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针刺联合穴位贴敷治疗盆腔炎性疾病后遗症慢性盆腔痛的临床疗效观察

Clinical Efficacy of Acupuncture Combined With Acupoint Patching in Treating Chronic Pelvic Pain as a Sequela of Pelvic Inflammatory Disease

  • 摘要:
    目的 探究针刺疗法结合穴位贴敷在缓解盆腔炎性疾病所致慢性盆腔痛后遗症中的疗效。
    方法 选取2022年1月–2024年11月间在安徽中医药大学第二附属医院接受治疗的120例因盆腔炎性疾病后遗症而遭受慢性盆腔痛的患者,并随机分为试验组与对照组,每组各60例患者。两组均常规给予生活方式指导和抗感染治疗,对照组给予单一针刺治疗,试验组给予针刺联合穴位贴敷治疗。两组疗程均一致。对比对照组与试验组的治疗效果、超敏C反应蛋白(high-sensitivity C-reactive protein, hs-CRP)、白细胞计数(white blood cell count, WBC)、中性粒细胞百分比(neutrophil percentage, NEUT)、纤维蛋白原(fibrinogen, FIB)、生活质量评分、疼痛视觉模拟评分(visual analogue scale, VAS)。
    结果 试验组的治疗有效率为93.00%,对照组为73.33%,两组间差异有统计学意义(P<0.05)。治疗后对照组与试验组hs-CRP、WBC、NEUT与VAS评分均降低,且试验组水平低于对照组,差异有统计学意义(P<0.05);试验组生活质量评分高于对照组(P<0.05)。
    结论  采用针刺结合穴位贴敷方式,针对盆腔炎性疾病后遗症慢性盆腔痛疗效显著,可减轻患者疼痛,降低血清炎性因子水平,并有效提升患者的生活质量水平。

     

    Abstract:
    Objective To investigate the efficacy of acupuncture therapy combined with acupoint patching in alleviating chronic pelvic pain, a sequela of pelvic inflammatory disease (SPID-CPP).
    Methods A total of 120 SPID-CPP patients attending our hospital between January 2022 and November 2024 were enrolled and randomly assigned to either an experimental group or a control group, with 60 patients in each group. Both groups received conventional lifestyle guidance and anti-infection therapy. The control group received only acupuncture therapy, while the observation group received acupuncture combined with acupoint patching therapy. The duration of treatment was identical for both groups. The treatment effect, levels of high-sensitivity C-reactive protein (hs-CRP), white blood cell count (WBC), neutrophil percentage (NEUT), fibrinogen (FIB) level, quality-of-life scores, and visual analog scale (VAS) pain scores were compared between the experimental and control groups.
    Results The treatment efficacy rate of the experimental group was 93.00%, while that of the control group was only 73.33%, and the difference between the two groups was statistically significant (P < 0.05). Following therapy, the hs-CRP, WBC, NEUT, and VAS ratings of both the control and experimental groups decreased. Furthermore, findings of the experimental group were significantly lower than those of the control group (P < 0.05). The quality-of-life score of the experimental group was higher than that of the control group (P < 0.05).
    Conclusion Acupuncture combined with acupoint patching demonstrates significant efficacy in treating SPID-CPP. This combined therapy effectively reduces pain in SPID-CPP patients, decreases serum levels of inflammatory factors, and significantly improves patients' quality of life.

     

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