中药保留灌肠联合温针灸治疗气滞血瘀型盆腔炎性疾病后遗症

Clinical Observation of Traditional Chinese Medicine Retention Enema Combined with Warm Acupuncture in the Treatment of Sequelae of Pelvic Inflammatory Disease with Qi Stagnation and Blood Stasisi

目的:对比单纯中药内服治疗和在此治疗基础上予中药保留灌肠联合温针灸治疗气滞血瘀型女性盆腔炎性疾病后遗症的临床疗效。方法:选取符合标准的气滞血瘀型盆腔炎性疾病后遗症的患者60例,将其随机分为观察组和对照组,每组各30例,2组患者均予相同中药方口服,月经干净3d后连续服用14d,根据患者症候差异适当加减,1剂/d,水煎服,分早晚两次服,经期停服,治疗2个疗程;观察组患者月经干净3d后予中药口服及中药保留灌肠加温针灸,经期停止上述治疗,以14d为1个疗程,医治2个疗程,2个疗程结束后观察、记录2组患者诊治后的疗效及再发率。结果:对照组3例(10.00%)治愈,19例(63.30%)有效;观察组治愈8例(26.7%),21例(70.00%)有效,观察组治愈率明显优于对照组(P<0.05),观察组总有效率明显超过对照组(P<0.05),差异有统计学意义。观察组复发1例(3.33%),对照组再发7例(23.33%),2组复发率比较(Z=-2.260,P=0.024),P<0.05,差异有统计学意义。结论:中药保留灌肠加温针灸可通络活血、行气化瘀止痛,配合对症的中药方剂内服治疗女性盆腔炎性疾病后遗症疗效显著,治愈率及有效率均高于单纯中药内服治疗,值得推广至临床。

Objective:To compare the clinical efficacy of simple Chinese medicine internal treatment and Chinese medicine retention enema combined with warm acupuncture on the sequelae of pelvic inflammatory disease in women with Qi stagnation and blood stasis.Methods:60 patients with sequelae of Qi stagnation and blood stasis type pelvic inflammatory disease were selected and randomly divided into an observation group and a control group,with 30 cases in each group.Both groups were given the same traditional Chinese medicine orally and the menstruation was clean Take it for 3 consecutive days after 3 days,add or subtract according to the difference of the patients’ symptoms,take 1 dose per day,take it twice a day,take it in the morning and evening,stop it during menstruation,and take 2 courses of treatment.The traditional Chinese medicine retained enema and warmed acupuncture.The above treatment was stopped during menstruation.14 days were taken as a course of treatment,2 courses of treatment were observed.After the 2 courses of treatment were observed,the curative effect and recurrence rate of the 2 groups of patients were observed and recorded.Results:3 cases (10.00%) in the control group were cured,19 cases (63.30%) were effective;8 cases (26.7%) were cured in the observation group,and 21 cases (70.00%) were effective.The cure rate in the observation group was significantly better than that in the control group (P<0.05),the total effective rate of the observation group was significantly higher than that of the control group (P<0.05),the difference was statistically significant.One case (3.33%) recurred in the observation group and 7 cases (23.33%) recurred in the control group.The recurrence rate of the two groups was compared (Z=-2.260,P=0.024),P<0.05,the difference was statistically significant.Conclusion:Traditional Chinese medicine retention enema and warming acupuncture can tonify the blood circulation,qi and stasis and relieve pain.With the symptomatic Chinese medicine orally,the curative effect and effective rate of female pelvic inflammatory disease sequelae are significantly higher than that of pure Chinese medicine,which is worth promoting.