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低频脉冲电刺激联合抗生素治疗慢性盆腔炎患者的效果

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目的:探讨低频脉冲电刺激联合抗生素治疗慢性盆腔炎患者的效果.方法:选取 2021 年 2 月至 2023 年 2 月该院收治的80 例慢性盆腔炎患者进行前瞻性研究,采用奇偶数法将其分为对照组和观察组各 40 例.对照组予以抗生素治疗,观察组在对照组基础上联合低频脉冲电刺激治疗,比较两组治疗效果、临床症状消失时间、住院时间、治疗前后盆腔血流动力学指标[搏动指数(PI)、阻力指数(RI)、收缩期峰值流速(PSV)]水平、炎性因子[转化生长因子-β1(TGF-β1)、巨噬细胞趋化蛋白-1(MCP-1)、白细胞介素-1β(IL-1β)、粒细胞-巨噬细胞集落刺激因子(GM-CSF)]水平和治疗期间不良反应发生率.结果:观察组治疗总有效率为90.00%(36/40),高于对照组的 72.50%(29/40),差异有统计学意义(P<0.05);观察组腹痛消失时间、小腹坠胀消失时间和住院时间均短于对照组,差异有统计学意义(P<0.05);治疗后,观察组卵巢动脉、子宫动脉PI、RI均低于对照组,PSV水平高于对照组,差异有统计学意义(P<0.05);观察组TGF-β1 水平高于对照组,MCP-1、GM-CSF和IL-1β水平均低于对照组,差异有统计学意义(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).结论:低频脉冲电刺激联合抗生素治疗慢性盆腔炎患者可提高治疗总有效率,改善盆腔血流动力学指标水平和炎性因子水平,缩短临床症状消失时间和住院时间,效果优于单纯抗生素治疗.
Effects of low frequency pulse electrical stimulation combined with antibiotics in treatment of patients with chronic pelvic inflammatory disease
Objective:To explore effects of low frequency pulse electrical stimulation combined with antibiotics in treatment of patients with chronic pelvic inflammatory disease.Methods:A prospective study was conducted on 80 patients with chronic pelvic inflammatory disease admitted to the hospital from February 2021 to February 2023.They were divided into control group and observation group by odd and even number method,40 cases in each group.The control group was treated with antibiotics,while the observation group was treated with low frequency pulse electrical stimulation on the basis of that of the control group.The treatment effects,the disappearance time of clinical symptoms,the hospitalization time,the pelvic hemodynamic indexes[pulsatility index(PI),resistance index(RI),peak systolic velocity(PSV)]levels,the levels of inflammatory factors[transforming growth factor-β1(TGF-β1),macrophage chemoattractant protein-1(MCP-1),interleukin-1β(IL-1β),granulocyte-macrophage colony-stimulating factor(GM-CSF)]before and after the treatment,and the incidence of adverse reactions during treatment were compared between the two groups.Results:The total effective rate of the observation group was 90.00%(36/40),which was higher than 72.50%(29/40)of the control group,and the difference was statistically significant(P<0.05).The disappearance time of abdominal pain,the disappearance time of abdominal bulge and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the PI and RI of ovarian artery and uterine artery in the observation group were lower than those in the control group,the PSV was higher than that in the control group,and the differences were statistically significant(P<0.05).The level of TGF-β1 in the observation group was higher than that in the control group,the levels of MCP-1,GM-CSF and IL-1β were lower than those in the control group,the and differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Low frequency pulse electrical stimulation combined with antibiotics in the treatment of the patients with chronic pelvic inflammatory disease can improve the total effective rate of treatment,improve the levels of pelvic hemodynamic indexes and inflammatory factors,shorten the disappearance time of clinical symptoms and the hospitalization time.Moreover,it is superior to single antibiotic treatment.

Chronic pelvic inflammatory diseaseAntibioticsLow-frequency pulse electrical stimulationHemodynamicsClinical symptomAdverse reaction

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河南省职工医院妇产科,河南 郑州 450000

慢性盆腔炎 抗生素 低频脉冲电刺激 血流动力学 临床症状 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
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