化瘀消癥方联合红外治疗仪治疗湿热瘀结型慢性盆腔炎临床研究
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R711.33;R271.9

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玉环市科技计划项目(202314)


Clinical Study on Huayu Xiaozheng Prescription Combined with Infrared Therapy Device for Chronic Pelvic Inflammatory Disease of Damp-Heat-Stasis Stagnation Type
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    摘要:

    目的:观察化瘀消癥方联合红外治疗仪治疗慢性盆腔炎(CPID) 湿热瘀结证的疗效。方法:选择 2023年6月—2024年6月玉环市第二人民医院中医科收治60例CPID湿热瘀结证患者,按随机数字表法分为对 照组及观察组各30例。对照组采取常规西药治疗,观察组在对照组基础采用化瘀消癥方联合红外治疗仪治疗。 比较2组临床疗效及不良反应发生率,比较2组治疗前后疼痛视觉模拟评分法(VAS)、中医证候积分、盆腔超 声结果、血液流变指标[全血黏度(高切、低切)、纤维蛋白原(FIB)、红细胞沉降率(ESR)]、血清炎症指 标值[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、超敏C-反应蛋白(hs-CRP)、转化生长因子-β1] 的变化。结果:观察组临床疗效总有效率为93.33%(28/30),对照组为70.00%(21/30),2组比较,差异有统 计学意义(P<0.05)。治疗后,2组中医证候积分、VAS评分均较治疗前下降(P<0.05),观察组中医证候积 分、VAS评分均低于对照组(P<0.05)。治疗后,2组盆腔积液均较治疗前减少(P<0.05),炎症包块体积均 较治疗前缩小(P<0.05);观察组盆腔积液少于对照组(P<0.05),炎症包块小于对照组(P<0.05)。治 疗后,2组ESR、FIB、全血黏度(高切、低切) 水平均较治疗前下降(P<0.05),观察组ESR、FIB、全血黏 度(高切、低切) 水平均低于对照组(P<0.05)。治疗后,2组hs-CRP、IL-6、TNF-α水平均较治疗前下降(P< 0.05),TGF-β1水平均较治疗前上升(P<0.05);观察组hs-CRP、IL-6、TNF-α水平均低于对照组(P<0.05), TGF-β1水平高于对照组(P<0.05)。对照组与观察组不良反应发生率分别为13.33%(4/30)、10.00%(3/30), 2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:化瘀消癥方联合红外治疗仪治疗CPID湿热瘀 结证疗效确切,能缓解临床症状,减少盆腔积液,缩小炎症包块,降低疼痛程度及机体炎症反应,促进机体血 液循环,安全性高。

    Abstract:

    Abstract: Objective: To observe the therapeutic effect of Huayu Xiaozheng Prescription combined with an infrared therapy device in treating chronic pelvic inflammatory disease(CPID)of damp-heat-stasis stagnation type. Methods:A total of 60 patients with CPID of damp-heat-stasis stagnation type treated at the Department of Traditional Chinese Medicine, Yuhuan Second People's Hospital from June 2023 to June 2024 were selected and divided into a control group and an observation group,with 30 cases in each group,using a random number table method. The control group received conventional western medicine treatment,while the observation group was treated with Huayu Xiaozheng Prescription combined with an infrared therapy device on the basis of the control group. Clinical efficacy and the incidence of adverse reactions were compared between the two groups,as well as changes in pain of Visual Analogue Scale (VAS)scores, traditional Chinese medicine syndrome scores, pelvic ultrasound results, hemorheological indicators [whole blood viscosity(high shear and low shear), fibrinogen(FIB), and erythrocyte sedimentation rate(ESR)], and serum inflammatory markers [tumor necrosis factor-α(TNF-α), interleukin-6(IL-6), highsensitivity C-reactive protein(hs-CRP), and transforming growth factor-β1(TGF-β1)] before and after treatment. Results:The total effective rate of clinical efficacy in the observation group was 93.33%(28/30),higher than that in the control group at 70.00%(21/30),with a statistically significant difference between the two groups(P<0.05). After treatment,traditional Chinese medicine syndrome scores and VAS scores decreased in both groups compared to before treatment(P<0.05), with the observation group achieving lower scores than the control group(P<0.05). After treatment,pelvic effusion decreased and the volume of inflammatory masses shrank in both groups compared to before treatment(P<0.05),with the observation group showing less pelvic effusion and smaller inflammatory masses than the control group(P<0.05). After treatment, ESR, FIB, and whole blood viscosity(high shear, low shear)levels decreased in both groups compared to before treatment(P<0.05), with the observation group achieving lower levels than the control group(P<0.05). After treatment,hs-CRP,IL-6,and TNF-α levels decreased while TGF-β1 levels increased in both groups compared to before treatment(P<0.05), with the observation group having lower levels of hs-CRP,IL-6,and TNF-α and higher level of TGF-β1 than the control group(P<0.05). The incidence of adverse reactions was 13.33%(4/30)in the control group and 10.00%(3/30)in the observation group,with no statistically significant difference between the two groups (P>0.05). Conclusion: The combination of Huayu Xiaozheng Prescription and an infrared therapy device is effective in treating CPID of damp-heat-stasis stagnation type. It can alleviate clinical symptoms, reduce pelvic effusion, shrink inflammatory masses, lower pain levels and systemic inflammatory responses,and promote blood circulation,with high safety.

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吴阳,陈静,周瑶,陈冰鑫.化瘀消癥方联合红外治疗仪治疗湿热瘀结型慢性盆腔炎临床研究[J].新中医,2025,57(17):60-66

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