针药并用治疗慢性盆腔炎临床观察
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摘要
目的观察针药并用治疗慢性盆腔炎的临床疗效。方法按照随机数字表法将68例慢性盆腔炎患者随机分为针药组34例和中药组34例,比较两组治疗2个疗程后的临床疗效及症状体征评分、中医证候评分。结果针药组疗效与中药组比较差异有统计学意义(P<0.05)。两组治疗后症状体征积分、中医证候评分均减少,差异有统计学意义(P<0.05),表明两组治疗对慢性盆腔炎患者的症状体征、中医证候有较好的改善作用;两组治疗前后症状体征积分、中医证候评分差值比较差异有统计学意义(P<0.05),针药组大于中药组。结论针药并用能更好地改善慢性盆腔炎的症状体征和中医证候。
Objective To observe the clinical efficacy of acupuncture plus medication in treating chronic pelvic inflammatory disease. Method By using the random number table, sixty-eight patients with chronic pelvic inflammatory disease were randomized into an acupuncture-medication group of 34 cases and a medication group of 34 cases. The clinical efficacies were compared after 2 courses of treatment, and the symptoms and body signs scores and syndrome score of traditional Chinese medicine(TCM) were also compared. Result There was a significant difference in comparing the therapeutic efficacy between the acupuncture-medication group and the medication group(P<0.05). After the treatment, the symptoms and body signs scores and TCM syndrome score dropped significantly in both groups(P<0.05), indicating that the two groups both had improvement in the symptoms, body signs and TCM syndrome; there were significant between-group differences in comparing the score differences in the symptoms and body signs scores and TCM syndrome score after the treatment(P<0.05), and the acupuncture-medication group was higher than the medication group. Conclusion Acupuncture plus medication can better ameliorate the symptoms and body signs and TCM syndrome in chronic pelvic inflammatory disease.
Objective To observe the clinical efficacy of acupuncture plus medication in treating chronic pelvic inflammatory disease. Method By using the random number table, sixty-eight patients with chronic pelvic inflammatory disease were randomized into an acupuncture-medication group of 34 cases and a medication group of 34 cases. The clinical efficacies were compared after 2 courses of treatment, and the symptoms and body signs scores and syndrome score of traditional Chinese medicine(TCM) were also compared. Result There was a significant difference in comparing the therapeutic efficacy between the acupuncture-medication group and the medication group(P<0.05). After the treatment, the symptoms and body signs scores and TCM syndrome score dropped significantly in both groups(P<0.05), indicating that the two groups both had improvement in the symptoms, body signs and TCM syndrome; there were significant between-group differences in comparing the score differences in the symptoms and body signs scores and TCM syndrome score after the treatment(P<0.05), and the acupuncture-medication group was higher than the medication group. Conclusion Acupuncture plus medication can better ameliorate the symptoms and body signs and TCM syndrome in chronic pelvic inflammatory disease.
引文
[1]王春环,李维民,刘秀云,等.中医外治法在慢性盆腔炎中的应用研究进展[J].江苏中医药,2016,48(2):83-85.
[2]熊苏力,董双虎.中医药治疗慢性盆腔炎进展[J].江西中医药,2013,(7):78-80.
[3]孙燕玲.慢性盆腔炎中西医治疗观点和治疗方法概况[J].北京中医药,2010,29(10):799-801.
[4]彭仙,程群.慢性盆腔炎中医药治疗的研究近况[J].光明中,2007,22(4):72-76.
[5]刘静,高慧.慢性盆腔炎的中医药治疗进展[J].承德医学院学报,2011,(1):48-50.
[6]陈月玲,王秀宝.慢性盆腔炎中医研究近况[J].江西中医药,2007,38(8):79-80.
[7]张晓玲,张冬梅,鲍梅淑.盆腔炎的中西医治疗进展[J].中国临床研究,2016,29(8):1129-1131.
[8]马凤岚.慢性盆腔炎的研究进展[J].世界最新医学信息文摘,2016,16(79):28-29.
[9]柴淑慧,沈静,于亚波,等.针灸与穴注相结合治疗慢性盆腔炎临床疗效观察[J].河北医学,2016,22(5):839-840.
[10]张洁,杨从敏,赵凌,等.基于数据挖掘技术探析针灸治疗慢性盆腔炎选穴规律[J].中华中医药杂志,2016,31(8):3028-3032.
[11]Chen JH.Abdominal acupuncture combined with moxibustion for pelvic inflammation[J].J Acupunct Tuina Sci,2011,9(5):301-303.
[12]郑筱萸.中药新药临床研究指导原则(试行)[S].北京:中国医药科技出版社,2002:243-253.
[13]张桂芬.中医药治疗慢性盆腔炎临床研究进展[J].天津中医药大学学报,2007,26(2):110-112.
[14]赖冠珍,尤昭玲.慢性盆腔炎中医研究进展[J].中医药导报,2005,11(11):76-78,87.
[15]阮越容,范氏凤,董莉.中医治疗慢性盆腔炎临床研究进展[J].山东中医药大学学报,2016,(3):293-296.
[16]张枫枫.慢性盆腔炎的规范治疗[J].中国中医药资讯,2011,3(18):492.
[17]Ovalle A,Martinez MA,Casals A,et al.Clinical and microbiological study of acute pelvic inflammatory disease and treatment regimens[J].Rev Chil Obstet Ginecol,1993,58(2):103-112.
[18]张微,王洪志,傅舒.针灸治疗慢性盆腔炎的研究现状[J].内蒙古中医药,2014,(4):125-126.
[19]王倩,汪慧敏.针灸治疗慢性盆腔炎临床研究进展[J].中国中医药信息杂志,2005,12(2):94-95.
[20]率腊梅.近5年中医治疗慢性盆腔炎研究概况[J].甘肃中医,2007,20(1):34-37.
[21]范琳琳,余文华,刘晓倩,等.针灸治疗慢性盆腔炎疗效的Meta分析[J].针刺研究,2014,39(2):156-163.
[22]周英,李凤葵.慢性盆腔炎的中医辨证论治规律研究[J].云南中医学院学报,2011,34(2):48-53.
[23]李振芳,刘引娣,郭拴印.针刺配合中药治疗输卵管不通性不孕症59例[J].陕西中医,2008,29(11):1519-1520.
[24]史玲美.针刺阴陵泉、三阴交缓解剖宫产术后宫缩痛的效果观察[J].全科医学临床与教育,2013,11(2):234-235.
[25]刘玉英,张玉梅,胡伟英.陵泉穴位注射新斯的明治疗产后尿潴留36例疗效观察[J].中国现代医药,2005,4(6):59-60.
[2]熊苏力,董双虎.中医药治疗慢性盆腔炎进展[J].江西中医药,2013,(7):78-80.
[3]孙燕玲.慢性盆腔炎中西医治疗观点和治疗方法概况[J].北京中医药,2010,29(10):799-801.
[4]彭仙,程群.慢性盆腔炎中医药治疗的研究近况[J].光明中,2007,22(4):72-76.
[5]刘静,高慧.慢性盆腔炎的中医药治疗进展[J].承德医学院学报,2011,(1):48-50.
[6]陈月玲,王秀宝.慢性盆腔炎中医研究近况[J].江西中医药,2007,38(8):79-80.
[7]张晓玲,张冬梅,鲍梅淑.盆腔炎的中西医治疗进展[J].中国临床研究,2016,29(8):1129-1131.
[8]马凤岚.慢性盆腔炎的研究进展[J].世界最新医学信息文摘,2016,16(79):28-29.
[9]柴淑慧,沈静,于亚波,等.针灸与穴注相结合治疗慢性盆腔炎临床疗效观察[J].河北医学,2016,22(5):839-840.
[10]张洁,杨从敏,赵凌,等.基于数据挖掘技术探析针灸治疗慢性盆腔炎选穴规律[J].中华中医药杂志,2016,31(8):3028-3032.
[11]Chen JH.Abdominal acupuncture combined with moxibustion for pelvic inflammation[J].J Acupunct Tuina Sci,2011,9(5):301-303.
[12]郑筱萸.中药新药临床研究指导原则(试行)[S].北京:中国医药科技出版社,2002:243-253.
[13]张桂芬.中医药治疗慢性盆腔炎临床研究进展[J].天津中医药大学学报,2007,26(2):110-112.
[14]赖冠珍,尤昭玲.慢性盆腔炎中医研究进展[J].中医药导报,2005,11(11):76-78,87.
[15]阮越容,范氏凤,董莉.中医治疗慢性盆腔炎临床研究进展[J].山东中医药大学学报,2016,(3):293-296.
[16]张枫枫.慢性盆腔炎的规范治疗[J].中国中医药资讯,2011,3(18):492.
[17]Ovalle A,Martinez MA,Casals A,et al.Clinical and microbiological study of acute pelvic inflammatory disease and treatment regimens[J].Rev Chil Obstet Ginecol,1993,58(2):103-112.
[18]张微,王洪志,傅舒.针灸治疗慢性盆腔炎的研究现状[J].内蒙古中医药,2014,(4):125-126.
[19]王倩,汪慧敏.针灸治疗慢性盆腔炎临床研究进展[J].中国中医药信息杂志,2005,12(2):94-95.
[20]率腊梅.近5年中医治疗慢性盆腔炎研究概况[J].甘肃中医,2007,20(1):34-37.
[21]范琳琳,余文华,刘晓倩,等.针灸治疗慢性盆腔炎疗效的Meta分析[J].针刺研究,2014,39(2):156-163.
[22]周英,李凤葵.慢性盆腔炎的中医辨证论治规律研究[J].云南中医学院学报,2011,34(2):48-53.
[23]李振芳,刘引娣,郭拴印.针刺配合中药治疗输卵管不通性不孕症59例[J].陕西中医,2008,29(11):1519-1520.
[24]史玲美.针刺阴陵泉、三阴交缓解剖宫产术后宫缩痛的效果观察[J].全科医学临床与教育,2013,11(2):234-235.
[25]刘玉英,张玉梅,胡伟英.陵泉穴位注射新斯的明治疗产后尿潴留36例疗效观察[J].中国现代医药,2005,4(6):59-60.