[1]彭琼琳,黄敏,孙敏.五味消毒饮联合针灸冲任二脉诸穴治疗急性盆腔炎临床观察[J].西部中医药,2023,36(04):93-96.[doi:10.12174/j.issn.2096-9600.2023.04.21]
　PENG Qionglin,HUANG Min,SUN Min.Clinical Observation on Wuwei Xiaodu Drink Combined with Acupoint Moxibustion of Chong and Ren Meridians in Treating Acute Pelvic Inflammation[J].Western Journal of Traditional Chinese Medicine,2023,36(04):93-96.[doi:10.12174/j.issn.2096-9600.2023.04.21]
点击复制

五味消毒饮联合针灸冲任二脉诸穴治疗急性盆腔炎临床观察
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年04期
页码:
93-96
栏目:
出版日期:
2023-04-15

文章信息/Info

Title:
Clinical Observation on Wuwei Xiaodu Drink Combined with Acupoint Moxibustion of Chong and Ren Meridians in Treating Acute Pelvic Inflammation
作者:
彭琼琳1, 黄敏1, 孙敏2
1.鄂钢医院妇产科，湖北 鄂州 436000
2.十堰市太和医院/湖北医药学院附属医院，湖北 十堰 442000
Author(s):
PENG Qionglin1, HUANG Min1, SUN Min2
1.Department of Gynecology and Obstetrics, Egang Hospital, Ezhou 436000, China
2.Shiyan City Taihe Hospital/Affiliated Hospital of HuBei University of Medicine, Shiyan 442000, China
关键词:
盆腔炎; 急性; 五味消毒饮; 冲任二脉; 针灸; 临床疗效; 安全性
Keywords:
pelvic inflammation;  acute; drink; and meridians; acupuncture; clinical effects; safety
分类号:
R711.33
DOI:
10.12174/j.issn.2096-9600.2023.04.21
文献标志码:
B
摘要:
目的观察五味消毒饮联合针灸冲任二脉诸穴治疗急性盆腔炎的临床疗效。 方法采用随机数字表法将收治的69例急性盆腔炎患者，随机分为对照组（34例）和观察组（35例）。对照组给予常规治疗，观察组加服五味消毒饮并取冲任二脉诸穴针刺。两组共治疗14天。测定两组治疗后血清C反应蛋白、D-二聚体、血清肿瘤坏死因子α、白细胞介素2及白细胞介素6水平；观察两组盆腔超声检查结果、腹痛消失时间、体温和白细胞计数及中性粒细胞比例恢复时间，比较症状积分、总有效率及不良反应发生率。 结果观察组血清C反应蛋白、D-二聚体、血清肿瘤坏死因子α、白细胞介素6水平均低于对照组（P＜0.05），白细胞介素2水平高于对照组（P＜0.05）。观察组子宫体积、盆腔积液深度及盆腔炎性包块直径均小于对照组（P＜0.05）。观察组腹痛消失时间及体温、白细胞计数及中性粒细胞比例恢复时间短于对照组（P＜0.05）。不良反应发生率观察组［25.71%（9/35）］与对照组［35.29%（12/34）］比较差异无统计学意义（P＞0.05）。总有效率观察组［94.28%（33/35）］高于对照组［82.35%（28/34）］（P＜0.05）。 结论五味消毒饮联合针灸冲任二脉诸穴治疗急性盆腔炎，可显著提高临床疗效，抑制炎症反应，增强西药的抗炎作用，且安全性好。
Abstract:
ObjectiveTo observe clinical effects of Wuwei Xiaodu drink jointed with acupoint moxibustion of Chong and Ren meridians in the treatment of acute pelvic inflammation (API). MethodsAll 69 API patients were allocated to 34 cases of the control group and 35 cases of the observation group using random number table method. The control group accepted conventional therapy, and the observation group took Wuwei Xiaodu drink and acupoint moxibustion of Chong and Ren meridians, for 14 days. To determine the levels of CRP, D dimer, TNF-α, IL-2 and IL-6 after the treatment; to observe pelvic ultrasound examination results, disappearing time of abdominal pain, body temperature, WBC counting and the recovery time of neutrophil ratio between both groups, to compare symptom scores, total effective rate and the incidences of adverse reaction. ResultsThe observation group was lower than the control group in the levels of CRP, D dimer, TNF-α and IL-6 (P<0.05), the level of IL-2 higher than that of the control group (P<0.05). Uterine volume, the depth of pelvic effusion and the diameter of pelvic inflammation block of the observation group were less than these of the control group (P<0.05). The observation group was shorter than the control group in disappearing time of abdominal pain, body temperature, WBC counting and the recovery time of neutrophil ratio (P<0.05). The incidences of adverse reaction of the observation group and the control group were [25.71%(9/35)] and [35.29%(12/34)], and the difference had no statistical meaning (P>0.05). Total effective rate of the observation group was [94.28%(33/35)], higher than [82.35%(28/34)] of the control group (P<0.05). ConclusionWuwei Xiaodu drink jointed with acupoint moxibustion of Chong and Ren meridians in the treatment of API could remarkably raise clinical effects, inhibit inflammatory reaction and enhance anti-inflammatory effects of Western medicine with good safety.

相似文献/References:

[1]张永全,张惠玉,仝树坡,等.急性脑梗死肝阳暴亢证患者血脂及经颅多普勒检查结果的相关性研究[J].西部中医药,2011,24(11):38.
[2]崔毅.益气活血汤治疗慢性盆腔炎64例临床观察[J].西部中医药,2012,25(12):75.
　CUI Yi.Clinical Observation on YiQi HuoXueTang and Activating Blood Decoction in Treating 64 Cases of Chronic Pelvic Inflammatory Disease[J].Western Journal of Traditional Chinese Medicine,2012,25(04):75.
[3]李雅娟.急性重症胰腺炎62例临床护理干预观察[J].西部中医药,2013,26(03):115.
　LI Yajuan.Observation on Nursing Intervention for 62 Patients with Acute Severe Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):115.
[4]张世祥,贾兴梅,高鹏,等.中西医结合治疗急性重症胰腺炎18例临床研究[J].西部中医药,2013,26(05):102.
　ZHANG Shixiang,JIA Xingmei,GAO Peng,et al.Clinical Study on Integrative Medicine in Treating 18 Cases of Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):102.
[5]胡兰文,徐盛开,范玲莉.老年人急性心肌梗死的临床特征及中医证型分析[J].西部中医药,2013,26(06):44.
　HU Lanwen,XU Shengkai,FAN Lingli.Clinical Characteristics and Patterns Analysis of Acute Myocardial Infarction in the Elderly[J].Western Journal of Traditional Chinese Medicine,2013,26(04):44.
[6]孙志江,王映珍,徐庆杰.大黄内服配合芒硝外敷治疗重症急性胰腺炎患者43例[J].西部中医药,2012,25(08):70.
　SUN Zhi-jiang,WANG Ying-zhen,XU Qing-jie.DaHuang for Oral Administration Combined with MangXiao for External Use in Treating 43 Patients with Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2012,25(04):70.
[7]刘康乐.中西药物联用治疗小儿急性支气管炎86例[J].西部中医药,2013,26(08):90.
　LIU Kangle.Clinical Observation on Treating 86 Cases of Children Suffering from Acute Bronchitis with Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2013,26(04):90.
[8]何桂英,李培华.双腔气囊导尿管在中药保留灌肠中的应用[J].西部中医药,2013,26(08):107.
　HE Guiying,LI Peihua.Application of Dual Chamber Aerocyst Catheter to Retention Enema with Herb[J].Western Journal of Traditional Chinese Medicine,2013,26(04):107.
[9]董莉莉,王军燕,刘安国,等.针灸治疗急性胃炎的临床选穴规律研究*[J].西部中医药,2013,26(11):129.
　DONG Lili,WANG Junyan,LIU Anguo,et al.Study on Acupoint Selection for Treating Acute Gastritis with Acupuncture[J].Western Journal of Traditional Chinese Medicine,2013,26(04):129.
[10]陈少兰,徐胜珍△.中西医结合护理对急性心肌梗死患者康复效果的影响[J].西部中医药,2014,27(04):129.
　CHEN Shaolan,XU Shengzhen.Influence of Nursing on the Patients with Acute Myocardial Infarction at Recovery Stage by Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2014,27(04):129.
[11]郝芙蓉.中西药物联用治疗急性盆腔炎40例[J].西部中医药,2013,26(09):90.
　HAO Furong.Treatment for 40 Cases of Acute Pelvic Inflammation with Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2013,26(04):90.

备注/Memo

备注/Memo:
彭琼琳（1982—），女，主治医师。研究方向：妇产科相关疾病研究。国家自然科学基金青年科学基金（81902498）。
更新日期/Last Update: 2023-04-15