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目的:观察约乳通经汤配VitB6治疗肝郁血瘀型特发性高催乳素血症(IH)的临床疗效,并探讨其作用机理。方法:将符合纳入标准的60例患者随机分为两组,治疗组(约乳通经汤配VitB6)和对照组(溴隐亭)各30例。连续用药3个月,停药6个月后复查。观察临床总疗效、中医证候改善、血清催乳素(PRL)及相关激素水平、不良反应及复发率情况。结果:治疗组在临床疗效、降低PRL、改善临床主症方面与对照组比较无统计学意义(P>0.05)。但在改善中医证候次症、调节相关激素、降低复发率及不良反应方面优于对照组(P<0.05)。结论:约乳通经汤配VitB6是治疗IH经济、安全、有效的方药,值得临床上进一步研究和推广使用。
Objective: To observe the clinical curative effect of YRTT treated with VitB6 on idiopathic hyperprolactinemia (IH) of liver-qi and blood stasis type and to explore its mechanism. Methods: Sixty patients who met the inclusion criteria were randomly divided into two groups: treatment group (about 30%) and control group (bromocriptine). Continuous medication for 3 months, withdrawal 6 months after the review. To observe the overall clinical efficacy, TCM Syndromes, serum prolactin (PRL) and related hormone levels, adverse reactions and recurrence rate. Results: There was no significant difference between the treatment group and the control group in clinical efficacy, PRL reduction and clinical improvement (P> 0.05). However, it was better than the control group (P <0.05) in improving TCM syndromes, regulating related hormones, reducing recurrence rate and adverse reactions. Conclusion: Yatang Tongjing Decoction with VitB6 is an economical, safe and effective prescription for IH, which is worth further study and promotion in clinic.