隔药饼灸治疗气滞血瘀型慢性盆腔炎临床观察

Clinical Observation on Herb-partitioned Moxibustion for Chronic Pelvic Infection Due to Qi-blood Stagnation

目的观察隔药饼灸法对气滞血瘀型慢性盆腔炎的临床疗效和患者盆腔循环的效应,为临床治疗慢性盆腔炎寻找安全有效的针灸疗法。方法将80例患者随机分为治疗组40例和对照组40例,治疗组采用隔药饼灸治疗,对照组采用口服妇科千金片治疗。结果治疗组愈显率为87.5%,总有效率为100.0%,分别优于对照组的70.0%及92.5%(P<0.05);两组治疗前后综合评分均明显下降,治疗后治疗组评分明显低于对照组评分(P<0.05)。治疗组治疗前后低切(1/S)全血黏度、中切(30/S)全血黏度、高切(200/S)全血黏度、卡松黏度,血浆TXB2、6-Keto-PGF1含量变化,左右侧子宫动脉的PI、RI和S/D方面比较差异均有统计学意义(P<0.01),而血浆黏度和红细胞聚集指数比较未见明显差异(P>0.05)。两组治疗前后盆腔积液比较,均有所减少(P<0.01);两组治疗后比较,治疗组积液量少于对照组(P<0.05)。结论隔药饼灸不仅能够改善慢性盆腔炎患者的症状和体征,还能改善患者血液流变学、盆腔血流动力学及盆腔积液等指标,降低血浆TXB2、6-Keto-PGF1含量,治疗气滞血瘀型慢性盆腔炎疗效肯定。

Objective To observe the clinical efficacy of herb-partitioned moxibustion in treating chronic pelvic refection due to qi-blood stagnation and its effect on the pelvic circulation, for seeking a safe and effective acupuncture-moxibustion treatment protocol for chronic pelvic infection. Method Eighty patients were randomized into a treatment group and a control group, 40 in each. The treatment group was intervened by herb-partitioned moxibustion, and the control group was by taking Fuke Qianjin tablets. Result The recovery and markedly effective rate was 87.5% and the total effective rate was 100.0% in the treatment group, respectively better than 70.0% and 92.5% in the control group （P〈0.05）. The integrated score dropped in both groups after treatment, and the score in the treatment group was significantly lower than that in the control group （P〈0.05）. After treatment, the treatment group had significant changes in the low-shear whole blood viscosity （1/S）, mid-shear viscosity （30/S）, high-shear viscosity （200/S）, Casson viscosity, plasma TXB2, 6-Keto-PGF1α, and the pulsatility index （PI）, resistance index （RI）, and S/D of the bilateral uterine arteries （P〈0.01）, and insignificant changes in plasma viscosity and erythrocyte assembling index （EAI） （P〉0.05）. The pelvic fluid amount decreased in both groups after treatment （P〈0.01）, and the fluid amount in the treatment group was lower than that in the control group （P〈0.05）. Conclusion Herb-partitioned moxibustion can not only improve the symptoms and signs in chronic pelvic infection, but also improve the indexes of hemorheology, hemodynamics, and pelvic fluid, and down-regulate the concentrations of TXB2 and 6-Keto-PGF1α. Therefore, it＇s effective in treating chronic pelvic infection due to qi-blood stagnation.