摘要
目的:探究红藤煎剂联合浮针治疗慢性盆腔炎腹痛的效果。方法:选取2018年1月—2020年5月扬州市中医院收入的慢性盆腔炎腹痛患者80例,按随机数字表法原则分为联合浮针组及对照组,40例/组。对照组接受红藤煎剂口服和常规治疗,联合浮针组在对照组的基础上联合浮针治疗。观察两组患者疗效、疼痛情况、不良反应、中医症状积分、症状消失时间及炎症指标。结果:联合浮针组总有效率(97.50%,39/40)较对照组显著增高(82.50%,33/40,P<0.05)。治疗前组间症状积分差异无意义(P>0.05),治疗1个疗程后联合浮针组的主要症状积分和次要症状积分均低于对照组(P<0.05)。治疗5 d、10 d后两组VAS评分较治疗前均降低(P<0.05),但联合浮针组VAS评分显著低于对照组(P<0.05)。联合浮针组白带异常消失时间和腹痛消失时间均短于对照组(P<0.05)。两组不良反应发生率差异无统计学意义(P>0.05)。治疗后1个月,两组CRP、PCT、WB均降低(P<0.05),且联合浮针组低于对照组(P<0.05)。结论:红藤煎剂联合浮针治疗慢性盆腔炎腹痛的安全性高,可缓解腹痛,提高治疗效果。
Objective:To explore the effect of Hongteng Decoction combined with Fu’s subcutaneous needling in the treatment of abdominal pain of chronic pelvic inflammation.Methods:80 patients with abdominal pain of chronic pelvic inflammation were randomly divided into the control group and the study group,with 40 cases in each group.The control group was treated with Hongteng Decoction and routine treatment;on which basis,the study group was also treated with Fu’s subcutaneous needling.Clinical efficacy,pain,adverse reactions,TCM symptom scores,symptom disappearance time and inflammation indicators were observed in the two groups.Results:The total effective rate of the study group was 97.50%(39/40),which was significantly higher than 82.50%(33/40)of the control group(P<0.05).There were no statistical difference in the scores of major symptoms and minor symptoms between the groups before the treatment(P>0.05);after one course of the treatment,the scores of major symptoms and minor symptoms of the study group were significantly lower than those of the control group(P<0.05).The VAS scores were lower after 5 and 10 days of the treatment than those before the treatment(P<0.05);the scores in the study group were significantly lower than those in the control group after the treatment(P<0.05).Disappearances of leucorrhea and abdominal pain were earlier in the study group than those in the control group(P<0.05).There was no statistical difference in the incidence of adverse reactions between the two groups(P>0.05).The levels of CRP,PCT and WB were significantly decreased in the two groups after one month of the treatment(P<0.05);of which the decreases in the study group were significantly lower than those in the control group(P<0.05).Conclusion:Hongteng Decoction combined with Fu’s subcutaneous needling has high safety in treating abdominal pain of chronic pelvic inflammation,which can relieve abdominal pain and improve the therapeutic effect.
作者
吴杨
胡红霞
王娟
WU Yang;HU Hongxia;WANG Juan(Yangzhou Hospital of TCM,Yangzhou 225000,China)
出处
《中医药学报》
CAS
2021年第6期86-89,共4页
Acta Chinese Medicine and Pharmacology
关键词
红藤煎剂
浮针
盆腔炎
腹痛
疗效
Hongteng Decoction
Fu’s subcutaneous needling
Pelvic inflammation
Abdominal pain
Curative effect
