中药灌肠联合低频脉冲电穴位刺激治疗SPID慢性盆腔痛(湿热瘀阻型)的临床研究  

Clinical Study of Traditional Chinese Medicine Enema Combined with Low-frequency Pulsed Electrical Acupoint Stimulation in the Treatment of SPID Chronic Pelvic Pain(Damp-heat Stasis Type)

作　　者：王晓炜 高晓燕 WANG Xiaowei;GAO Xiaoyan(Department of Gynecology,Haimen District Traditional Chinese Medicine Hospital,Nantong,Jiangsu Province,226100 China)

机构地区：[1]南通市海门区中医院妇科,江苏南通226100

出　　处：《系统医学》2022年第18期146-150,共5页Systems Medicine

摘　　要：目的剖析湿热瘀阻型盆腔炎性疾病后遗症(sequelae of pelvic inflammatory disease,SPID)慢性盆腔痛患者予以中药灌肠与低频脉冲电穴位刺激协同治疗的价值。方法选取2020年1月—2021年9月南通市海门区中医院收治的120例湿热瘀阻型SPID慢性盆腔痛患者为研究对象,基于治疗方式的不同分为3组,40例实施中药灌肠治疗的患者列入对照A组,40例采用低频脉冲电穴位刺激治疗的患者列入对照B组,40例实施中药灌肠与低频脉冲电穴位刺激协同治疗的患者列入治疗组。比较3组治疗效果、NRS疼痛评分、中医证候积分(腰骶酸痛、腹痛、带下增多、疲乏低热)及血清炎性因子水平(IL-2,IL-10及TNF-α)。结果治疗组治疗总有效率达95.00%,相比于对照A组(75.00%)、对照B组(77.50%)更高,差异有统计学意义(χ^(2)=6.580,P<0.05)。治疗后,治疗组的NRS疼痛评分相比于对照A组、对照B组更低,差异有统计学意义(P<0.05)。治疗后,治疗组的中医证候积分较对照A组、对照B组低,且血清炎性因子水平优于对照A组、对照B组,差异有统计学意义(P<0.05)。结论对湿热瘀阻型盆腔炎性疾病后遗症慢性盆腔痛患者实施中药灌肠与低频脉冲电穴位刺激的协同干预,能在提升疾病疗效、缓解疼痛、改善症状及减轻炎症反应等诸多方面产生积极影响。Objective To analyze the value of synergistic treatment of traditional Chinese medicine enema and lowfrequency pulsed electrical acupoint stimulation in patients with chronic pelvic pain with sequelae of pelvic inflammatory disease(SPID)of damp-heat stasis type.Methods A total of 120 patients with SPID chronic pelvic pain of dampheat stasis type who were admitted to Haimen District Traditional Chinese Medicine Hospital of Nantong City from January 2020 to September 2021 were selected as the research objects.Divide into 3 groups based on the different treatment methods,40 patients who were treated with traditional Chinese medicine enema were included in the control group A;40 patients treated with low-frequency pulsed electrical acupoint stimulation were included in the control group B;40 patients who were treated with Chinese medicine enema combined with low-frequency pulsed electrical acupoint stimulation were included in the treatment group.The treatment effect,NRS pain score,TCM syndrome score(lumbosacral pain,abdominal pain,increased vaginal discharge,fatigue and low fever)and serum inflammatory factor levels(IL-2,IL-10 and TNF-α)were compared among the three groups.Results The total effective rate of the observation group was 95.00%,which was higher than that of the control group A(75.00%)and the control group B(77.50%),and the difference was statistically significant(χ^(2)=6.580,P<0.05).After treatment,the NRS pain score of the treatment group was lower than that of the control group A and the control group B,and the difference was statistically significant(P<0.05).After treatment,the TCM syndrome scores of the treatment group were lower than those of the control group A and the control group B,and the levels of serum inflammatory factors were better than those of the control group A and the control group B,and the difference was statistically significant(P<0.05).Conclusion The synergistic intervention of traditional Chinese medicine enema and low-frequency pulsed electric acupoint stimulation in patients

关 键 词：慢性盆腔痛 中药灌肠 低频脉冲电穴位刺激 疼痛 

分 类 号：R4[医药卫生—临床医学]