气机升降针法联合薄氏腹针治疗气滞血瘀型慢性盆腔痛的临床研究  

Clinical Study on Ascending and Descending Acupuncture Combined with Bo's Abdominal Needling in Treatment of Chronic Pelvic Pain of Qi Stagnation and Blood Stasis

作　　者：刘富阳 刘娜 陈从山[1] 张远洋[1] 王新宇 LIU Fuyang;LIU Na;CHEN Congshan;ZHANG Yuanyang;WANG Xinyu(Shiyan Taihe Hospital,Shiyan 442000,China;The Hong Kong Polytechnic University,Hongkong 100872,China)

机构地区：[1]十堰市太和医院,湖北十堰442000 [2]香港理工大学,中国香港100872

出　　处：《针灸临床杂志》2024年第9期48-52,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖北省卫生健康委员会项目,编号:WJ2021M058。

摘　　要：目的:探讨气机升降针法联合薄氏腹针治疗慢性盆腔痛(CPP)的疗效。方法:选取来自本院治疗的CPP患者73例,随机分为对照组35例和观察组38例,对照组给予薄氏腹针治疗,1次/d,每周治疗5 d。观察组在此基础上联用气机升降针法治疗,1次/d,每周治疗5 d;两组均接受治疗4周。观察两组治疗NIH-CPSI量表评分、盆腔体征量表(McCormack)评分、VAS评分及中医症候积分变化并观察两组血清IL-6、TNF-α和CRP水平变化。结果:治疗后两组NIH-CPSI评分、中医症候积分、VAS评分和McCormack评分及血清炎性因子水平均明显降低,差异具有统计学意义(P<0.05),且治疗后观察组NIH-CPSI评分、症候积分、VAS评分和McCormack评分及血清炎性因子水平明显低于对照组,差异具有统计学意义(P<0.05)。结论:CPP采用气机升降针法联合薄氏腹针进行治疗具有较好的疗效,能够缓解机体炎症反应,改善临床症状,有助于患者预后。Objective:To investigate the effect of ascending and descending acupuncture combined with Bo's abdominal needling in treatment of chronic pelvic pain(CPP).Methods:73 CPP patients were randomly divided into the control group(n=35)and the observation group(n=38).The control group was treated with Bo's abdominal needling,once a day,5 days a week for 4 weeks;on which basis,the observation group was also treated with ascending and descending acupuncture,once a day,5 days a week for 4 weeks.The scores of NIH-CPSI scale,Mc Cormack scale,VAS and TCM symptomsm,as well as the serum levels of IL-6,TNF-αCRP were obserned between before and afcer the treatment in the two groups.Results:NIH-CPSI score,symptoms score,VAS score,McCormack score and serum inflammatory factor levels were significantly decreased in both groups after the treatment(P<0.05);which were significantly lower in the observation group than those in the control group(P<0.05).Conclusion:Ascending and descending acupuncture combined with Bo's abdominal needling has a good effect in treatment of CPP,which can alleviate inflammation,improve clinical symptoms and contribute to the prognosis of the patients.

关 键 词：慢性盆腔痛 气机升降针法 薄氏腹针 

分 类 号：R246.3[医药卫生—针灸推拿学]