温经通络隔姜灸法治疗盆腔炎性疾病的临床疗效观察  

Clinical Observation of Ginger-Padded Moxibustion with Actions of Warming Meridians and Dredging Collaterals Treating Pelvic Inflammatory Diseases

作　　者：谢永杰[1] 黄琼 周波兰 叶丹丹 

机构地区：[1]深圳市龙岗区妇幼保健院,广东深圳518172 [2]深圳市龙岗区中医院,广东深圳518000

出　　处：《针灸临床杂志》2018年第2期49-51,共3页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨温经通络隔姜灸法对盆腔炎性疾病的治疗效果。方法:选择我院收治的盆腔炎性疾病患者65例为研究对象,采用随机数字表法分为对照组32例、观察组33例,对照组行常规治疗,观察组在对照组治疗基础上加用温经通络隔姜灸,对两组患者治疗后疗效、临床症状及疼痛程度进行观察。结果:观察组治疗总有效率为93.94%,对照组为75%,差异有统计学意义(P<0.05);治疗前两组患者中医症状评分无明显差异(P>0.05),治疗后4、12周及停治4周时,中医症状评分观察组显著低于对照组,差异有统计学意义(P<0.05);VAS评分两组治疗前无显著差异(P>0.05),治疗后4、12周及停治4周时,VAS评分观察组明显低于对照组,差异有统计学意义(P<0.05);两组患者治疗后炎性因子水平均改善,观察组治疗12周的CRP、TNF-α水平较对照组低,IL-2水平较对照组高,差异均有统计学意义(P<0.05)。结论:温经通络隔姜灸法治疗盆腔炎性疾病效果显著,可促进中医症状改善,也能快速缓解患者疼痛感,降低炎性因子水平,值得临床推广。Objective: To explore the effect of ginger-padded moxibustion with actions of warming meridians and dredging collaterals in treatment of pelvic inflammatory diseases. Methods: 65 patients with pelvic inflammatory diseases were randomly divided into the control group( n = 32) and the observation group( n = 33). The control group was given conventional treatment; on which basis,the observation group was also treated with ginger-padded moxibustion. The clinical effects,clinical symptoms,and pain degree were observed after the treatment in the two groups. Results: The total effective rate was 93. 94% in the observation group,which was significantly higher than 75% in the control group( P < 0. 05). Before the treatment,scores of clinical symptoms and VAS showed no significant differences between the two groups( P > 0. 05); however,they were significantly lower in the observation group than those in the control group after 4 w and 12 w of the treatment,as well as after 4 w of stopping the treatment( P < 0. 05). The levels of inflammatory factors were all improved after the treatment in the two groups; the levels of CRP and TNF-a were significantly lowered,and IL-2 level was significantly heightened in the observation group than those in the control group( P < 0. 05). Conclusion: The therapy of ginger-padded moxibustion with action of warming meridians and dredging collaterals has an obvious effect on pelvic inflammatory diseases,which can promote the improvement of TCM symptoms,quickly relieve the pain,and reduce the inflammatory factors. Therefore,it is worthy to be popularized.

关 键 词：温经通络 隔姜灸 盆腔 炎性疾病 

分 类 号：R246.3[医药卫生—针灸推拿学]