温针隔药灸治疗气滞血瘀型慢性盆腔炎后腰痛疗效观察  

Therapeutic efficacy of warm-needle plus herbal separated moxibustion on lower back pain of chronic pelvic inflammatory disease with syndrome of Qi stagnation and blood stasis

作　　者：陈伟[1] 宋艳华[2] 曲一诺 王田静 王文静[1] 于慧娟[1,2] CHEN Wei;SONG Yanhua;QU Yinuo;WANG Tianjing;WANG Wenjing;YU Huijuan(Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250011

出　　处：《现代中西医结合杂志》2024年第23期3250-3254,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：山东省社科联2023年度人文社会科学课题合作专项(2023-JKZX-09);山东省中医药科技项目(Q-2022069)。

摘　　要：目的探讨温针隔药灸治疗气滞血瘀型慢性盆腔炎后腰痛的临床疗效。方法将2023年1月—2024年1月于山东中医药大学附属医院治未病中心、妇科门诊治疗的86例气滞血瘀型慢性盆腔炎后腰痛患者随机分为治疗组和对照组,每组43例(研究中每组各脱落1例)。治疗组给予温针隔药灸治疗,对照组给予常规针刺治疗,2组均治疗8周。比较2组治疗前后中医证候积分、腰痛程度VAS评分、局部体征评分及治疗8周后的总体疗效。结果2组治疗8周后的中医证候积分、腰痛程度VAS评分、局部体征评分均明显低于治疗前(P均<0.05),且治疗组各评分均明显低于对照组(P均<0.05);治疗组治疗8周后的总有效率为95.23%(40/42),明显高于对照组的78.57%(33/42),差异有统计学意义(P<0.05)。结论温针隔药灸治疗气滞血瘀型慢性盆腔炎后腰痛效果优于常规针刺治疗,临床症状改善更明显。Objective It is to explore the clinical efficacy of warm-needle plus herbal separated moxibustion in the treatment of lower back pain of chronic pelvic inflammatory disease with syndrome of Qi stagnation and blood stasis.Methods Eighty-six patients with lower back pain of chronic pelvic inflammatory disease with syndrome of Qi stagnation and blood stasis treated in the disease prevention center and gynecology outpatient clinic of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January 2023 to January 2024 were randomly divided into a treatment group and a control group,with 43 cases in each group(one case dropped in each group in the study).The treatment group was treated with warm-needle plus herbal separated moxibustion,and the control group was treated with conventional acupuncture,and both groups were treated for 8 weeks.The scores of traditional Chinese medicine syndrome,VAS scores of back pain and local sign scores before and after treatment,and the overall efficacy after 8 weeks of treatment of the two groups were compared.Results The scores of traditional Chinese medicine syndrome,VAS scores of back pain and local sign scores after 8 weeks of treatment were significantly lower than those before treatment in the two groups(all P<0.05),and the scores of the treatment group were significantly lower than those of the control group(all P<0.05);the total effective rate of the treatment group after 8 weeks of treatment was 95.23%(40/42),which was significantly higher than that 78.57%(33/42)of the control group,and the difference was statistically significant(P<0.05).Conclusion Warm-needle plus herbal separated moxibustion is more effectively than conventional acupuncture and can improve the clinical symptoms more obviously in the treatment of lower back pain of chronic pelvic inflammatory disease with syndrome of Qi stagnation and blood stasis.

关 键 词：慢性盆腔炎 腰痛 气滞血瘀 温针灸 隔药灸 针刺疗法 

分 类 号：R711.33[医药卫生—妇产科学]