温针灸治疗寒湿凝滞型慢性盆腔炎疗效观察  

Observation on therapeutic effect of warming needle moxibustion on chronic pelvic inflammation of cold-damp stagnation type

作　　者：甄洪亮[1] 王瑛[1] 刘贤菊[1] 

机构地区：[1]日照市人民医院中医科,山东日照276826

出　　处：《中国针灸》2008年第10期736-738,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察温针灸治疗寒湿凝滞型慢性盆腔炎的临床疗效。方法:将85例患者随机分为温针灸组(45例)和中药组(40例)。温针灸组采用温针灸治疗,穴取关元、气海、足三里、肾俞等,每日1次;中药组口服中药汤剂,每日1剂。10天为一疗程,治疗3个疗程后观察疗效、C-反应蛋白(CRP)水平的变化,半年后随访痊愈病例的复发率。结果:温针灸组总有效率为95.6%,中药组为77.5%,差异具有统计学意义(P<0.05)。两组各选25例患者测定治疗前后CRP水平,温针灸组治疗前后分别为(16.47±7.11)mg/L、(5.98±2.29)mg/L,中药组分别为(16.32±8.19)mg/L、(8.63±2.41)mg/L,两组治疗后CRP均较治疗前降低(P<0.01,P<0.05);温针灸组与中药组治疗后比较差异有统计学意义(P<0.05)。温针灸组随访23例,复发2例;中药组随访9例,复发2例。结论:温针灸治疗寒湿凝滞型慢性盆腔炎疗效确切,并且能更好地改善患者CRP水平。Objective To observe clinical therapeutic effect of warming needle moxibustion on chronic pelvic inflammation of cold-damp stagnation type. Methods Eighty-five cases with chronic pelvic inflammation were randomly divided into a warming needle moxibustion group of 45 cases and a Chinese drug group of 40 cases. The warming needle moxibustion group were treated with warming needle moxibustion at Guanyuan （CV 4）, Qihai （CV 6）, Zusanli （ST 36） and Shenshu （BL 23） etc. and the Chinese drug group were treated with oral administration of TCM decoction, one dose each day. One course was constituted by 10 days. After treatment of 3 courses, the therapeutic effects, changes of C-reactive protein （CRP） level and the recurrence rate of the cured cases a half year later were observed. Results The total effective rate was 95.6% in the warming needle moxibustion group and 77.5% in the Chinese drug group with a significant difference between the two groups （P〈0.05）. Twenty-five cases in each group were selected to determine CRP levels and results showed that before and after treatment CRP levels were （16.47±7.11） mg/L and （5.98±2.29） mg/L in the warming needle moxibustion group, and （16.32±8.19） mg/L and （8.63±2.41） mg/L in the Chinese drug group, with significantly decreased in the two groups （P〈0.01 or P〈0.05）, and with a significant difference between the two group after treatment （P〈0.05）. In the warming needle moxibustion group, of 23 cases followed-up, 2 cases relapsed, while in the Chinese drug group, among 9 cases followed-up, 2 cases relapsed. Conclusion Warming needle moxibustion has a definite therapeutic effect on chronic pelvic inflammation of cold-damp stagnation type and better improves CRP level of the patient.

关 键 词：温针疗法 慢性病 盆腔炎性疾病 寒湿 

分 类 号：R246.3[医药卫生—针灸推拿学]