外科相关研究。
作者简介:
李伟(1987-),男,主治医师,从事中医外科相关研究。
Clinical Efficacy of Chaihu Longgu Muli Decoction on Hyperplasia of Mammary Glands with Liver Qi Stagnation Pattern and Its Effect on Immune Function
  • LI Wei1, ZHANG Qi2
  • Affiliations
      1 The First Clinical Medical College, Anhui University of Chinese Medicine, Hefei 230031, China;
      2 The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China
    doi: 10.19664/j.cnki.1002-2392.260039
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    目的: 探究柴胡龙骨牡蛎汤对肝郁气滞证乳腺增生的临床疗效及免疫功能的影响。 方法: 选取安徽中医药大学第一附属医院2023年7月—2024年7月收治的110例肝郁气滞证乳腺增生患者,根据治疗方法将其分为对照组和观察组,每组55例。对照组予以常规西医治疗,观察组予以西医联合柴胡龙骨牡蛎汤治疗。比较两组临床疗效、中医证候积分、乳房肿块改善情况、血清神经递质指标[5-羟色胺(5 - HT)、多巴胺(DA)]、雌激素指标[雌二醇(E2)、泌乳素(PRL)、孕酮(P)]、免疫功能指标、用药安全性。 结果: 与对照组相比,观察组临床疗效增加(P < 0.05)。治疗后,两组中医证候主症、次症积分、肿块最大径及视觉模拟评分法(VAS)评分均减少(P < 0.05),且观察组减少更明显(P < 0.05)。治疗后,两组E2、PRL、5 - HT、DA水平均减少(P < 0.05),观察组减少更明显(P < 0.05),两组P、CD3⁺、CD4⁺/CD8⁺水平增加(P < 0.05),观察组增加更明显(P < 0.05),与对照组比较,观察组不良反应更少(P < 0.05)。 结论: 柴胡龙骨牡蛎汤用于肝郁气滞证乳腺增生临床治疗,可通过改善临床症状、乳房肿块以及性激素水平,调节血清神经递质及免疫功能,提升临床疗效,且用药安全。
    乳腺增生症  /  柴胡龙骨牡蛎汤  /  肝郁气滞证  /  性激素  /  免疫功能  /  安全性
    Objective: To explore the clinical effect of Chaihu Longgu Muli Decoction on breast hyperplasia of liver qi stagnation syndrome and its influence on immune function.Methods: A total of 110 patients with mammary hyperplasia with liver - qi stagnation syndrome admitted to the First Affiliated Hospital of Anhui University of Chinese Medicine from July 2023 to July 2024 were selected and divided into 2 groups according to treatment methods, with 55 cases each. The control group was treated with conventional Western medicine, and the observation group was treated with conventional Western medicine combined with bupleurum keel and oyster soup. The efficacy, TCM syndrome score, improvement of breast mass, serum neurotransmitter indexes [5 - hydroxytryptamine (5 - HT), dopamine (DA)], estrogen indexes[estradiol (E2), prolactin (PRL), progesterone (P)], immune function indexes and drug safety were compared between the two groups.Results: Compared with the control group, the observation group had higher efficacy and less adverse reactions (P < 0.05). After treatment, the scores of main syndrome, secondary syndrome, mass maximum diameter and visual analogue scale (VAS) were decreased in both groups, and the decrease was more obvious in the observation group (P <0.05). After treatment, the levels of E2, PRL, 5 - HT and DA were decreased in both groups, the decrease was more obvious in the observation group, the levels of P, CD3⁺ and CD4⁺/CD8⁺ were increased in both groups, and the increase was more obvious in the observation group (P < 0.05).Conclusion: Chaihu Longgu Muli Decoction is used for clinical treatment of mammary hyperplasia of liver qi stagnation syndrome. It can improve clinical symptoms, breast mass and sex hormone levels, regulate serum neurotransmitter and immune function, improve clinical efficacy and drug safety.
    Breast hyperplasia  /  Chaihu Longgu Muli Decoction  /  Liver - qi stagnation syndrome  /  Sex hormone  /  Immune function  /  Safety
    李伟, 张琦. 柴胡龙骨牡蛎汤对肝郁气滞证乳腺增生的临床疗效及免疫功能的影响. 中医药学报, 2026 , 54 (2) : 83 -87 . DOI: 10.19664/j.cnki.1002-2392.260039
    LI Wei, ZHANG Qi. Clinical Efficacy of Chaihu Longgu Muli Decoction on Hyperplasia of Mammary Glands with Liver Qi Stagnation Pattern and Its Effect on Immune Function[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (2) : 83 -87 . DOI: 10.19664/j.cnki.1002-2392.260039

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    doi: 10.19664/j.cnki.1002-2392.260039
    • 接收时间:2025-01-15
    • 首发时间:2026-09-09
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    2种不同金属材料的力学参数

    Family
    属数
    Number of
    genus
    种数
    Number of
    species
    占总种数比例
    Percentage of
    total species (%)

    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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