首页|化瘀除湿止痛方保留灌肠联合热敷消炎散外敷治疗盆腔炎性包块患者的效果

化瘀除湿止痛方保留灌肠联合热敷消炎散外敷治疗盆腔炎性包块患者的效果

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目的:观察化瘀除湿止痛方保留灌肠联合热敷消炎散外敷治疗盆腔炎性包块患者的效果.方法:选取2022年1月至2023年4 月该院收治的 148 例盆腔炎性包块患者进行前瞻性研究,采用随机数字表法将其分为对照组与观察组各 74 例.对照组采用热敷消炎散外敷治疗,观察组在对照组基础上联合化瘀除湿止痛方保留灌肠治疗.比较两组临床疗效,治疗前后中医证候积分、疼痛程度[视觉模拟评分法(VAS)]评分、盆腔包块体积、炎性因子[白细胞介素(IL)-2、IL-10、肿瘤坏死因子-α(TNF-α)]水平,以及不良反应发生率.结果:观察组治疗总有效率为 97.30%(72/74),高于对照组的 86.49%(64/74),差异有统计学意义(P<0.05);治疗后,两组下腹胀痛、腰骶胀痛、白带异常、神疲乏力等中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组VAS评分均低于治疗前,且观察组低于对照组,两组盆腔包块体积均小于治疗前,且观察组小于对照组,差异有统计学意义(P<0.05);两组IL-2、IL-10 水平均高于治疗前,且观察组高于对照组,两组TNF-α水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗期间,两组均未见明显不良反应.结论:瘀除湿止痛方保留灌肠联合热敷消炎散外敷治疗盆腔炎性包块患者可提高治疗总有效率,改善炎性因子水平,降低中医证候积分、VAS评分,缩小盆腔包块体积,其效果优于单纯热敷消炎散外敷治疗.
Effects of Huayu Chushi Zhitong formula retention enema combined with Refu Xaioyan powder for external application in treatment of patients with pelvic inflammatory mass
Objective:To observe effects of Huayu Chushi Zhitong formula retention enema combined with Refu Xaioyan powder for external application in treatment of patients with pelvic inflammatory mass.Methods:A total of 148 patients with pelvic inflammatory mass admitted to this hospital from January 2022 to April 2023 were selected for the prospective study.They were divided into control group and observation group by using the random number table method,74 cases in each group.The control group was treated with Refu Xaioyan powder for external application,while the observation group was treated with Huayu Chushi Zhitong formula retention enema on the basis of that of the control group.The clinical efficacy,the Traditional Chinese Medicine(TCM)syndrome score,the pain degree[visual analogue scale(VAS)]score,the pelvic mass volume,the inflammatory factors[interleukin(IL)-2,IL-10,tumor necrosis factor-α(TNF-α)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.30%(72/74),which was higher than 86.49%(64/74)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as lower abdominal distending pain,lumbosacral distending pain,abnormal leucorrhea and mental fatigue in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The VAS scores of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;the pelvic mass volume in the two groups were smaller than those before the treatment,and that in the observation group was smaller than that in the control group;and the differences were statistically significant(P<0.05).The levels of IL-2 and IL-10 in the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;the levels of TNF-α in the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).During the treatment,there were no obvious adverse reactions in the two groups.Conclusions:Huayu Chushi Zhitong formula retention enema combined with Refu Xaioyan powder for external application in the treatment of pelvic inflammatory mass can improve the total effective rate of treatment,improve the levels of inflammatory factors,reduce the TCM syndrome scores and the VAS scores,and reduce the pelvic mass volume.Moreover,it is superior to single Refu Xaioyan powder for external application treatment.

Pelvic inflammatory massHuayu Chushi Zhitong formulaRetention enemaHot compressing anti-inflammatory powder for external applicationTCM syndrome scoreInflammatory factor

郭焱、张水荣、刘纯

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驻马店市中医院妇产科,河南 驻马店 463000

盆腔炎性包块 化瘀除湿止痛方 保留灌肠 热敷消炎散外敷 中医证候积分 炎性因子

河南省中医药科学研究专项(2022)

2022ZY2075

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(7)
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