摘要
目的:观察针刺壮医脐环穴联合常规西药治疗慢性盆腔炎(PID)合并盆腔积液的临床效果。方法:选取2021年7月—2023年7月柳州市工人医院收治的PID合并盆腔积液患者66例作为研究对象,随机分为对照组(n=32)与观察组(n=34)。对照组接受左氧氟沙星与甲硝唑治疗,观察组在对照组基础上接受针刺壮医脐环穴治疗。比较两组中医证候积分、盆腔积液量、治疗效果、复发情况。结果:治疗前,两组小腹下坠或胀痛、腰骶胀痛、带下量多积分比较,差异无统计学意义(P>0.05);治疗后,两组小腹下坠或胀痛、腰骶胀痛、带下量多积分降低,观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组盆腔积液量比较,差异无统计学意义(P>0.05)。治疗后,两组盆腔积液量减少,差异有统计学意义(P<0.001);两组盆腔积液量比较,差异无统计学意义(P>0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.037)。观察组复发率低于对照组,差异有统计学意义(P=0.018)。结论:针刺壮医脐环穴联合常规西药治疗PID合并盆腔积液的临床效果显著,可缓解临床症状,减少盆腔积液量,降低复发率。
Objective:To observe the clinical effect of acupuncture at Zhuang medicine umbilical ring acupoint combined with conventional western medicine in the treatment of chronic pelvic inflammatory disease(PID)combined with pelvic effusion.Methods:A total of 66 patients with PID combined with pelvic effusion were selected as the research subjects at Liuzhou Workers Hospital from July 2021 to July 2023,and were randomly divided into control group(n=32)and observation group(n=34).The control group received levofloxacin and metronidazole treatment,and the observation group received acupuncture at Zhuang medicine umbilical ring acupoint on the basis of the control group.The two groups were compared in terms of TCM syndrome scores,pelvic effusion volume,treatment effect,and recurrence.Results:Before treatment,there was no significant difference in the scores of lower abdominal drop or distending pain,lumbar and sacral distending pain,and excessive leucorrhea between the two groups(P>0.05);after treatment,the scores of lower abdominal drop or distending pain,lumbar and sacral distending pain,and excessive leucorrhea in the two groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the amount of pelvic effusion between the two groups(P>0.05).After treatment,the amount of pelvic effusion in the two groups decreased,and the difference was statistically significant(P<0.001);there was no statistically significant difference in the amount of pelvic effusion between the two groups(P>0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.037).The recurrence rate in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.018).Conclusion:Acupuncture at the umbilical ring point of Zhuang medicine combined with conventional Western medicine in the treatment of PID combined with pelvic effusion has a significant clinical effect,which can relieve clinical symptoms,reduce the amount of pelvic effusion,and reduce the recurrence rate.
作者
邱黎明
张宏生
连秋华
Qiu Liming;Zhang Hongsheng;Lian Qiuhua(Liuzhou Workers Hospital,Liuzhou 545000,Guangxi Zhuang Autonomous Region,China)
出处
《中外医药研究》
2024年第13期81-83,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
基金
广西壮族自治区中医药管理局自筹经费科研课题(编号:GXZYZ20210482)。
关键词
脐环穴
壮医
慢性盆腔炎
盆腔积液
针刺
Umbilical ring point
Zhuang medicine
Chronic pelvic inflammatory disease
Pelvic effusion
Acupuncture
