铺灸联合针刺疗法治疗寒湿凝滞型盆腔炎性疾病后遗症临床研究

Clinical Study on Long-Snake Moxibustion Combined with Acupuncture Therapy for Sequelae of Pelvic Inflammatory Disease of Cold-Damp Stagnation and Coagulation Type

目的:观察铺灸联合针刺疗法治疗寒湿凝滞型盆腔炎性疾病后遗症的临床疗效。方法:将寒湿凝滞型盆腔炎患者80例,按随机数字表法分为对照组和治疗组各40例。对照组给予口服少腹逐瘀颗粒治疗,治疗组行铺灸联合针刺疗法治疗。2组均治疗4周为1个疗程。观察2组临床疗效,比较2组治疗前后中医证候积分及炎症指标水平变化。结果:治疗组临床总有效率为90.0%,对照组为87.5%,2组比较,差异无统计学意义(P>0.05)。治疗前,2组腹部疼痛、白带量多、腰骶酸痛等中医证候积分比较,差异无统计学意义(P>0.05);治疗后,2组各项中医证候积分均较治疗前降低,且治疗组各项积分均低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组超敏C-反应蛋白(hs-CRP)、中性粒细胞百分比、白细胞计数比较,差异无统计学意义(P>0.05);治疗后,2组hs-CRP、中性粒细胞百分比、白细胞计数均较治疗前降低,且治疗组各项指标均低于对照组,差异均有统计学意义(P<0.05)。结论:铺灸联合针刺疗法治疗寒湿凝滞型盆腔炎性疾病后遗症能够提高临床疗效,有效抑制机体炎症反应,改善患者症状及局部体征。

Objective:To observe the clinical effect of long-snake moxibustion combined with acupuncture therapy for sequelae of pelvic inflammatory disease of cold-damp stagnation and coagulation type. Methods: A total of 80 cases of patients with pelvic inflammatory disease of cold-damp stagnation and coagulation type were divided into the control group and the treatment group according to the random number table method,with 40 cases in each group. The control group was given oral administration of Shaofu Zhuyu granules, and the treatment group was treated with long-snake moxibustion combined with acupuncture therapy. Both groups were treated for one course, with four weeks being a course. After treatment, the clinical effects in the two groups were observed. Before and after treatment, the changes in Chinese medicine syndrome scores and inflammatory indexes levels in the two groups were compared. Results: The total clinical effective rate was 90.0% in the treatment group and 87.5% in the control group,there being no significance in the difference(P>0.05). Before treatment, there was no significant difference being found in the comparison of Chinese medicine syndrome scores including abdominal pain, excessive white leukorrhea and lumbosacral spinal soreness and weakness between the two groups(P>0.05). After treatment,Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment,and the scores in the treatment group were lower than those in the control group, differences being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of high-sensitivity C-reactive protein(hs-CRP),neutrophil percentage and white blood cell counts between the two groups(P>0.05). After treatment,hs-CRP,neutrophil percentage and white blood cell counts in the two groups were decreased when compared with those before treatment,and the indexes in the treatment group were lower than those in the control group, differences being significant(P<0.05). Conclusion: Long-snake moxibustion combined with acupuncture therapy can improve the clinical effect of sequelae of pelvic inflammatory disease of cold-damp stagnation and coagulation type,effectively suppress inflammatory responses in the body,and improve symptoms and local signs.