穴位贴敷配合中药治疗盆腔炎性疾病后遗症的疗效分析

Clinical Effects of Acupoint Application Combined with Traditional Chinese Medicine in the Treatment of Sequelae of Pelvic Inflammatory Diseases

目的探讨穴位贴敷配合中药治疗盆腔炎性疾病后遗症的疗效。方法该研究便利选取2018年3月—2019年1月该院收治的60例盆腔炎性疾病后遗症患者作为研究对象,随机分为观察组(30例)和对照组(30例);对照组患者采用自拟中药方剂治疗,观察组患者采用自拟中药方剂配合穴位贴敷治疗;对两组疗效、中医证候积分改善情况及生存质量进行对比分析。结果观察组治疗总有效率显著高于对照组93.33%vs 76.67%(χ^2=6.535;P<0.05);经治疗两组体征积分、症状积分及综合积分均得到显著改善(P<0.05),且治疗后观察组体征积分、症状积分及综合积分显著低于对照组[体征积分:(3.51±1.07)分vs(5.62±1.32)分(t=6.8014,P<0.05);症状积分:(7.06±0.95)分vs(11.06±1.26)分(t=13.883,P<0.05);综合积分:(10.57±1.04)分vs(16.68±1.63)分(t=17.308,P<0.05)];经治疗两组WHOQOL-BREF各维度评分及总分均得到显著改善,差异有统计学意义(P<0.05),且治疗后观察组WHOQOL-BREF各维度评分及总分均显著高于对照组[环境领域:(18.96±1.06)分vs(16.35±1.26)分(t=8.682,P<0.05);社会关系领域:(16.32±0.76)分vs(14.96±1.13)分(t=5.470,P<0.05);生理领域:(16.59±1.08)分vs(14.69±1.00)分(t=7.070,P<0.05);心理领域:(16.66±0.99)分vs(14.75±0.85)分(t=8.018,P<0.05);总分:(68.53±3.16)分vs(60.75±4.06)分(t=8.283,P<0.05)]。结论穴位贴敷配合中药用于治疗盆腔炎性疾病后遗症可显著提高治疗效果,同时提升患者生存质量,值得临床借鉴推广。

Objective To explore the efficacy of acupoint application combined with traditional Chinese medicine in the treatment of sequelae of pelvic inflammatory diseases.Methods From Mar.2018 to Jan.2019,convenient selected 60 patients with sequelae of pelvic inflammatory diseases were divided into observation group(n=30)and control group(n=30)randomLy.The control group was treated with self-made traditional Chinese medicine prescription and the observation group was treated with acupoint application based on control group.The curative effects,improvement of TCM syndrome scores and the quality of life of the two groups were compared and analyzed.Results The total effective rate in the observation group was significantly higher than control group 93.33%vs 76.67%,(χ^2=6.535,P<0.05).After treatment,the physical sign integral,symptom integral and comprehensive integral of the two groups were significantly improved(P<0.05)and the scores of the observation group were lower than control group[Physical integration:(3.51±1.07)points vs(5.62±1.32)points(t=6.801,P<0.05);Symptoms integration:(7.06±0.95)points vs(11.06±1.26)points(t=13.883,P<0.05);Comprehensive integral:(10.57±1.04)points vs(16.68±1.63)points(t=17.308,P<0.05)].After treatment,the WHOQOL-BREF scores in the two groups were significantly improved and the scores in observation group were significantly higher than control group[Environmental field:(18.96±1.06)points vs(16.35±1.26)points(t=8.682,P<0.05);Social relations field:(16.32±0.76)points vs(14.96±1.13)points(t=5.470,P<0.05);Physiological field:(16.59±1.08)points vs(14.69±1.00)points(t=7.070,P<0.05);Psychological field:(16.66±0.99)points vs(14.75±0.85)points(t=8.018,P<0.05);Total score:(68.53±3.16)points vs(60.75±4.06)points(t=8.283,P<0.05)].Conclusion Acupoint application combined with traditional Chinese medicine can improve the therapeutic effects and quality of life in the treatment of sequelae of pelvic inflammatory diseases.