内异停加减方多途径联合治疗湿热瘀阻型慢性盆腔痛的临床研究

发布时间：2018-04-08 19:05

本文选题：内异停加减方　切入点：多途径联合疗法　出处：《南京中医药大学》2016年硕士论文

【摘要】：目的：观察内异停加减方口服、灌肠结合穴位离子导入多途径联合疗法,对湿热瘀阻型慢性盆腔痛的临床疗效,为临床提供切实可行的综合疗法提供依据,开创中医药治疗慢性盆腔痛新的治疗途径。方法：通过收集符合纳入标准的患者60例,随机分为三组。治疗组20例采用内异停加减方口服、灌肠联合穴位离子导入治疗,对照①组20例采用内异停加减方口服治疗,对照②组20例采用内异停加减方口服加灌肠治疗,比较三组治疗前后疼痛程度(VAS评分),中医症候以及局部体征等的变化情况。结果：治疗后三组的疼痛程度(VAS评分)、中医症候评分、体征评分以及总积分与治疗前相比,均有显著降低,差异具有统计学意义(P0.001)。治疗后三组的疼痛程度(VAS评分),治疗组：0.95±1.36,对照①组：2.35±1.60,对照②组：1.35±1.04,治疗组与对照两组相比,差异均有统计学意义(P0.05),对照①、②两组间相比,差异无统计学意义(P0.05)。治疗后三组的综合疗效,治疗组：90.0%,对照①组：75.0%,对照②组：85.0%,治疗组与对照①组总疗效差异有统计学意义(P0.05),而与对照②组总疗效差异无统计学意义(P0.05),对照①、②两组间总疗效差异同样无统计学意义(P0.05)。治疗后三组的中医症候疗效,治疗组：85.0%,对照①组：65.0%,对照②组：80.0%,治疗组与对照①组中医症候疗效差异具有统计学意义(P0.05),而与对照②组中医症候疗效差异不具有统计学意义(P0.05),对照①、②两组间中医症候疗效差异同样不具有统计学意义(P0.05)。治疗后三组的局部体征疗效,治疗组：77.8%,对照①组：66.7%,对照②组：73.7%,三组体征疗效差异不具有统计学意义(P0.05)。三组患者在临床治疗中及治疗后均未出现明显不良反应。结论：内异停加减方治疗湿热瘀阻型慢性盆腔痛具有一定的临床疗效,可有效缓解患者的疼痛程度,改善中医症候以及局部体征,可适用于口服、灌肠及穴位离子导入等不同的途径,口服、灌肠结合穴位离子导入多途径联合疗法在疗效上更具优势,值得临床运用以及进一步推广。
[Abstract]:Objective: to observe the clinical effect of Neixidan plus subtraction prescription combined with enema combined with acupoint ion introduction in the treatment of chronic pelvic pain of dampness and heat stasis type, and to provide a practical basis for clinical comprehensive therapy.To open up a new way of treating chronic pelvic pain with traditional Chinese medicine.Methods: 60 patients who met the inclusion criteria were randomly divided into three groups.In the treatment group, 20 cases were treated by oral administration of Neixidan plus subtractive prescription, enema combined with point ion introduction, 20 cases of control group 1 were treated with Neixidazole plus subtractive prescription, and 20 cases of control group 2 were treated by oral administration and enema of Nieitantin plus subtractive prescription, respectively.The changes of VAS scores, TCM symptoms and local signs before and after treatment were compared among the three groups.Results: after treatment, the VAS score, TCM symptom score, physical sign score and total score of the three groups were significantly lower than those before treatment, and the difference was statistically significant (P 0.001).After the treatment, the overall curative effect of the three groups, the treatment group: 90.0, the control group 1: 75.0, the control group 2: 85.0, the treatment group and the control group 1, the total curative effect difference was statistically significant (P 0.05), but there was no significant difference between the treatment group and the control group (P 0.05), the control group (1), the treatment group and the control group 1, the total curative effect of the treatment group was significantly different from that of the control group (P < 0.05).2 there was no significant difference in total curative effect between the two groups (P 0.05).The curative effect of TCM symptoms in the latter three groups,2 there was no significant difference in the curative effect of TCM symptoms between the two groups (P 0.05).After the treatment, the local physical signs of the three groups, the treatment group, the control group 1, the control group 1, the control group 1, the control group 1, the control group 1, the control group 1, the control group 1, the control group 1, the control group 1, the control group 2, the difference between the two groups was not statistically significant (P 0.05).No significant adverse reactions were observed in the three groups during and after treatment.Conclusion: the treatment of chronic pelvic pain caused by dampness and heat stasis has certain clinical curative effect. It can effectively relieve the pain degree of patients, improve the symptoms and local signs of TCM, and can be applied to oral administration.Different ways such as enema and acupoint iontophoresis, oral administration, enema combined with acupoint iontophoresis combined therapy have more advantages in curative effect, which is worthy of clinical application and further promotion.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R242

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