首页|中药三联疗法对盆腔炎患者中医证候积分及血清炎症指标的影响分析

中药三联疗法对盆腔炎患者中医证候积分及血清炎症指标的影响分析

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目的 探讨中药三联疗法对盆腔炎患者中医证候积分以及血清炎症指标的影响。方法 选取 80 例盆腔炎患者,随机分为观察组(40 例)与对照组(40 例)。对照组患者接受血府逐瘀口服液联合奥硝唑胶囊治疗,观察组在对照组基础上接受中药三联疗法(中药透入疗法+中药温敷+中药保留灌肠)治疗。治疗 4 周后,比较两组患者的临床疗效、中医证候积分及血清炎症指标[白细胞介素-2(IL-2)、肿瘤坏死因子-α(TNF-α)和C反应蛋白(CRP)]。结果 观察组治疗总有效率 95。00%高于对照组的 80。00%,差异有统计学意义(P<0。05)。观察组患者少腹刺痛、腰骶胀痛、带下异常、经期腹痛、月经不调、乳房胀痛、情志不舒积分及总分分别为(2。43±0。43)、(3。34±0。51)、(2。21±0。34)、(1。54±0。23)、(1。24±0。20)、(0。98±0。12)、(1。43±0。31)、(13。17±3。94)分,均低于对照组的(3。34±0。44)、(5。04±0。63)、(3。74±0。32)、(1。98±0。33)、(2。03±0。15)、(1。65±0。27)、(2。46±0。29)、(20。24±3。31)分,差异有统计学意义(P<0。05)。观察组患者血清IL-2(32。34±19。32)pg/ml、TNF-α(8。83±1。33)ng/L和CRP(5。84±1。02)mg/L均低于对照组的(67。97±11。03)pg/ml、(12。21±1。29)ng/L、(12。23±1。42)mg/L,差异有统计学意义(P<0。05)。结论 对盆腔炎患者进行中药三联疗法(中药透入疗法+中药温敷+中药保留灌肠)治疗,其综合疗效显著,能有效改善患者血清炎症指标和中医证候积分,对提升患者生活质量有一定价值,值得临床推广应用。
Analysis of influence of triple therapy of traditional Chinese medicine on traditional Chinese medicine syndrome score and serum inflammatory index in patients with pelvic inflammation
Objective To explore the influence of triple therapy of traditional Chinese medicine on traditional Chinese medicine syndrome score and serum inflammatory index in patients with pelvic inflammation.Methods 80 patients with pelvic inflammatory disease were selected and randomly divided into the observation group(40 cases)and the control group(40 cases).The patients in the control group received Xuefu Zhuyu oral liquid combined with ornidazole capsule for treatment,while the patients in observation group received traditional Chinese medicine triple therapy(traditional Chinese medicine penetration therapy + traditional Chinese medicine warm compress + traditional Chinese medicine retention enema)on the basis of the control group.4 weeks after treatment,the clinical efficacy,traditional Chinese medicine syndrome scores and serum inflammatory index[interleukin-2(IL-2),tumor necrosis factor-α(TNF-α)and C-reactive protein(CRP)]of the two groups were compared.Results The total effective rate of 95.00%in the observation group was higher than that of 80.00%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the scores of hypoabdominal tingling,lumbosacral distending pain,subband abnormality,abdominal pain during menstruation,irregular menstruation,breast distending pain and emotional discomfort and total score were(2.43±0.43),(3.34±0.51),(2.21±0.34),(1.54±0.23),(1.24±0.20),(0.98±0.12),(2.21±0.34),(1.43±0.31)and(13.17±3.94)points,which were lower than those of(3.34±0.44),(5.04±0.63),(3.74±0.32),(1.98±0.33),(2.03±0.15),(1.65±0.27),(2.46±0.29)and(20.24±3.31)points in the control group.The difference was statistically significant(P<0.05).The observation group had serum IL-2 of(32.34±19.32)pg/ml,TNF-α of(8.83±1.33)ng/L and CRP of(5.84±1.02)mg/L,which were lower than those of(67.97±11.03)pg/ml,(12.21±1.29)ng/L and(12.23±1.42)mg/L in the control group,and the difference was statistically significant(P<0.05).Conclusion The comprehensive therapeutic effect of traditional Chinese medicine triple therapy(traditional Chinese medicine penetration therapy + traditional Chinese medicine warm compress + traditional Chinese medicine retention enema)is significant for patients with pelvic inflammatory disease,and can significantly improve the patients'serum inflammatory indexes and Chinese medicine syndrome score,which is worthwhile to enhance the patients'quality of life.It is worthy of clinical promotion.

Pelvic inflammationTriple therapy of traditional Chinese medicineInflammatory factorsTraditional Chinese medicine syndrome score

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527200 罗定市中医院妇产科

盆腔炎 中药三联疗法 炎症因子 中医证候积分

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(2)
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