特定电磁波谱联合桂枝茯苓胶囊治疗老年寒湿瘀滞型盆腔炎性疾病后遗症的临床效果

Clinical effect of specific electromagnetic spectrum combined with Guizhi Fuling Capsules on sequelae of cold-damp and dampness stasis type pelvic inflammatory disease

目的 观察特定电磁波谱(TDP)联合桂枝茯苓胶囊治疗老年寒湿瘀滞型盆腔炎疾病后遗症的临床效果。方法 选取2019年9月至2022年9月在中国中医科学院望京医院就诊的64例老年寒湿瘀滞型盆腔炎疾病后遗症患者,并按照随机数字表法将其分为对照组和试验组,各32例。对照组口服桂枝茯苓胶囊治疗,试验组在对照组的基础上,联合使用TDP照射八髎穴,治疗周期均为4周。分别在治疗前和治疗4周后对所有患者的症状分级量化评分、局部体征轻重分级评分、视觉模拟评分法(VAS)评分及治疗效果进行比较。结果 治疗后,两组症状分级量化评分、局部体征轻重分级评分及VAS评分均降低,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论 TDP联合桂枝茯苓胶囊能够以更高的效率改善老年寒湿瘀滞型盆腔炎性疾病后遗症患者的临床症状与相关体征,值得临床推广应用。

Objective To observe the efficacy of specific electromagnetic spectrum(TDP)irradiation combined with Guizhi Fuling Capsules for patients with sequelae of cold-damp and dampness stasis type pelvic inflammatory disease in the elderly.Methods A total of 64 elderly patients with the sequelae of cold-damp and dampness stasis type pelvic inflammatory disease treated in Wangjing Hospital of China Academy of Chinese Medical Sciences from September 2019 to September 2022 were selected and they were divided into control group and experimental group according to random number table method,with 32 cases in each group.The control group was treated with oral Guizhi Fuling Capsules,and the experimental groups were treated with combined TDP irradiation of baliao point on the basis of the control group.The treatment cycle was four weeks.Before treatment and after four weeks of treatment,the symptom grading,local sign grading,visual analogue scales(VAS)score and therapeutic effect of all patients were compared.Results After treatment,symptom grading quantification score,local signs severity grading score and VAS score were decreased in both groups,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).The clinical efficacy of experimental group was better than that of control group,and the difference was statistically significant(P<0.05).Conclusion TDP irradiation combined with Guizhi Fuling Capsules could can not only effectively improve the clinical symptoms and related physical signs of elderly patients with cold-damp and dampness stasis type sequelae of pelvic in-flammatory disease in higher clinical efficiency,which is worthy of clinical application.