首页|腹针联合雷火灸对盆腔炎性疾病后遗症患者中医证候、血清C反应蛋白及复发率的影响

腹针联合雷火灸对盆腔炎性疾病后遗症患者中医证候、血清C反应蛋白及复发率的影响

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目的:探究腹针联合雷火灸对盆腔炎性疾病后遗症(SPID)患者中医证候、血清C反应蛋白(CRP)及复发率的影响。方法:将92例SPID患者分为常规组(43例)、联合组(49例),常规组接受西药常规治疗,联合组接受西药常规治疗与腹针联合雷火灸治疗,治疗周期均为8周。对比两组患者的治疗有效率、治疗前后的中医证候积分、盆底局部体征(盆底包块最大直径、盆腔积液最大深度、盆腔体征积分)、血液流变学(血浆黏度、红细胞沉降率、纤维蛋白原含量)、血清炎症因子[CRP、清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)]、不良反应及复发率。结果:联合组患者治疗有效率高于常规组(P<0。05);治疗后,联合组患者中医证候积分低于常规组(P<0。05);联合组患者盆底包块最大直径、盆腔积液最大深度、盆腔体征积分均低于常规组(P<0。05);联合组患者血浆黏度、红细胞沉降率、纤维蛋白原含量均低于常规组(P<0。05);联合组患者血清CRP、TNF-α、IL-6水平均低于常规组(P<0。05);两组不良反应发生率比较,差异无统计学意义(P>0。05);联合组患者复发率低于常规组(P<0。05)。结论:腹针联合雷火灸治疗SPID患者疗效显著,可有效缓解盆底症状,改善血液循环,降低炎症反应和复发率。
Effects of Abdominal Acupuncture Combined with Thunder-Fire Moxibustion on TCM Syndromes,Serum C Reactice Protein and Recurrence Rate in Patients with Sequelae of Pelvic Inflammatory Disease
Objective:To explore the effects of abdominal acupuncture combined with thunder-fire moxi-bustion on TCM syndromes,serum C reactive protein(CRP)and recurrence rate in patients with sequelae of pelvic inflammatory disease(SPID).Methods:A total of 92 patients with SPID were divided into routine group(43 cases)and combination group(49 cases).Patients were given routine western medicine in routine group,while abdominal acupuncture combined with thunder-fire moxibustion on basis of routine group,in combination group.All patients were treated for 8 weeks.The response rate of treatment,scores of TCM syndromes,local pelvic floor signs(the maximum diameter of pelvic floor mass,the maximum depth of pelvic effusion,scores of pelvic signs),hemorheology(plasma viscosity,erythrocyte sedimentation rate,fibrinogen level),serum inflam-matory factors[CRP,tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)],adverse reactions and recurrence rate were compared between the two groups.Results:The combination group showed higher response rate of treatment than routine group(P<0.05).After treatment,combination group showed lower scores of TCM syndromes than routine group(P<0.05),and combination group showed lower maximum diameter of pelvic floor mass,maximum depth of pelvic effusion and scores of pelvic signs than routine group(P<0.05).Combination group showed lower plasma viscosity,erythrocyte sedimentation rate and fibrinogen level than routine group(P<0.05),and combination group showed lower levels of CRP,TNF-α and IL-6 than routine group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The combination group showed lower recurrence rate than routine group(P<0.05).Conclusion:Abdominal acupuncture combined with thunder-fire moxibustion can provide significant curative effect on SPID patients,relieve pelvic floor symptoms,improve blood circulation,and reduce inflammatory response and recurrence rate.

sequelae of pelvic inflammatory diseaseabdominal acupuncturethunder-fire moxibustionTCM syndromeC reactive proteinrecurrence rate

曹玲君、丁娜、王峥妍、张园曼、张见伟

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扬州大学医学院附属扬州妇幼保健院,江苏 扬州 225002

盆腔炎性疾病后遗症 腹针 雷火灸 中医证候 C反应蛋白 复发率

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(12)