Clinical Study on Modified Gexia Zhuyu Decoction(膈下逐瘀汤加减)Combined with Pelvic Floor Muscle Rehabilitation along Meridians of Traditional Chinese Medicine in Treatment of Chronic Pelvic Pain with Qi Deficiency and Blood Stasis
Objective To investigate the clinical effect of Modified Gexia Zhuyu Decoction(膈下逐瘀汤加减)combined with pelvic floor muscle rehabilitation along meridians of traditional Chinese medicine on chronic pelvic pain with Qi deficiency and blood stasis.Methods A total of 120 patients with chronic pelvic pain with Qi deficiency and blood stasis treated in the hospital from December 2019 to December 2022 were selected as research objects.By using random number table,they were divided into study group and control group by simple random method,with 60 cases in each group.The control group received pelvic floor muscle rehabilitation training along meridians of traditional Chinese medicine.The study group combined with Modified Gexia Zhuyu Decoction.Twenty days was a course of treatment,and both groups were treated for 1 course of treatment.This study was followed up for 3 months,and the therapeutic efficacy of the two groups was compared.The scores of major symptoms including lower abdominal pain,lumbosacral pain,subband abnormalities and fatigue were compared before and after treatment,and the vis-ual analog scale(VAS)was used to evaluate the pain of the two groups.The serum interleukin-6(IL-6)levels were compared between the two groups before and after treatment,and the recurrence rate was compared between the two groups during follow-up.Results After treatment,the scores of lower abdominal pain,underband abnormality,lumbosacral pain and fatigue aggravated in two groups were significantly lower than those before treatment,and the scores of the study group were significantly lower than those of the control group(P＜0.05).VAS scores in two groups after treatment were significantly lower than those before treat-ment,and the scores of the study group were lower than those of the control group(P＜0.05).The serum IL-6 level of the two groups after treatment was significantly lower than that of the control group(P＜0.05).The total effective rate of the study group and the control group was 95.00％(57/60)and 83.33％(50/60),respectively(P＜0.05).The recurrence rate of the study group and the control group was 6.67％(4/60)and 10.00％(6/60),respectively.The difference was not statistically significant(P＞0.05).Conclusion Modified Gexia Zhuyu Decoction combined with pelvic floor muscle rehabilitation along meridians of tra-ditional Chinese medicine in the treatment of chronic pelvic pain with Qi deficiency and blood stasis can significantly relieve the pain and inflammation,and has a significant effect,which is suitable for popularization and application.
Gexia Zhuyu Decoction(膈下逐瘀汤)along meridians of traditional Chinese medicinepelvic floor muscle re-habilitationQi deficiency and blood stasis typechronic pelvic pain
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