火龙罐结合肌筋膜触发点治疗慢性盆腔炎疼痛临床研究

Clinical Study on Fire-Dragon Cupping Combined with Myofascial Trigger Point for Chronic Pelvic Inflammatory Pain

目的:观察火龙罐结合肌筋膜触发点治疗慢性盆腔炎疼痛的疗效。方法:选取84例慢性盆腔炎患者,按奇偶数分组法分为对照组及观察组各42例。对照组采用现代医学常规治疗,观察组在现代医学常规治疗基础上采用火龙罐结合肌筋膜触发点治疗。观察2组临床疗效,比较2组治疗前后疼痛视觉模拟评分法(VAS)、中医证候评分的变化,比较2组症状的恢复时间。结果:观察组临床疗效总有效率为95.24%,对照组为76.19%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组下腹部、腰骶部VAS评分均较治疗前下降(P<0.05),观察组上述2项评分均低于对照组(P<0.05)。治疗后,2组中医主症、次症证候评分均较治疗前下降(P<0.05),观察组上述2项中医证候评分均低于对照组(P<0.05)。观察组腰骶疼痛、白带异常、下腹坠胀、盆腔肿块改善时间均短于对照组,差异均有统计学意义(P<0.05)。结论:火龙罐结合肌筋膜触发点治疗慢性盆腔炎效果较好,可缓解临床症状,疼痛改善明显。

Objective:To observe the curative effect of the therapy of Fire-Dragon Cupping combined with myofascial trigger point on the treatment of chronic pelvic inflammatory pain.Methods:A total of84 patients with chronic pelvic inflammatory disease were divided into the control group and the observation group according to odd and even numbers,with 42 patients in each group.The control group was treated with conventional modern medicine,and the observation group was additionally treated with Fire-Dragon Cupping combined with myofascial trigger point based on the conventional modern medicine.The clinical effects in the two groups were observed,and the changes in the scores of Visual Analogue Scale(VAS) and traditional Chinese medicine(TCM) syndrome before and after treatment,and the recovery time of symptoms between the two groups were compared.Results:The total effective rate was 95.24% in the observation group and 76.19% in the control group,the difference being significant(P<0.05).After treatment,the VAS scores of lower abdomen and lumbosacral region in the two groups were decreased when compared with those before treatment(P<0.05),and the above two scores in the observation group were lower than those in the control group(P<0.05).After treatment,the TCM syndrome scores of the main and secondary syndromes in the two groups were decreased when compared with those before treatment(P<0.05),and the above TCM syndrome scores in the observation group were lower than those in the control group(P<0.05).The improvement time of lumbosacral pain,abnormal leucorrhea,lower abdominal distention and pelvic mass in the observation group was respectively shorter than that in the control group,differences being significant(P<0.05).Conclusion:The therapy of Fire-Dragon Cupping combined with myofascial trigger point has a good effect on the treatment of chronic pelvic inflammatory disease,which can relieve clinical symptoms and pain significantly.