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益气消瘀汤联合耳穴压豆治疗盆腔炎性疾病30例临床观察
帅思议,张 烨
0
(湖南中医药大学,湖南 长沙,410208;广东省深圳市福田区妇幼保健院,广东 深圳,518000)
摘要:
目的:观察中药益气消瘀汤联合耳穴压豆治疗盆腔炎性疾病的临床疗效。方法:将90例盆腔炎性疾病患者随机分为A、B、C 3组各30例,A组采用益气消瘀汤联合耳穴压豆治疗,B组单用益气消瘀汤治疗,C组单用西药治疗。观察3组治疗前后症状、体征的改变,血清TNF-α、IL-2及IL-6含量变化。结果:总有效率A组为93.3%,B组为70.0%,C组为90.0%,A、C组与B组比较,差异均有统计学意义(P>0.05),A组与C组比较,差异无统计学意义(P>0.05)。3组临床症状体征积分、血清TNF-α、IL-2及IL-6含量治疗前后组内比较,差异均有统计学意义(P<0.05);治疗后A、C组与B组比较,差异均有统计学意义(P<0.05),A组与C组比较,差异无统计学意义(P>0.05)。结论:益气消瘀汤联合耳穴压豆可以有效改善盆腔炎性疾病患者的临床症状和体征,降低患者血清TNF-α、IL-6含量,增加血清IL-2含量,可显著提高临床疗效。
关键词:  盆腔炎性疾病  细胞免疫  中医药疗法  益气消瘀汤  耳穴压豆
DOI:
Clinical effect of qi-tonifying and stasis-dispersing decoction combined with ear acupoint bean pressing in treatment of pelvic inflammatory disease:an analysis of 30 cases
SHUAI Si-yi,ZHANG Ye
(Hunan University of Chinese Medicine,Changsha 410208,Hunan,China;Futian District Maternity and Child Healthcare Hospital of Shenzhen,Shenzhen 518000,Guangdong,China)
Abstract:
Objective:To investigate the clinical effect of qi-tonifying and stasis-dispersing decoction combined with ear acupoint bean pressing in the treatment of pelvic inflammatory disease.Methods:A total of 90 patients with pelvic inflammatory disease were randomly divided into groups A,B,and C,with 30 patients in each group.The patients in group A were given qi-tonifying and stasis-dispersing decoction combined with ear acupoint bean pressing,those in group B were given qi-tonifying and stasis-dispersing decoction alone,and those in group C were given Western medicine treatment.The three groups were observed in terms of the changes in symptoms and signs and serum levels of tumor necrosis factor-α (TNF-α),interleukin-2 (IL-2),and interleukin-6 (IL-6) after treatment.Results:There was a significant difference in overall response rate between groups A/C and group B (93.3%/90.0% vs 70.0%,P>0.05),and there was no significant difference between groups A and C (P>0.05).All three groups had significant changes in the score of clinical symptoms and signs and the serum levels of TNF-α,IL-2,and IL-6 after treatment (P>0.05),and there were significant differences between groups A/C and group B after treatment (P>0.05),while there were no significant differences between groups A and C (P>0.05).Conclusion:In patients with pelvic inflammatory disease,qi-tonifying and stasis-dispersing decoction combined with ear acupoint bean pressing can significantly improve their clinical symptoms and signs,reduce the serum levels of TNF-α and IL-6,increase the serum level of IL-2,and thus significantly improve their clinical outcomes.
Key words:  pelvic inflammatory disease  cellular immunity  traditional Chinese medicine treatment  qi-tonifying and stasis-dispersing decoction  ear acupoint bean pressing

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