针药结合法治疗盆腔炎性疾病后遗症的临床效果观察

Clinical observation on the treatment of sequelae of pelvic inflammatory disease with acupuncture and Chinese herb medicine

目的研究针药结合方案在治疗盆腔炎性疾病后遗症中的效果优势。方法入组180例符合盆腔炎性疾病后遗症的患者,随机分为三组进行疗效对比,三组分别为针药组、中药组和西药组,每组各60例。分别治疗3个月,观察治疗前后肝肾功能、血常规、盆腔B超以及不良反应,并比较三组在治愈率、总有效率及症状积分等方面的差异。结果①治愈率和总有效率:针药组(96.7%)与中药组(91.7%)差异无统计学意义(P>0.05),针药组与西药组(61.7%)差异有统计学意义(P<0.05),中药组与西药组差异有统计学意义(P<0.05)。②症状积分比较:针药组与中药组差异有统计学意义(P<0.05),针药组与西药组差异有统计学意义(P<0.05),中药组与西药组差异有统计学意义(P<0.05)。③下腹痛症状总有效率比较:针药组(96.7%)和中药组(93.3%)均优于西药组(80.0%)(均P<0.05),针药组与中药组无明显差异。④不良反应比较:针药组和中药组均无不良反应,西药组有3例。结论在提高盆腔炎性疾病后遗症的治愈率方面,针药结合治疗的综合治疗方案较中药口服和西药口服方案更有发展潜力。

Objective To research the efficacy advantage in the treatment of sequelae of pelvic inflammatory disease （SPID）with acupuncture and Chinese herb medicine.Methods 180 cases complying with the diagnostic criteria of SPID were randomized into three groups in order to compare the effects.The three groups were acupuncture and drugs group,Chinese herb medicine group （CHM goup） and western medicine group.The three groups were treated for 3 months respectively,with 60 cases in each group.Liver and kidney function,blood,pelvic ultrasound and adverse reactions of the three groups before and after treatment were observed.Then the three groups＇ differences on curing rate,total effective rate,symptom scores and others were compared.Results ①Curing rate and total effective rate：there was no significant difference between acupuncture and drugs group （96.7％） and CHM group （91.7％） （P ＞ 0.05）.Significant difference between acupuncture and drugs group and western medicine group （61.7％） （P ＜ 0.05）,and significant difference between CHM group and western medicine group （P ＜0.05） were seen.②Comparison of the symptom scores：there was significant difference between acupuncture and drugs group and CHM group （P ＜ 0.05）,significant difference between acupuncture and drugs group and western medicine group （P ＜0.05）,as well as significant difference between CHM group and western medicine group （P ＜ 0.05）.③Comparison of the total effective rate of the symptom of lower abdominal pain：acupuncture and drugs group （96.7％） and CHM group （93.3％） were better than western medicine group （80.0％） （all P ＜ 0.05）.There was no significant difference between acupuncture and drugs group and CHM group.④Comparison of the adverse reaction：there was no adverse reaction in acupuncture and drugs group and CHM group,but there were 3 cases in western medicine group.Conclusion Acupuncture and drugs therapeutic schedule is better than the others on the respect of potential development of the curing rate.