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作 者:赖丽 邓霞 Lai Li;Deng Xia(Xiangdong District Hospital of Traditional Chinese Medicine of Pingxiang City,Pingxiang Jiangxi 337016,China)
出 处:《医疗装备》2023年第22期145-148,共4页Medical Equipment
摘 要:目的探讨微波治疗仪对慢性盆腔炎患者康复预后的影响。方法采用随机数字表法将萍乡市湘东区中医院于2021年1月至2022年1月收治的62例慢性盆腔炎患者分为两组,各31例。对照组接受药物(头孢唑林钠联合甲硝唑)治疗,观察组则在药物治疗基础上接受微波治疗仪治疗。比较两组的治疗效果、症状体征(腰腹部疼痛、白带异常、疲乏无力)消失时间及治疗前后血清炎症因子[血清超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)]水平、生活质量[采用36条简明健康状况调查表(SF-36)评估],随访6个月并记录两组复发率。结果观察组治疗总有效率为93.55%,高于对照组的74.19%,差异有统计学意义(P<0.05)。观察组腰腹部疼痛、白带异常、疲乏无力的消失时间均短于对照组,差异有统计学意义(P<0.05)。观察组治疗后血清hs-CRP、IL-6、IL-10水平均低于对照组,差异有统计学意义(P<0.05)。观察组治疗后SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05)。两组均完成6个月的随访,观察组复发率为3.23%,低于对照组的19.35%,差异有统计学意义(P<0.05)。结论微波治疗仪能够改善慢性盆腔炎患者的康复预后,促进症状改善,减轻炎症反应,提高生活质量,避免复发。Objective The impact of microwave therapy instrument on the rehabilitation prognosis of patients with chronic pelvic inflammatory disease was explored.Methods Using the random number table method,62 patients with chronic pelvic inflammatory disease admitted to Xiangdong District Traditional Chinese Medicine Hospital of Pingxiang City from January 2021 to January 2022 were divided into two groups,with 31 patients in each group.With the patients in the control group receiving medical treatment(cefazolin sodium combined with metronidazole),and the patients in the experimental group receiving treatment with microwave therapy instrument on the basis of medication treatment,the treatment efficacy,disappearance time of symptoms and signs(lumbar and abdominal pain,abnormal leucorrhea,fatigue and weakness),levels of serum inflammatory factors[serum high-sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6),interleukin-10(IL-10)]before and after treatment,and quality of life[using 36-item short form health survey(SF-36)assessment]were compared between the two groups,and recurrence rates were recorded in the two groups during 6 months of follow-up.Results The total effective rate of the experimental group was 93.55%,which was higher than 74.19%in the control group,and the difference was statistically significant(P<0.05).The disappearance time of lumbar and abdominal pain,abnormal leucorrhea,and fatigue and weakness in experimental group was shorter than that in control group,and the difference was statistically significant(P<0.05).After treatment,the serum levels of hs-CRP,IL-6,and IL-10 in the experimental group were lower than those in the control group,with statistical significance(P<0.05).After treatment,the SF-36 scores in all dimensions in the experimental group were higher than those in the control group,with statistically significant differences(P<0.05).With the completion of 6 months of follow-up,the recurrence rate in the experimental group was 3.23%,lower than 19.35%in the control group,and the difference wa
分 类 号:R271.1[医药卫生—中医妇科学]
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