中医综合疗法联合辨证施护治疗慢性盆腔炎临床研究
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R711.33;R248.1

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Clinical Study on Comprehensive Therapy of Chinese Medicine Combined with Nursing Based on Syndrome Differentiation for Chronic Pelvic Inflammatory Disease
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    摘要:

    目的:观察中医综合疗法联合辨证施护治疗慢性盆腔炎的临床效果。方法:选取105 例慢性盆腔炎患者,按随机数字表法分为对照组52 例和观察组53 例。对照组予以妇炎康复胶囊口服治疗,观察组在对照组基础上给予中医综合疗法联合辨证施护。比较2 组治疗前后炎症因子水平、免疫因子水平以及临床症状改善情况。结果:治疗前,2 组免疫球蛋白G(IgG)、CD3+和CD4+/CD8+比较,差异无统计学意义(P>0.05)。治疗后,2 组IgG 较治疗前降低,观察组IgG 低于对照组(P<0.05);2 组CD3+、CD4+/CD8+较治疗前升高,观察组CD3+、CD4+/CD8+高于对照组(P<0.05)。治疗前,2 组白细胞介素-1(IL-1)、白细胞介素-2(IL-2)、白细胞介素-6(IL-6) 及肿瘤坏死因子-α(TNF-α) 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组IL-1、IL-6 及TNF-α 水平较治疗前降低,观察组IL-1、IL-6 及TNF-α 水平低于对照组(P<0.05);2 组IL-2 水平较治疗前升高,观察组IL-2 水平高于对照组(P<0.05)。治疗后,2 组子宫压痛、下腹痛、附件区压痛、阴道分泌物增多比例较治疗前降低,观察组子宫压痛、下腹痛、附件区压痛、阴道分泌物增多比例低于对照组,治愈率高于对照组,差异均有统计学意义(P<0.05)。结论:中医综合疗法联合辨证施护可以有效改善慢性盆腔炎患者的炎症因子和免疫因子水平,缓解临床症状,提高临床治愈率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of comprehensive therapy of Chinese medicine combined with nursing based on syndrome differentiation for chronic pelvic inflammatory disease. Methods:A total of 105 cases of patients with chronic pelvic inflammatory disease were selected and divided into the control group and the observation group according to the random number table method, 52 and 53 cases in each group respectively. The control group was given the oral administration of Fuyan Kangfu capsules, and the observation group was additionally given comprehensive therapy of Chinese medicine combined with nursing based on syndrome differentiation based on the treatment of the control group. Levels of inflammatory factors and immune factors as well as improvement of clinical symptoms before and after treatment was compared in the two groups. Results: Before treatment, when compared immunoglobulin G(IgG), CD3 + , and CD4+/CD8+ between the two groups,there was no significance being found in the difference(P>0.05). After treatment,IgG in the two groups was decreased when compared with that before treatment,and IgG in the observation group was lower than that in the control group(P<0.05);CD3+ and CD4+/CD8+ in the two groups were increased when compared with those before treatment,and the two indexes in the observation group were higher than those in the control group(P<0.05). After treatment, the proportion of uterus tenderness, lower abdominal pain, adnexal tenderness, and increased vaginal discharge in the two groups was decreased when compared with that before treatment; the proportion above in the observation group was smaller than that in the control group,and the cure rate was higher;differences were significant(P< 0.05). Before treatment,when compared levels of interleukin-1(IL-1),interleukin-2(IL-2),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α) between the two groups,there was no significance being found in the difference(P>0.05). After treatment, levels of IL- 1, IL- 6, and TNF- α in the two groups were decreased when compared with those before treatment,and the three levels in the observation group were lower than those in the control group(P<0.05);levels of IL-2 in the two groups were increased when compared with those before treatment,and the level in the observation group was higher than that in the control group(P<0.05). Conclusion:For patients with chronic pelvic inflammatory disease,the therapy of comprehensive therapy of Chinese medicine combined with nursing based on syndrome differentiation can effectively improve levels of inflammatory factors and immune factors,relieve clinical symptoms,and increase clinical cure rate.

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季玲玲,洪霞,廖琳萍.中医综合疗法联合辨证施护治疗慢性盆腔炎临床研究[J].新中医,2021,53(10):150-153

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  • 在线发布日期: 2021-05-24
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