首页|消积冲剂联合中药热敷治疗急性盆腔炎的临床观察

消积冲剂联合中药热敷治疗急性盆腔炎的临床观察

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目的 观察消积冲剂联合中药热敷治疗急性盆腔炎(APID)的疗效及其对血清超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、糖类抗原125(CA125)的影响.方法 将67例APID患者随机分为对照组34例与观察组33例.对照组给予抗感染和中药热敷治疗,观察组在对照组基础上加用消积冲剂治疗,疗程均为2周.比较两组临床症状、体征缓解时间,评价中医证候积分变化,检测盆腔积液变化及血清hs-CRP、IL-6、CA125水平.结果 两组治疗后中医证候各项评分与总积分下降(P<0.05),与对照组比较,观察组的各项评分下降显著(P<0.05).与对照组相比,观察组的症状(腹痛、发热、白带异常)缓解或消失时间均显著缩短(P<0.05).两组治疗后盆腔积液深度均有明显地降低(P<0.05),且观察组的盆腔积液深度显著低于对照组(P<0.05).两组治疗后炎症因子(hs-CRP、IL-6)和血清CA125表达显著降低(P<0.05),且观察组与对照组比较降低显著(P<0.05).观察组总有效率为96.97%,显著高于对照组的82.35%(P<0.05).结论 消积冲剂联合中药热敷治疗APID能够降低血清hs-CRP、IL-6、CA125水平,促进临床症状的缓解,提高治疗效果.
Efficacy of Xiaoji Granules Combined with Traditional Chinese Medicine Hot Compress in Treating Patients with Acute Pelvic Inflammatory Disease
Objective:To observe the efficacy of Xiaoji granules combined with traditional Chinese medicine(TCM)hot compress for patients with acute pelvic inflammatory disease(APID)and its effect on serum high-sen-sitivity C-reactive protein(hs-CRP),interleukin-6(IL-6),and carbohydrate antigen 125(CA125).Methods:To-tally 67 patients with APID were randomly divided into two groups,the control group(n=34)and observation group(n=34).The control group was given anti-infection and TCM hot compress treatment;on the basis,Xiaoji Granules was added to the patients in observation group.The course for both groups was 2 weeks.The relief time of clinical symptoms and signs of the two groups were compared,the changes in TCM syndrome scores were evalu-ated,changes in pelvic fluid accumulation and the serum hs-CRP,IL-6,and CA125 levels were detected.Re-sults:The symptoms of TCM after treatment were significantly reduced in the two groups,simultaneously accompa-nied by significant decrease in total scores(P<0.05),and the scores in the observation group had significant de-creases than those in the control group(P<0.05).Compared with the control group,the average time for symptom relief or disappearance(abdominal pain,fever,abnormal vaginal discharge)in the observation group were signifi-cantly shortened(P<0.05).After treatment,both groups showed significant decrease in the depth of pelvic fluid ac-cumulation(P<0.05),and the observation group received more decrease(P<0.05).After treatment,the serum hs-CRP,IL-6,and CA125 levels in both groups were significantly reduced compared with baseline values(P<0.05);compared with the control group,the levels in observation group showed a more significant decrease(P<0.05).The total effective rate in the observation group was 96.97%,which showed significant increase than 82.35%of the control group(P<0.05).Conclusion:Application of Xiaoji Granules combined with TCM hot compress for APID patients can regulate the levels of serum hs-CRP,IL-6,and CA125,which can promote the relief of clinical symptoms,and improve the treatment effect.

Acute pelvic inflammatory diseaseXiaoji granulesHot compresshs-CRPIL-6CA125

刘芳、王宇慧

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江苏省南京市中医院,江苏南京 210022

急性盆腔炎 消积冲剂 中药热敷 超敏C反应蛋白 白细胞介素-6 糖类抗原125

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(12)