热敏灸加穴位注射治疗血瘀型慢性盆腔炎临床观察

目的观察热敏灸加穴位注射治疗对慢性盆腔炎患者的症状、体征以及血液流变学指标的改善作用。方法将97例慢性盆腔炎患者随机分为观察组、艾灸加穴注组、穴注组,分别进行治疗,通过组间对照及自身前后对照,比较3组综合疗效、临床症状积分和血瘀证积分。观察不同的方案对慢性盆腔炎临床症状和血瘀证的影响。结果 3组治疗后慢性盆腔炎临床症状积分和血瘀证积分与治疗前比较差异均有统计学意义(P<0.01)。观察组总有效率优于穴注组(P<0.05),观察组临床症状积分与穴注组比较差异有统计学意义(P<0.01),观察组与艾灸加穴注组比较差异无统计学意义(P>0.05),艾灸加穴注组与穴注组比较差异无统计学意义(P>0.05)。观察组血瘀证积分与艾灸加穴注组比较差异有统计学意义(P<0.05),观察组与穴注组比较差异有统计学意义(P<0.01),艾灸加穴注组与穴注组比较差异无统计学意义(P>0.05)。结论 3组治疗方案均能改善慢性盆腔炎临床症状和血瘀证积分,且热敏灸加穴位注射具有较好的协同增效作用。

Clinical Observation of Heat-sensitive Moxibusiton plus Acupoint Injection for Chronic Pelvic Inflammation Due to Blood Stagnation

Objective To observe the effect of heat-sensitive moxibustion plus acupoint injection on the symptoms, physical signs, and hemorheological indexes of chronic pelvic inflammation. Method Ninety-seven patients with chronic pelvic inflammation were randomized into an observation group, a group of moxibustion plus acupoint injection, and an acupoint injection group, to receive corresponding treatments. The therapeutic efficacy, symptom score and blood stagnation score were compared among the three groups to see the effects of different treatment protocols on the symptoms and blood stagnation of chronic pelvic inflammation. Result The symptom score and blood stagnation score were significantly changed after treatment in all three groups （P〈0.01）. The total effective rate in the observation group was significantly superior to that in the acupoint injection group （P〈 0.05）; and the symptom score in the observation group was markedly different from that in the acupoint injection group （P〈0.01）, but insignificantly different from that in the group ofmoxibustion plus acupoint injection （P〉0.05）; the symptom score in the group of moxibustion plus acupoint injection was insignificantly different from that in the acupoint injection group （P〉0.05）. The blood stagnation score in the observation group was significantly different from that in the group of moxibustion plus acupoint inj ection （P 〈0.05） and acupoint injection group （P〈0.01）, while the difference between the group of moxibustion plus acupoint injection and the acupoint injection group was statistically insignificant （P〉0.05）. Conclusion All the three treatment protocols can improve the symptom and blood stagnation scores in treating chronic pelvic inflammation, and heat-sensitive moxibustion plus acupoint injection can produce a better synergistic efficacy.