走罐联合桂枝茯苓胶囊干预慢性盆腔炎合并盆腔积液寒湿凝滞证患者的临床观察

Moving Cupping&Guizhi Poria Capsules for chronic pelvic inflammatory disease combined with pelvic effusion of the cold dampness stagnation pattern

目的观察走罐联合桂枝茯苓胶囊干预慢性盆腔炎(CPID)合并盆腔积液寒湿凝滞证患者的临床疗效。方法将60例CPID合并盆腔积液寒湿凝滞证患者随机分为治疗组30例、对照组30例,剔除脱落病例后治疗组26例、对照组29例。对照组口服桂枝茯苓胶囊,治疗组在对照组基础上配合走罐疗法。观察2组中医证候疗效、中医症状积分、腰骶部疼痛视觉模拟评分(VAS)、盆腔积液变化情况。结果治疗后治疗组26例中,痊愈0例,显效8例,有效17例,无效1例,总有效率为96.15%;对照组29例中,痊愈0例,显效6例,有效19例,无效4例,总有效率为86.21%。经秩和检验,Z=-1.737,P=0.082,P>0.05,说明2组中医证候疗效无统计学差异。治疗后治疗组中医症状积分均较本组治疗前减少(P<0.05)。对照组除大便异常外,其余中医症状积分均较本组治疗前减少(P<0.05)。2组腰骶部疼痛VAS评分治疗后较本组治疗前均降低(P<0.05),治疗组较对照组降低明显(P<0.05),2组治疗前后积分差值比较,差异有统计学意义(P<0.05)。2组盆腔积液量治疗后较本组治疗前均减少(P<0.05),2组前后差值比较,差异无统计学意义(P>0.05)。结论走罐联合桂枝茯苓胶囊干预CPID合并盆腔积液寒湿凝滞证患者具有较好的临床疗效。

Objective To observe the clinical effect of moving cupping combined with Guizhi Poria Capsules on chronic pelvic inflammatory disease(CPID)combined with pelvic fluid of the cold dampness stagnation pattern.Methods Sixty patients with CPID and pelvic effusion of the cold dampness stagnation pattern were randomly assigned to the treatment group(n=30)and control group(n=30).After the withdrawals excluded,there were 26 left in the treatment group and 26 in the control group.The control group received Guizhi Poria Capsules orally,and the treatment group received additional moving cupping treatment.The curative effect of TCM syndrome,TCM symptom score,Visual Analogue Scale/Score(VAS score)of lumbosacral pain and change in pelvic effusion were observed.Results After treatment,among the 26 cases in the treatment group,0 case was cured,8 cases were effective,17 cases were effective and 1 case was ineffective,with a total effective rate of 96.15%.In the control group,0 case was cured,6 cases were effective,19 cases were effective and 4 cases were ineffective,with a total effective rate of 86.21%.According to the rank-sum test,Z=-1.737,P=0.082,P>0.05,it indicated that there was no statistical difference in TCM syndrome efficacy between the two groups.After treatment,the scores of TCM symptoms in the treatment group were decreased,as compared with those before treatment(P<0.05).In the control group,except for abnormal stools,the scores of other TCM symptoms were decreased compared with those before treatment(P<0.05).The lumbosacral pain score was significantly lower in the treatment group than in the control group,and the difference was statistically significant before and after treatment(P<0.05).VAS scores of lumbosacral pain in both groups were decreased after treatment,as compared with before treatment(P<0.05),and significantly decreased in the treatment group than in the control group(P<0.05).The amount of pelvic fluid was significantly decreased in both groups after treatment,as compared with before treatment(P<0.05),but there was no statistical difference between the two groups before and after treatment(P>0.05).Conclusions Moving cupping combined with Guizhi Poria Capsules has a good clinical effect on CPID combined with pelvic fluid of the cold dampness stagnation pattern.