活血祛湿法治疗慢性骨盆疼痛综合征的临床研究

发布时间：2019-02-11 19:33

【摘要】：本研究旨在探讨活血祛湿法对慢性骨盆疼痛综合征的影响,提出慢性骨盆疼痛综合征是以淤血及湿浊阻滞,不通则痛,通则不痛的病机为主,确立了以泄实散邪止痛为先机的治疗方法,采用广州中医药大学第一附属医院泌尿外科导师李信平副教授经验方予以验证,论文分四部分。目的：观察活血祛湿法对治疗慢性骨盆疼痛综合征的影响,验证其疼痛为瘀血及湿浊阻滞经络所致病机及与单纯活血化瘀法治疗比较所占明显优势。方法：采用谢桐编著《前列腺外科》慢性骨盆疼痛综合征分类标准,收集40例慢性骨盆疼痛综合征患者,随机分为治疗组20例,对照组20例。治疗组予口服李信平副教授经验方活血祛湿方加减,对照组口服前列通瘀胶囊。治疗4周后,主要按美国国立卫生研究院慢性前列腺炎症状评分指数(NIH-CPSI)统计,评定疗效。结果：治疗组20例,痊愈5例,显效9例,有效5例,无效1例,有效率95%(19/20),降低了患者NIH-CPSI的总评分,与治疗前比较有显著性差异(P0.05)；对照组20例,痊愈1例,显效4例,有效10例,无效5例,总有效率75%(15/20),与治疗组之间总有效率经x2分析无显著性统计学差异(P0.05)；总显效率25%(5/20),与治疗组之间总显效率经秩和检验有显著性统计学差异(P0.05)；治疗期间患者无严重不良反应。结论：活血祛湿法治疗慢性骨盆疼痛综合征疗效显著,并能改善排尿症状,提高生活质量,减轻前列腺周围组织压痛及提高前列腺炎中卵磷脂小体数量,未出现严重不良反应,说明慢性骨盆疼痛综合征的治疗当以活血祛湿为主要原则,其临床疗明显优于单纯活血祛瘀。
[Abstract]:The purpose of this study was to investigate the effect of activating blood circulation and removing dampness on chronic pelvic pain syndrome. This paper established the treatment method of relieving pain by releasing the pathogenic factors of the powder, which was verified by Li Xinping, an associate professor of urology, the first affiliated hospital of Guangzhou University of traditional Chinese Medicine. The paper is divided into four parts. Objective: to observe the effect of activating blood circulation and removing dampness on the treatment of chronic pelvic pain syndrome. Methods: 40 patients with chronic pelvic pain syndrome were randomly divided into treatment group (n = 20) and control group (n = 20). The treatment group was treated with Li Xinping's experience prescription of activating blood circulation and removing dampness, while the control group was treated with Qianlie Tongyu capsule. After 4 weeks of treatment, the efficacy was evaluated according to the National Institutes of Health chronic Prostatitis symptom score Index (NIH-CPSI). Results: in the treatment group, 5 cases were cured, 9 cases were effective, 5 cases were effective, 1 case was ineffective, the effective rate was 95% (19 / 20), the total score of NIH-CPSI was decreased, there was significant difference compared with before treatment (P0.05). In the control group, 1 case was cured, 4 cases were effective, 10 cases were effective, 5 cases were ineffective, the total effective rate was 75% (15 / 20), and there was no significant difference between the treatment group and the treatment group by x2 analysis (P0.05). The total effective rate was 25% (5 / 20), and there was significant difference between the treatment group and the treatment group by rank sum test (P0.05). Conclusion: the method of activating blood circulation and removing dampness is effective in treating chronic pelvic pain syndrome, and can improve urination symptoms, improve quality of life, relieve tenderness of periprostatic tissue and increase the number of lecithin bodies in prostatitis. There is no serious adverse reaction. It shows that the main principle of treating chronic pelvic pain syndrome is to promote blood circulation and remove dampness, and its clinical treatment is obviously superior to that of promoting blood circulation and removing blood stasis.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.5

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