中医情志调节联合热敷对盆腔炎性疾病后遗症患者下腹疼痛的影响研究  

Effect of traditional Chinese medicine emotional regulation combined with hot compress therapy on lower abdominal pain in patients with sequelae of pelvic inflammatory disease

作　　者：杨建红 薛彩星 刘科如 YANG Jianhong;XUE Caixing;LIU Keru(Department of Gynecology,Zhangjiakou Maternal and Child Health Hospital,Zhangjiakou,Hebei 075000)

机构地区：[1]河北省张家口市妇幼保健院妇科,河北张家口075000

出　　处：《河北中医》2023年第10期1659-1662,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：张家口市重点研发计划项目(编号:2121166D)。

摘　　要：目的观察中医情志调节联合热敷对盆腔炎性疾病后遗症(SPID)患者下腹疼痛的影响。方法将106例气虚血瘀证SPID患者按照随机数字表法分为2组,对照组53例予常规干预指导,观察组53例在对照组干预基础上予中医情志调节联合热敷。2组均干预2周。比较2组干预前后中医证候评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、妇科检查评分、疼痛视觉模拟评分(VAS),并统计患者满意度。结果2组干预后中医证候各项评分均较本组干预前降低(P<0.05),且观察组干预后均低于对照组(P<0.05)。2组干预后HAMA、HAMD评分均较本组干预前降低(P<0.05),且观察组干预后均低于对照组(P<0.05)。2组干预后妇科检查评分、疼痛VAS均较本组干预前降低(P<0.05),且观察组干预后均低于对照组(P<0.05)。观察组满意度96.23%(51/53),对照组满意度75.47%(40/53),观察组满意度高于对照组(P<0.05)。结论中医情志调节联合热敷干预可有效减轻SPID患者下腹疼痛等症状,促进焦虑、抑郁等不良情绪消退,提高患者满意度。Objective To analyze the effect of traditional Chinese medicine(TCM)emotional regulation combined with hot compress therapy on lower abdominal pain in patients with sequelae of pelvic inflammatory disease(SPID).Methods A total of 106 SPID patients with Qi deficiency and blood stasis syndrome were randomly divided into two groups(53 cases in each group).Based on conventional intervention,and the patients of observation group were additionally given TCM emotional regulation combined with hot compresse therapy.The treatment was performed for 2 weeks,aiming to compare TCM syndrome score,Hamilton anxiety rating/Hamilton depression rating(HAMA/HAMD)scales score,gynecological examination score,visual analogue scale(VAS)score,patient satisfaction.The recurrence rate within 1 year between groups was assessed.Results After intervention,the scores of TCM syndromes in the two groups were significantly lower than those before intervention(P<0.05),and which were more significant in the observation group than in the control group(P<0.05).The score of HAMA,HAMD,gynecological examination and VAS in the both groups significantly decreased(all P<0.05),and the decrease was more pronounced in the observation group than in the control group(all P<0.05).The satisfaction of patients in the observation group was significantly higher than that in the control group(96.23%[51/53]vs 75.47%[40/53],P<0.05).Conclusion For patients with SPID,TCM emotional regulation combined with hot compress therapy can effectively reduce the symptoms of lower abdominal pain,promote the resolution of anxiety,depression and other bad emotions,reduce the recurrence rate,and improve patient satisfaction.

关 键 词：盆腔炎性疾病后遗症 下腹疼痛 情志疗法 热敷疗法 

分 类 号：R711.33[医药卫生—妇产科学]