四黄散外敷联合浮针治疗慢性盆腔炎的临床效果

Clinical effect of the external application of Sihuang powder combined with the floating needle in the treatment of chronic pelvic inflammatory disease

目的探讨四黄散外敷联合浮针治疗慢性盆腔炎(CPID)的临床效果。方法选择2021年1月至2022年7月广东省封开县中医院妇产科收治的60例CPID患者,按随机数表法分为两组,对照组30例采用西药治疗,观察组30例加用四黄散外敷和浮针疗法。观察治疗前后患者中医证候评分、评估临床疗效、比较疼痛程度及生活质量,记录不良反应。结果治疗前两组患者下腹剧痛、发热或伴恶寒、带下量多、带下色黄或脓血症候积分比较,差异无统计学意义(P>0.05)。经治疗,两组患者中医症候积分均降低明显(P<0.05),且与对照组比较,观察组中医症候积分更低,差异有统计学意义(P<0.05)。两组治疗总有效率比较,观察组优于对照组(93.33%vs.80.00%),差异有统计学意义(P<0.05)。治疗前,两组患者McGill疼痛量表、健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05)。治疗后两组McGill疼痛量表评分下降,SF-36生活质量问卷评分提高,差异有统计学意义(P<0.05),与对照组比较,观察组McGill疼痛量表评分更低,SF-36评分更高(P<0.05)。两组不良反应比较,差异无统计学意义(P>0.05)。结论应用四黄散外敷联合浮针疗法能明显缓解CPID患者症状,减轻疼痛症状,疗效确切,患者生活质量提高明显,不良反应少。

Objective To explore the clinical effect of the external application of Si huang powder com bined with the floating needle in the treatm ent of chronic pelvic inflammatory disease(CPID).Methods The observation subjects of this study were 60 patients with CPID admitted to the Department of Gynecology and Obstetrics,the Fengkai Hospital of TCM in Guangdong Province from January 2021 to July 2022.They were divided into two groups according to the random number table method,namely the control group and the observation group.The control group had 30 patients treated with Western medicine,while the observation group had 30 patients treated with external application of Sihuang powder combined with floating needle therapy.The TCM symptom scores of patients before and after treatment were observed,clinical efficacy was evaluated,pain levels and quality of life were compared,and adverse reactions were recorded.Results Before treatment,the symptom scores of severe lower abdominal pains,fever or accompanied by an aversion to cold,excessive vaginal discharge,yellow vaginal discharge,or purulent blood between the two groups of patients were compared,without statistically significant differences(P>0.05).After treatment,the TCM syndrome scores of both groups of patients decreased significantly(P<0.05),and compared with the control group,the TCM syndrome scores of the observation group were lower,with significant differences(P<0.05)upon testing.The total effective rate of the observation group was better than that of the control group(93.33%vs.80.00%),with significant difference(P<0.05)upon testing.Before treatment,the scores of the McGill pain questionnaire and SF-36 quality of life questionnaire between the two groups of patients were compared,without statistically significant differences(P>0.05).After treatment,the retesting results showed a decrease in McGill pain questionnaire scores and an increase in SF-36 quality of life questionnaire scores,with significant differences(P<0.05)between the two groups upon testing.Compared with the control group,the observation group had lower McGill pain questionnaire scores and higher SF-36 scores(P<0.05).There was no significant difference between the two groups in terms of adverse reactions upon testing(P>0.05).Conclusion The external application of Sihuang powder combined with floating needle therapy can significantly alleviate the symptoms of patients with CPID,as well as pain symptoms,with definite therapeutic effect.In addition,it can also improve the quality of life of patients significantly,with fewer adverse reactions.