热敏灸治疗气滞血瘀型慢性盆腔炎不同灸量方案的临床疗效评价  

Clinical Evaluation of Thermosensitive Moxibustion with Different Moxibustion Dosages in the Treatment of Chronic Pelvic inflammatory Disease

作　　者：李自如[1] 郑琼[1] 迟振海[1] 周星辰 周水生 毛强健 LI Ziru;ZHENG Qiong;CHI Zhenhai;ZHOU Xingchen;ZHOU Shuisheng;MAO Qiangjian(Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Jiangxi Nanchang 330000,China)

机构地区：[1]江西中医药大学附属医院,江西南昌330000

出　　处：《中医药临床杂志》2021年第11期2192-2195,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：2019年度江西省中医药科技计划项目(2019A068)。

摘　　要：目的:探究不同灸量方案热敏灸治疗气滞血瘀型慢性盆腔炎(CPID)的临床疗效及对血清白介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的影响。方法:将90例气滞血瘀型CPID患者随机分为消敏饱和灸量组(A组)和传统固定灸量组(B组),A组和B组各45例。两组均采用热敏灸治疗,A组每次施灸至热敏感消失,B组每次每穴灸15 min,两组均2 次/d次,共治疗30次,评价两组患者治疗前后疗效,观察两组的中医症候积分、血清IL-6及TNF-α水平变化。结果:A组治疗后总有效率为88.9%,优于B组总有效率71.1%(P<0.01)。两组治疗后中医症候积分、血清IL-6及TNF-α水平均低于治疗前,A组与B组比较,中医症候积分、血清IL-6及TNF-α水平均显著降低(P<0.01)。结论:消敏饱和灸量热敏灸治疗气滞血瘀型慢性盆腔炎疗效胜于传统固定灸量,同时可显著降低血清IL-6及TNF-α水平。Objective:To explore the clinical efficacy of different amounts of moxibustion and heat-sensitive moxibustion in the treatment of chronic pelvic inflammatory disease (CPID) with stagnation of qi and blood stasis (CPID) and its effect on serum interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α).Methods:90 cases of CPID patients with Qi stagnation and blood stasis type were randomly divided into desensitization saturated moxibustion group (group A) and traditional fixed moxibustion group (group B),group A and group B with 45 cases each.Both groups were treated with heat-sensitive moxibustion.In group A,moxibustion was applied every time until the heat sensitivity disappeared.In group B,moxibustion was applied to each point for 15 minutes each time.Both groups were treated twice per day.A total of 30 treatments were performed.Observe the changes of TCM syndrome score,serum IL-6 and TNF-α levels of the two groups.Results:After treatment,the total effective rate of group A was 88.9%,which was better than that of group B of 71.1% (P<0.01).After treatment,the TCM syndrome score,serum IL-6 and TNF-α levels of the two groups were lower than before treatment.Compared with group B,TCM syndrome score,serum IL-6 and TNF-α levels were significantly reduced (P<0.01).Conclusion:The curative effect of desensitizing saturated moxibustion and heat-sensitive moxibustion is better than traditional fixed moxibustion in treating chronic pelvic inflammation of Qi stagnation and blood stasis type.At the same time,it can significantly reduce serum IL-6 and TNF-α levels.

关 键 词：热敏灸 慢性盆腔炎 灸量 

分 类 号：R271.1[医药卫生—中医妇科学]