隔药温针灸治疗盆腔炎性疾病后遗慢性盆腔痛的临床研究

目的观察隔药温针灸治疗女性盆腔炎性疾病(PID)后遗慢性盆腔痛(CPP)的临床疗效。方法将符合纳入标准的70例寒湿凝滞型CPP患者按随机数字表法以1:1比例分为试验组和针刺组,每组35例。试验组予隔药温针灸,对照组予常规针刺治疗。观察两组治疗前后和随访时视觉模拟量表(VAS)评分、盆腔痛客观体征(Mc Cormack)评分和中医证候评分的变化,比较两组临床疗效。结果共67例CPP患者完成本研究。两组治疗前VAS评分、McCormack评分和中医证候评分比较,差异均无统计学意义(P>0.05);两组治疗后和随访时上述各项评分均优于同组治疗前(P<0.05),且试验组治疗后和随访时上述各项评分均优于针刺组(P<0.05)。试验组临床总有效率为100.0%,高于针刺组的82.4%,差异有统计学意义(P<0.05)。结论隔药温针灸治疗女性盆腔炎性疾病后遗慢性盆腔痛的临床疗效优于常规针刺。

Clinical Study on Herb-partitioned Warm Needling for Chronic Pelvic Pain After Pelvic Inflammatory Disease

Objective To observe the clinical efficacy of herb-partitioned warm needling in treating chronic pelvic pain(CPP)after pelvic inflammatory disease(PID)in women.Method Seventy eligible patients with CPP of congealing cold-damp pattern were divided into an experiment group and an acupuncture group using random number table method at 1:1,with 35 cases in each group.The experiment group was intervened by herb-partitioned warm needling,and the control group was given ordinary acupuncture treatment.The visual analogue scale(VAS)score,objective pelvic pain sign(McCormack)score and symptoms scores of traditional Chinese medicine(TCM)were observed before and after treatment and at follow-up in the two groups.The clinical efficacy was compared between the two groups.Result Sixty-seven CPP patients completed this trial.The between-group differences in the VAS,Mc Cormack and TCM symptoms scores were statistically insignificant before treatment(P>0.05);the scores of the above metrics showed improvements after treatment and at follow-up compared with the baseline in both groups(P<0.05),and the experiment group won out the acupuncture group comparing the scores of the above indexes after treatment and at follow-up(P<0.05).The clinical total effective rate was 100.0%in the experiment group,higher than 82.4%in the acupuncture group,and the difference was statistically significant(P<0.05).Conclusion Herb-partitioned warm needling can produce more significant clinical efficacy than ordinary acupuncture in treating CPP after PID in women.