丹枝饮对气滞血瘀型盆腔炎性疾病后遗症-慢性盆腔痛的临床疗效观察

发布时间：2019-03-26 12:58

【摘要】：目的:观察丹枝饮对盆腔炎性疾病后遗症-慢性盆腔痛的临床疗效,观察其对慢性盆腔痛疼痛缓解率、慢性盆腔痛视觉模拟评分(VAS评分)、临床中医证候评分、抑郁状态评分、焦虑状态评分的影响。方法:采用随机对照单盲法将符合标准的60名患者分为丹枝饮组和对照组,丹枝饮组采用自拟方丹枝饮治疗,对照组采用膈下逐瘀汤治疗,连续治疗21 d,观察2组治疗前后慢性盆腔痛疼痛缓解率、慢性盆腔痛视觉模拟评分(VAS评分)、临床中医证候评分、抑郁状态评分、焦虑状态评分的变化情况。结果:丹枝饮组治疗后总有效率83.4%,其中痊愈6.7%,有效56.7%,显效20%;丹枝饮可以减轻患者的慢性盆腔痛VAS评分,可以改善中医证候学评分、抑郁状态评分和焦虑状态评分。结论:丹枝饮可以改善气滞血瘀型盆腔炎性疾病后遗症-慢性盆腔痛的疼痛程度,改善患者焦虑抑郁状态,是临床治疗气滞血瘀型盆腔炎性疾病后遗症-慢性盆腔痛的一种安全有效的方法。
[Abstract]:Objective: to observe the clinical efficacy of Danzhi Yin in the treatment of chronic pelvic pain, the remission rate of chronic pelvic pain, the visual analogue score (VAS score) of chronic pelvic pain, and the score of clinical syndrome of traditional Chinese medicine (TCM), and the therapeutic effect of Danzhi Yin on chronic pelvic pain, which is the sequelae of pelvic inflammatory disease-chronic pelvic pain. The effect of depression state score and anxiety state score. Methods: 60 patients were randomly divided into two groups: Danzhi Yin group and control group. The Danzhi Yin group was treated with self-made Fang Dan Zhiyin, the control group was treated with phrenic Zhuyu decoction for 21 days, and the control group was treated with phrenic Zhuyu decoction for 21 days. Before and after treatment, the remission rate of chronic pelvic pain, the visual analogue score of chronic pelvic pain (VAS score), the scores of clinical syndrome of TCM, the score of depression state and the score of anxiety state were observed. Results: after treatment, the total effective rate of Danzhi Yin group was 83.4%, of which the recovery rate was 6.7%, the effective rate was 56.7%, and the significant effect was 20%. Danzhi Yin can relieve the VAS scores of patients with chronic pelvic pain, and improve the scores of TCM syndrome, depression and anxiety. Conclusion: Danzhi Yin can improve the pain degree of chronic pelvic pain, which is the sequelae of pelvic inflammatory disease of qi stagnation and blood stasis, and improve the anxiety and depression of the patients. It is a safe and effective method to treat the sequelae of pelvic inflammatory disease of qi stagnation and blood stasis type-chronic pelvic pain.
【作者单位】：北京中医药大学;北京中医药大学东方医院;
【基金】：国家自然科学基金面上项目(81373677)-基于“IL-17A/IL-1F”细胞通讯轴的生物学行为信号及信号转导探讨化瘀通络法改善血瘀微环境的机制
【分类号】：R271.9

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