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雷火灸联合常规西药治疗慢性盆腔炎气滞血瘀证患者的效果

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目的:观察雷火灸联合常规西药治疗慢性盆腔炎气滞血瘀证患者的效果.方法:选取 2021 年 1 月至 2023 年 1 月该院收治的 60 例慢性盆腔炎患者进行前瞻性研究,按随机数字表法将其分为观察组和对照组各 30 例.对照组给予常规西药治疗,观察组在对照组基础上联合雷火灸治疗.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、病灶指标水平、炎性因子[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]水平和不良反应发生率.结果:观察组治疗总有效率为 96.67%(29/30),高于对照组的 73.33%(22/30),差异有统计学意义(P<0.05);治疗后,两组畏寒肢冷、神疲乏力、月经不调、低热起伏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,两组炎性包块直径、盆腔积液深度均小于治疗前,且观察组小于对照组,差异有统计学意义(P<0.05);两组CRP、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:雷火灸联合常规西药治疗慢性盆腔炎气滞血瘀证患者可提高治疗总有效率,降低中医证候积分、VAS评分、炎性因子水平,缩小炎性包块直径、盆腔积液深度,其效果优于单纯常规西药治疗.
Effects of thunder-fire moxibustion combined with conventional Western medicine in treatment of patients with chronic pelvic inflammatory disease with qi stagnation and blood stasis syndrome
Objective:To observe effects of thunder-fire moxibustion combined with conventional Western medicine in treatment of patients with chronic pelvic inflammatory disease with qi stagnation and blood stasis syndrome.Methods:A prospective study was conducted on 60 patients with chronic pelvic inflammatory disease admitted to the hospital from January 2021 to January 2023.According to the random number table method,they were divided into observation group and control group,30 cases in each group.The control group was treated with conventional Western medicine,while the observation group was treated with thunder-fire moxibustion on the basis of that of the control group.The clinical efficacy,the TCM syndrome scores before and after the treatment,the pain degree[visual analogue scale(VAS)]score,the lesion index level,the inflammatory factors[tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)]levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 96.67%(29/30),which was higher than 73.33%(22/30)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as chills and cold limbs,fatigue,irregular menstruation and low fever 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 diameter of inflammatory mass and the depth of pelvic effusion in the two groups were smaller than those before the treatment,and those in the observation group were smaller than those in the control group;and the differences were statistically significant(P<0.05).The levels of CRP and TNF-α 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).During the treatment,there were no obvious adverse reactions in the two groups.Conclusions:Thunder-fire moxibustion combined with conventional Western medicine in the treatment of the patients with chronic pelvic inflammatory disease can improve the total effective rate of treatment,reduce the TCM syndrome scores,the VAS scores,the inflammatory factor levels,and reduce the diameter of inflammatory mass and the depth of pelvic effusion.Moreover,it is superior to single conventional Western medicine treatment.

Thunder-fire moxibustionChronic pelvic inflammatory diseaseTCM syndrome scoreInflammatory factorPain

周群英

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安福县妇幼保健院妇产科,江西 吉安 343200

雷火灸 慢性盆腔炎 中医证候积分 炎性因子 疼痛

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(8)
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