康妇消炎栓联合盆腔炎治疗仪治疗盆腔炎所致慢性疼痛临床疗效

Clinical effect of Kangfu anti-inflammatory suppository combined with pelvic inflammatory therapy instrument on chronic pain caused by pelvic inflammatory disease

目的对康妇消炎栓联合盆腔炎治疗仪治疗盆腔炎所致慢性疼痛的疗效及对患者情绪状态和生活质量的影响进行全面分析,以期为其他相关人员提供一定的借鉴。方法选取2019-01-01-2020-01-01周口市中心医院妇产科收治的盆腔炎所致慢性疼痛患者88例作为研究对象,通过随机数字表法将所有患者分成对照组与观察组,每组44例,通过实验及问卷调查等方式获取有关数据,并采用SPSS 22.0对数据进行统计学分析,对照组应用康妇消炎栓治疗,观察组应用康妇消炎栓联合盆腔炎治疗仪治疗。对2组患者的治疗效果、视觉模拟评分(VAS)、疼痛缓解天数、出现不良反应如腹痛、头晕、呕吐的比重、情绪状态以及生活质量量表SF-36进行比较。结果治疗后,观察组总有效率为95.5%,高于对照组的75.6%,差异有统计学意义,χ^(2)=7.311,P=0.007;观察组治疗后VAS评分为(1.6±0.1)分,低于对照组的(4.1±1.4)分,观察组治疗后疼痛缓解天数为(3.1±1.0)d,少于对照组的(7.4±2.5)d,组间比较差异有统计学意义,χ^(2)值为11.741和10.593,均P<0.05;观察组不良反应发生率为4.5%,低于对照组的20.5%,差异有统计学意义,χ^(2)=5.091,P=0.024;观察组焦虑自评量表(SAS)评分[(32.4±4.3)分]和抑郁自评量表(SDS)评分[(41.2±4.0)分]低于对照组的(44.6±6.2)分和(50.3±5.2)分,差异有统计学意义,χ^(2)值分别为11.633和12.663,均P<0.05。治疗前2组生活质量比较差异无统计学意义,P>0.05;治疗后观察组生理功能(PF)评分为(69.7±7.6)分、躯体疼痛(BP)评分为(78.6±6.5)分、总体健康(GH)评分为(76.8±8.9)分、社会功能(SF)评分为(86.7±13.4)分、精神健康(MH)评分为(80.8±12.6)分,均低于对照组的(59.8±9.6)分、(70.3±6.2)分、(65.3±8.6)分、(75.1±14.6)分、(74.7±11.4)分,差异有统计学意义,χ^(2)值分别为12.152、13.396、12.741、13.245和12.139,均P<0.05。结论康妇消炎栓联合盆腔炎治疗仪治疗盆腔炎所致慢性疼痛具有理想效果,值得推广。

Objective To analyze the effect of Kangfu anti-inflammatory suppositories combined with pelvic inflammatory therapy instrument in the treatment of chronic pain caused by pelvic inflammatory disease and the effect of emotional state and life quality on patients,in order to provide some reference for other related personnel.Methods A total of 88 patients with chronic pain caused by pelvic inflammatory disease admitted to the Department of Obstetrics and Gynecology of Zhoukou Central Hospital from 2019-01-01 to 2020-01-01 were selected as subjects.All patients were divided into control group and research group by random number table method,with 44 cases in each group.SPSS 22.0 was used for statistical analysis of the data.The control group was treated with Kangfu anti-inflammatory suppository,and the research group was treated with Kangfu anti-inflammatory suppository combined with pelvic inflammatory therapy instrument.The treatment effect,the visual anologu scale(VAS),days of pain relief,proportion of adverse reactions such as abdominal pain,dizziness,vomiting,emotional state,and quality of life(QOL)were compared between 2 groups.Results After treatment,the total effective rate of the observation group was 95.5%,higher than 75.6%of the control group,the difference was statistically significant,χ^(2)=7.311,P=0.007.The VAS score of the observation group was(1.6±0.1)points after treatment,lower than that of the control group(4.1±1.4)points.The number of days of pain relief in the observation group was(3.1±1.0)days after treatment,lower than that of the control group(7.4±2.5)days,the difference between the groups was statistically significant,χ^(2)values were 11.741and 10.593.All P<0.05.The incidence of adverse reactions in the observation group was 4.5%,lower than 20.5%in the control group,the difference was statistically significant,χ^(2)=5.091,P=0.024.The self-rating anxiety scale(SAS)score[(32.4±4.3)point]and self-rating depression scale(SDS)score[(41.2±4.0)point]of the observation group were lower than those of the control group(44.6±6.2)point and(50.3±5.2)point,and the differences were statistically significant.χ^(2)values were 11.663and 12.633,respectively,P<0.05.Before treatment,there was no significant difference in quality of life between the two groups(P>0.05).After treatment,the physiological function(PF,69.7±7.6),physical pain(BP,78.6±6.5),general health(GH,76.8±8.9),social function(SF,86.7±13.4)and mental health(MH,80.8±12.6)of the observation group were lower than those of the control group(59.8±9.6),(70.3±6.2),(65.3±8.6),(75.1±14.6)and(74.7±11.4),with significant difference statistically significant significant,2 were 12.152,13.396,12.741,13.245and 12.139respectively(P<0.05).Conclusion Kangfu anti-inflammatory suppository combined with pelvic inflammatory therapy instrument has ideal effect on chronic pain caused by pelvic inflammatory disease and is worth popularizing.