摘要
目的探讨膈下逐瘀汤联合头孢西丁钠治疗对气滞血瘀型慢性盆腔炎患者血液流变学及中医证候的影响。方法选取2020年7月—2023年7月本院收治的66例气滞血瘀型慢性盆腔炎患者为研究对象,按照随机数字表法分为对照组和观察组,每组33例。对照组采用头孢西丁钠治疗,观察组在对照组基础上给予膈下逐瘀汤治疗。比较两组患者的中医证候、血液流变学、炎性因子水平。结果治疗30 d后,观察组主症(4.31±0.84)分、次症(3.66±0.57)分、全血高切黏度(3.49±0.45)mPa·s、血浆黏度(1.21±0.27)mPa·s、纤维蛋白原(2.29±0.54)g/L、D二聚体(299.46±31.09)μg/L、白细胞介素-8(20.31±5.06)μg/L、肿瘤坏死因子-α(1.22±0.21)μg/L、C反应蛋白(6.66±0.58)mg/L均低于对照组的(9.41±1.55)分、(6.52±0.94)分、(4.03±0.73)mPa·s、(1.83±0.33)mPa·s、(3.18±0.73)g/L、(352.11±40.93)μg/L、(29.01±6.44)μg/L、(1.89±0.35)μg/L、(7.95±0.97)mg/L,组间差异有统计学意义(P<0.05)。结论采用膈下逐瘀汤联合头孢西丁钠治疗对气滞血瘀型慢性盆腔炎患者的效果显著,能够降低中医证候积分,减轻炎症反应,改善血液流变学指标。
Objective Exploring the effect of infradiaphragmatic stasis-expelling decoction combined with cefoxitin sodium treatment on hemorheology and traditional chinese medicine syndrome in patients with chronic pelvic inflammation with qi stagnation and blood stasis syndrome.Methods Selecting 66 patients with chronic pelvic inflammatory disease with Qi stagnation and blood stasis syndrome admitted to our hospital from July 2020 to July 2023 as the research subjects,divided into a control group and an observation group using a random number table method,with 33 cases in each group.The control group was treated with cefoxitin sodium,and the observation group was treated with infradiaphragmatic stasis-expelling decoction on the basis of control group.The levels of TCM symptoms,hemorheology and inflammatory factors were compared between the two groups.Results After 30 days of treatment,observation group main symptoms(4.31±0.84)points,secondary symptoms(3.66±0.57)points,high cut whole blood viscosity(3.49±0.45)mPa·s,plasma viscosity(1.21±0.27)mPa·s,fibrinogen(2.29±0.54)g/L,D-dimer(299.46±31.09)μg/L,Interleukin-8(20.31±5.06)μg/L,tumor necrosis factor-α(1.22±0.21)μg/L,C-reactive protein(6.66±0.58)mg/L were lower than(9.41±1.55)points,(6.52±0.94)points,(4.03±0.73)mPa·s,(1.83±0.33)mPa·s,(3.18±0.73)g/L,(352.11±40.93)μg/L,(29.01±6.44)μg/L,(1.89±0.35)μg/L,(7.95±0.97)mg/L of the control group,the differences between groups were statistically significant(P<0.05).Conclusion The use of Infradiaphragmatic stasisexpelling decoction combined with cefoxitin sodium treatment has a significant effect on patients with chronic pelvic inflammatory disease with qi stagnation and blood stasis syndrome,can reduce traditional Chinese medicine syndrome scores,alleviate inflammatory reactions,and improve hemorheological indicators.
作者
刘艳霞
LIU Yanxia(Department of Pharmacy,Donggang District Maternal and Child Health and Family Planning Service Center in Rizhao City,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2023年第23期40-42,共3页
Reflexology And Rehabilitation Medicine
关键词
慢性盆腔炎
气滞血瘀型
膈下逐瘀汤
中医证候
血液流变学
Chronic pelvic inflammatory
Qi stagnation and blood stasis syndrome
Infradiaphragmatic stasis-expelling decoction
Traditional Chinese medicine syndrome
Hemorheology
