摘要
目的:观察盆腔炎汤剂联合物理疗法对慢性盆腔炎患者炎性反应、免疫学和血液流变学指标的影响。方法:将180例慢性盆腔炎患者随机分为汤剂组、理疗组和联合治疗组,每组60例。汤剂组患者仅给予盆腔炎汤(白术10 g,生黄芪30 g,党参15 g,连翘10 g,荔枝核10 g,乌药10 g,甘草3 g,路路通10 g,夏枯草10 g,金银花30 g,桔梗10 g)内服治疗,理疗组仅给予物理治疗,联合治疗组则同时给予盆腔炎汤内服及物理治疗。观察各组患者临床疗效,炎性反应、免疫学和血液流变学指标的变化,并比较三组患者的生活质量评分。结果:联合治疗组有效率为98.3%,汤剂组有效率为86.7%,理疗组有效率为76.7%,联合治疗组明显优于汤剂组和理疗组,差异有统计学意义(P<0.05);治疗后,联合治疗组血浆中C反应蛋白、白细胞介素-6以及肿瘤坏死因子-α水平明显优于汤剂组和理疗组,差异有统计学意义(P<0.05);联合治疗组的全血黏度、血浆黏度、红细胞变形指数及纤维蛋白原水平明显优于汤剂组和理疗组,差异有统计学意义(P<0.05)。联合治疗组各项功能和总体生活质量评分明显优于汤剂组和理疗组,差异有统计学意义(P<0.05)。结论:盆腔炎汤剂内服联合理疗可以明显提高慢性盆腔炎患者的治疗效果,提高患者免疫功能,减轻炎症,此外还能改善血液流变学指标。
Objective： To observe the Effect of pelvic inflammatory decoction in treatments of chronic pelvic inflammatory disease.Methods： 180 patients with chronic pelvic inflammatory disease were randomly divided into decoction group,physiotherapy group and combined treatment group,with 60 cases in each group. Decoction group were given pelvic inflammatory decoction（ Atractylodes 10 g,Raw Astragalus 30 g,Codonopsis 15 g,Forsythia 10 g,Lai nuclear 10 g,Lindera 10 g,Licorice 3 g,Passepartout 10 g,Prunella 10 g,Honeysuckle 30 g,Campanulaceae 10 g） as oral therapy,physiotherapy group received physical therapy,and combined treatment group was treated with both of the above mentioned method. Clinical efficacy was observed in patients in each group,and the indicators of inflammation and immunology,indicators of blood rheology and the quality of life were detected and compared among the three groups of patients. Results： The effectiveness rate of the combined treatment group,decoction group,and physiotherapy group was 98. 3%,86. 7%,and 76. 7% respectively,with that of the combined treatment group being significantly better than that of the decoction group and treatment group（ P〈0. 05）. After treatment,the plasma C-reactive protein,interleukin-6 and tumor necrosis factor-α of the combined treatment group were significantly better than those of the decoction group and physiotherapy group（ P〈0. 05）; The whole blood viscosity,plasma viscosity,erythrocyte deformation index and fibrinogen levels of the combined treatment group were significantly better than those of the decoction group and physiotherapy group（ P〈0. 05）.The quality life scores of the combined treatment group were significantly better than that of the decoction group and physiotherapy group（ P〈0. 05）. Conclusion： Pelvic inflammatory decoction can significantly improve the treatment of chronic pelvic inflammatory disease by improving patient＇s immune function,reducing inflammation,as well as improving the physical conditions in certain related indicators.
出处
《中医学报》
CAS
2016年第5期734-737,共4页
Acta Chinese Medicine
基金
国家中医药管理局科技攻关项目(0203JP25)
关键词
慢性盆腔炎
盆腔炎汤剂
物理疗法
炎性反应
免疫学指标
血液流变学指标
chronic pelvic inflammatory disease
pelvic inflammatory decoction
physiotherapy
inflammation
immunology indicator
blood rheology indicator
作者简介
黄巧玲（1978-），女，河南新郑人，医学学士，主治医师，研究方向：中医妇科临床研究。
