中药灌肠联合艾灸治疗盆腔瘀血综合征的临床疗效观察

发布时间：2019-01-15 07:48

【摘要】：目的探讨中药灌肠联合艾灸治疗盆腔瘀血综合征(PCS)的临床疗效。方法 140例患者分为对照组和联合组。对照组采用中药灌肠,联合组采用中药灌肠联合艾灸。均于月经干净5d后开始施治,连续至下次月经。连续治疗3个月经周期,并进行3个月经周期的随访。采用疼痛视觉模拟评分(VAS)记录疼痛程度,测量盆腔静脉暗带内径和静脉血流速度;进行下腹胀痛、刺痛或坠痛,腰骼疼痛,性交痛,痛经,白带多等症状评分,检测血液流变学指标;记录复发情况和进行安全性评价。结果联合组综合临床疗效总有效率为96.97%,高于对照组的84.85%(χ~2=5.867,P0.05);治疗后联合组VAS评分、下腹胀痛、刺痛或坠痛、腰骼疼痛、性交痛、痛经、白带多等评分均低于对照组(P0.01);治疗后联合组盆腔静脉暗带内径小于对照组,静脉血流速度快于对照组(P0.01);治疗后联合组全血黏度(低切、高切)、血浆黏度、纤维蛋白原和全血还原黏度均低于对照组(P0.01);在3个月经周期的随访中,联合组复发率为28.79%,低于对照组的46.97%(χ~2=4.637,P0.05);未发现与中药灌肠或艾灸相关不良反应。结论中药灌肠联合艾灸外治PCS患者,临床安全、有效,是值得采用的中医保守疗法。
[Abstract]:Objective to investigate the clinical effect of traditional Chinese medicine enema combined with moxibustion on pelvic blood stasis syndrome (PCS). Methods 140 patients were divided into control group and combined group. The control group was treated with traditional Chinese medicine enema, and the combined group with Chinese medicine enema combined with moxibustion. All menstruation clean 5 days after the beginning of treatment, continuous to the next menstruation. Three menstrual cycles were continuously treated and followed up for 3 menstrual cycles. The pain degree was recorded by visual analogue score (VAS) and the diameter of the dark zone of pelvic vein and the velocity of venous blood flow were measured. The symptoms of lower abdominal distending pain, stinging pain or falling pain, waist and iliac pain, intercourse pain, dysmenorrhea, leucorrhea were evaluated, hemorheological indexes were detected, recurrence was recorded and safety was evaluated. Results the total effective rate of the combined group was 96.97, which was higher than that of the control group (84.85%) (蠂 ~ 2 ~ 5.867%, P0.05). After treatment, the scores of VAS, abdominal distending pain, stinging pain, iliac pain, dysmenorrhea, dysmenorrhea and leucorrhea in the combined group were lower than those in the control group (P0.01). After treatment, the inner diameter of the pelvic vein dark zone in the combined group was smaller than that in the control group, and the velocity of venous blood flow was faster than that in the control group (P0.01). After treatment, the whole blood viscosity (low shear, high shear), plasma viscosity, fibrinogen and whole blood reduction viscosity in the combined group were lower than those in the control group (P0.01). In the follow-up of three menstrual cycles, the recurrence rate in the combined group was 28.79, which was lower than that in the control group (46.97%) (蠂 ~ 2, 4.637p. 05), and no adverse reactions related to traditional Chinese medicine enema or moxibustion were found. Conclusion traditional Chinese medicine enema combined with moxibustion is a safe and effective therapy for PCS patients.
【作者单位】：重庆市第九人民医院产科;
【分类号】：R271.9

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