摘要
目的:探究慢性盆腔炎(CPID)应用中药灌肠联合针刺辅助治疗效果。方法:随机选取本院2019年6月-2022年6月收治的CPID患者202例,数字表法分为西医组(n=100)、中西医组(n=102),均实施西医治疗,中西医组加用中药灌肠联合针刺治疗,两组均治疗3个月。分析治疗疗效、炎性因子指标、氧化应激指标、中医症候积分、血流动力学及不良反应。结果:治疗后中医组治疗总有效率(95.1%)高于西医组(87.0%),中医主症、次症评分均降低且中西医组(3.57±1.08分、3.22±1.02分)低于西医组(8.12±1.15分、9.54±1.12分),两组丙二醛(MDA)均降低,白细胞介素-10(IL-10)、IL-2和超氧化物歧化酶(SOD)水平均升高,且中医组变化幅度大于西医组,两组全血黏度高切、全血黏度低切均降低且中西医组(4.07±0.17 mPa/s、9.85±0.70 mPa/s)低于西医组(4.78±0.25 mPa/s、10.57±0.87 mPa/s)(均P<0.05);两组不良反应发生率(1.96%、2.00%)无差异(P=0.984)。结论:CPID患者西医治疗时应用中药灌肠与针刺联合治疗可以改善中医症状、血流动力学、炎症反应、氧化应激反应并提升整体疗效,且不会加不良反应。
Objective:To explore the effect of traditional Chinese medicine(TCM)enema combined with acupuncture for adjuvant therapy chronic pelvic inflammatory disease(CPID).Methods:202patients with CPID who had been given western medicine treatment for 3months were randomly selected received and were divided into study group(102 patients)and control group(100patients)according to the numerical table method during June 2019and June 2022.The patients in the study group were given traditional Chinese medicine enema combined with acupuncture for adjuvant therapy for 3months additionally.The efficacy,the values of inflammatory factors and oxidative stress indexes,the Chinese medicine symptom score,the hemodynamics,and the incidence of the adverse reactions of the patients in the two groups were analyzed.Results:After treatment,the total effective rate(95.1%)of the patients in the study group was significantly higher than that(87.0%)of the patients in the control group.The scores of main TCM symptoms(3.57±1.08points)and the secondary TCM symptoms(3.22±1.02points)of the patients in the study group were significantly lower than those(8.12±1.15points and 9.54±1.12points)of the patients in the control group.The levels of malondialdehyde(MDA)of the patients in the two groups had decreased significantly,and the levels of interleukin-10(IL-10),IL-2,and superoxide dismutase(SOD)of the patients in the two groups had increased significantly,and the changes of which of the patients in the study group were significantly greater than those of the patients in the control group.The values of the whole blood viscosity high shear and low shear of the patients in the two groups had decreased significantly,and which(4.07±0.17mPa/s and 9.85±0.70mPa/s)of the patients in the study group were significantly lower than those(4.78±0.25mPa/s and 10.57±0.87mPa/s)of the patients in control group(all P<0.05).There was no significant difference in the incidence of adverse reactions(1.96%vs.2.00%)of the patients between the two groups(P=0.984).Conclusi
作者
陈墨林婧
陈墨金子
CHEN Molinjing;CHEN Mojinzi(Wenzhou Integrated Traditional Chinese and Western Medicine Hospital,Wenzhou,Zhejiang Province,325000)
出处
《中国计划生育学杂志》
2023年第12期2860-2864,共5页
Chinese Journal of Family Planning
关键词
慢性盆腔炎
中药灌肠
针刺
中医症候积分
血流动力学
氧化应激
炎症因子
Chronic pelvic inflammatory disease
Traditional Chinese medicine enema
Acupuncture
Traditional Chinese medicine syndrome
Hemodynamics
Oxidative stress
Inflammatory factor
