益气活血止痛汤联合耳穴贴压治疗慢性盆腔炎临床观察

Clinical Observation on Yiqi Huoxue Zhitong Tang Combined with Auricular Point Sticking Therapy for Chronic Pelvic Inflammation Disease

目的:观察益气活血止痛汤联合耳穴贴压治疗慢性盆腔炎(CPID)的临床疗效。方法:选取86例CPID为研究对象,采用随机数字表法分为观察组与对照组各43例。对照组给予益气活血止痛汤治疗,观察组在对照组基础上联合耳穴贴压治疗。观察2组治疗效果及治疗前后T淋巴细胞亚群、血液流变学指标的变化。结果:观察组总有效率95.35%,对照组总有效率74.42%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组CD4^+、CD4^+/CD8^+值均较治疗前上升,CD8^+值均较治疗前下降,差异均有统计学意义(P<0.05);观察组CD4^+、CD4^+/CD8^+值比对照组上升更显著,CD8^+值比对照组下降更显著,差异均有统计学意义(P<0.05)。治疗后,2组全血黏度低切、全血黏度高切、纤维蛋白原(FIB)及血浆黏度水平均较治疗前降低,差异均有统计学意义(P<0.05);观察组4项指标水平均比对照组下降更明显,差异均有统计学意义(P<0.05)。结论:益气活血止痛汤联合耳穴贴压治疗CPID效果显著,能有效提高患者的免疫力,改善血液流变学指标。

Objective:To observe the clinical effect of Yiqi Huoxue Zhitong tang combined with auricular point sticking therapy for chronic pelvic inflammation disease(CPID). Methods:Selected 86 cases of patients with CPID as study subjects,and divided them into the observation group and the control group according to random number table method,43 cases in each group. The control group received Yiqi Huoxue Zhitong tang for treatment,while the observation group additionally received auricular point sticking therapy based on the treatment of the control group. Observed the therapeutic effect and the changes of T lymphocyte subsets and indexes of hemorheology before and after treatment in the two groups. Results:The total effective rate was 95.35% in the observation group and was 74.42% in the control group,the difference being significant (P<0.05). After treatment,values of CD4^+ and CD4^+/CD8^+ in the two groups were increased when compared with those before treatment,while value of CD8^+ was decreased when compared with that before treatment,differences being significant(P<0.05). The increase of values of CD4^+ and CD4^+/CD8^+ in the observation group was more obvious than that in the control group,and the decrease of value of CD8^+ in the observation group was more obvious than that in the control group,differences being significant(P<0.05). After treatment,levels of the whole blood viscosity at low shear rates,the whole blood viscosity at high shear rates,fibrinogen (FIB) and the blood viscosity in the two groups were decreased when compared with those before treatment, differences being significant (P<0.05). The decrease of the above four levels in the observation group was more obvious than that in the control group,differences being significant(P<0.05). Conclusion:The therapy of Yiqi Huoxue Zhitong tang combined with auricular point sticking therapy has significant effect in treating CPID, which can effectively improve immunity of patients and improve indexes of hemorheology.