首页|癃清胶囊联合会阴三联针刺治疗湿热型慢性盆腔疼痛综合征的疗效分析

癃清胶囊联合会阴三联针刺治疗湿热型慢性盆腔疼痛综合征的疗效分析

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目的 探讨癃清胶囊联合会阴三联针刺治疗湿热型慢性盆腔疼痛综合征的疗效。方法 回顾性分析120 例湿热型慢性盆腔疼痛综合征患者的临床资料,根据治疗方案的差异分为药物组(A组)、针刺组(B组)和药物+针刺治疗组(C组),每组 40 例。A组给予口服癃清胶囊治疗,B组采用会阴三联针刺治疗,C组予以癃清胶囊联合会阴三联针刺治疗。比较三组美国国立卫生研究院慢性前列腺炎症状评分表(NIH-CPSI)积分、中医证候积分、临床疗效、不良反应发生情况。结果 A组、B组、C组临床总有效率分别为 87。5%、85。0%、90。0%,组间比较无差异(P>0。05)。治疗前,三组NIH-CPSI症状影响、疼痛症状、尿路症状、生活质量积分与总积分及中医证候积分比较无差异(P>0。05)。治疗2 周后,C组NIH-CPSI症状影响、疼痛症状、尿路症状、生活质量积分与总积分及中医证候积分分别为(1。76±0。21)、(9。27±2。09)、(5。15±0。05)、(4。44±0。72)、(20。62±4。25)、(18。35±4。23)分,B 组 分 别为(2。07±0。62)、(13。29±2。25)、(5。29±0。02)、(4。75±0。65)、(25。40±3。20)、(26。35±5。10)分,A组分别为(1。96±0。56)、(13。27±2。24)、(5。27±0。03)、(4。85±0。25)、(25。35±3。22)、(26。37±5。09)分。治疗 4 周后,C组NIH-CPSI症状影响、疼痛症状、尿路症状、生活质量积分与总积分及中医证候积分分别为(1。02±0。20)、(5。13±1。10)、(3。30±0。24)、(3。28±0。06)、(12。73±2。22)、(12。20±2。08)分,B组分别为(1。48±0。42)、(6。25±0。25)、(4。31±0。27)、(3。60±0。06)、(15。64±2。12)、(13。23±2。00)分,A 组分别为(1。52±0。25)、(6。23±0。15)、(4。55±0。95)、(3。56±0。04)、(15。86±2。09)、(13。22±2。13)分。治疗 2、4 周后,三组NIH-CPSI症状影响、疼痛症状、尿路症状、生活质量积分与总积分及中医证候积分均低于治疗前,且C组低于A组与B组,差异有统计学意义(P<0。05)。A组有 2 例出现腹痛、腹泻,B组未见不良反应,C组出现 1 例腹痛、腹泻;A、B、C组不良反应发生率分别为 5。0%、0、2。5%,比较无差异(P>0。05)。结论 湿热型慢性盆腔疼痛综合征采用癃清胶囊联合会阴三联针刺治疗是一种安全有效、起效快的治疗方法,可对其进行更加深入、全面的研究。
Curative effect analysis of Longqing capsule combined with perineal triple acupuncture in the treatment of damp-heat type of chronic pelvic pain syndrome
Objective To explore the curative effect of Longqing capsule combined with perineal triple acupuncture in the treatment of damp-heat type of chronic pelvic pain syndrome.Methods A retrospective analysis was performed on clinical data of 120 patients with damp-heat type of chronic pelvic pain syndrome,and they were divided into drug group(group A),acupuncture group(group B)and drug+acupuncture group(group C),with 40 cases in each group.Group A was treated with Longqing capsule,group B was treated with perineal triple acupuncture,group C was treated with Longqing capsule combined with perineal triple acupuncture.The National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI)score,traditional Chinese medicine syndrome score,clinical efficacy,and adverse reactions of the three groups were compared.Results The total clinical effective rate of group A,group B and group C were 87.5%,85.0%and 90.0%,and there was no difference among the three groups(P>0.05).Before treatment,there was no difference in NIH-CPSI symptom impact score,pain symptom score,urinary tract symptom score,quality of life score,total score and traditional Chinese medicine syndrome score among the three groups(P>0.05).After 2 weeks of treatment,in group C,NIH-CPSI symptom impact score,pain symptom score,urinary tract symptom score,quality of life score,total score and traditional Chinese medicine syndrome score were(1.76±0.21),(9.27±2.09),(5.15±0.05),(4.44±0.72),(20.62±4.25)and(18.35±4.23)points;in group B,they were(2.07±0.62),(13.29±2.25),(5.29±0.02),(4.75±0.65),(25.40±3.20)and(26.35±5.10)points;in group A,they were(1.96±0.56),(13.27±2.24),(5.27±0.03),(4.85±0.25),(25.35±3.22)and(26.37±5.09)points.After 2 weeks of treatment,in group C,NIH-CPSI symptom impact score,pain symptom score,urinary tract symptom score,quality of life score,total score and traditional Chinese medicine syndrome score were(1.02±0.20),(5.13±1.10),(3.30±0.24),(3.28±0.06),(12.73±2.22)and(12.20±2.08)points;in group B,they were(1.48±0.42),(6.25±0.25),(4.31±0.27),(3.60±0.06),(15.64±2.12)and(13.23±2.00)points;in group A,they were(1.52±0.25),(6.23±0.15),(4.55±0.95),(3.56±0.04),(15.86±2.09)and(13.22±2.13)points.After 2 and 4 weeks of treatment,NIH-CPSI symptom impact score,pain symptom score,urinary tract symptom score,quality of life score,total score and traditional Chinese medicine syndrome score in three groups were all lower than those before treatment;group C was lower than group A and group B;the difference was statistically significant(P<0.05).There were 2 cases of abdominal pain and diarrhea in group A,no adverse reactions in group B,1 case of abdominal pain and diarrhea in group C,and the incidence of adverse reactions of group A,group B and group C were 5.0%,0,2.5%,and there was no difference among the three groups(P>0.05).Conclusion Longqing capsule combined with perineal triple acupuncture is a safe and effective treatment for damp-heat type of chronic pelvic pain syndrome,which can be studied more deeply and comprehensively.

Chronic pelvic pain syndromePerineal triple acupunctureLongqing capsuleCurative effect

潘日润、陈熵忠、邓日森、史亚磊、林勇、黄伟聪、林虔、程宛钧

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350004 福建中医药大学附属人民医院

慢性盆腔疼痛综合征 会阴三联针刺法 癃清胶囊 疗效

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(9)