中药灌肠联合温针灸治疗盆腔粘连所致慢性盆腔痛临床研究
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R711.3

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Clinical Study on Chinese Medicine Enema Combined with Warming-Needle Moxibus⁃ tion for Chronic Pelvic Pain Caused by Pelvic Adhesion
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    摘要:

    目的:观察中药灌肠联合温针灸治疗盆腔粘连所致慢性盆腔痛(CPP) 的临床疗效。方法:选取70 例盆腔粘连所致CPP 患者,用计算机随机分组法分为治疗组和对照组,每组35 例。2 组均行腹腔镜下盆腔粘连分离术,对照组在此基础上给予中药灌肠治疗,治疗组在对照组基础上给予温针灸治疗,2 组均治疗2 个月经周期。比较2 组治疗前后疼痛、匹兹堡睡眠质量指数(PSQI)、健康调查简表(SF-36) 评分及临床症状(下腹坠痛、腰骶酸痛) 消失时间。结果:治疗后,2 组疼痛、PSQI 评分均较治疗前降低(P<0.05),治疗组疼痛、PSQI 评分均低于对照组(P<0.05);2 组SF-36 评分均较治疗前升高(P<0.05),治疗组SF-36 评分高于对照组(P<0.05)。治疗后,治疗组下腹坠痛、腰骶酸痛消失时间均短于对照组(P<0.05)。结论:中药灌肠联合温针灸治疗盆腔粘连所致CPP 疗效显著,可有效缓解患者疼痛,提高其睡眠质量及生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Chinese medicine enema combined with warming-needle moxibustion on the treatment of chronic pelvic pain(CPP) caused by pelvic adhesion. Methods:Seventy patients with CPP caused by pelvic adhesion were randomly divided into the treatment group and the control group,with 35 cases in each group. Both groups were given laparoscopic separation of pelvic adhesion;the control group was additionally treated with Chinese medicine enema and the treatment group was additionally treated with warming-needle moxibustion based on the treatment of the control group. Both groups were treated for two menstrual cycles. The pain,Pittsburgh Sleep Quality Index(PSQI), Health Survey Short Form(SF- 36) score and the disappearance time of clinical symptoms (lower abdominal drop pain and lumbosacral pain) were compared between the two groups before and after treatment. Results:After treatment,the pain and PSQI scores in the two groups were decreased when compared with those before treatment(P<0.05), and the pain and PSQI scores in the treatment group were lower than those in the control group(P<0.05);the SF-36 scores in the two groups were increased when compared with those before treatment(P<0.05),and the SF- 36 score in the treatment group was higher than that in the control group(P<0.05). After treatment,the disappearance time of lower abdominal drop pain and lumbosacral pain in the treatment group were shorter than those in the control group(P<0.05). Conclusion:The therapy of Chinese medicine enema combined with warming- needle moxibustion has a significant therapeutic effect on the treatment of CPP caused by pelvic adhesion, which can effectively relieve the pain of patients and improve their sleep quality and life quality.

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王卓亚,侯俊芳,王瑞娜.中药灌肠联合温针灸治疗盆腔粘连所致慢性盆腔痛临床研究[J].新中医,2022,54(22):144-147

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  • 在线发布日期: 2022-11-27
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