[1]钱鸿雁,许阳阳,周芹芹.中药热罨包联合微波治疗盆腔炎性疾病后遗症临床观察[J].西部中医药,2025,38(03):149-153.[doi:10.12174/j.issn.2096-9600.2025.03.29]
　QIAN Hongyan,XU Yangyang,ZHOU Qinqin.Clinical Observation on Herbal Fomentation Combined with Microwave in the Treatment of Sequelae of Pelvic Inflammatory Disease[J].Western Journal of Traditional Chinese Medicine,2025,38(03):149-153.[doi:10.12174/j.issn.2096-9600.2025.03.29]
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中药热罨包联合微波治疗盆腔炎性疾病后遗症临床观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年03期
页码:
149-153
栏目:
特色医疗
出版日期:
2025-03-15

文章信息/Info

Title:
Clinical Observation on Herbal Fomentation Combined with Microwave in the Treatment of Sequelae of Pelvic Inflammatory Disease
作者:
钱鸿雁, 许阳阳, 周芹芹
海安市中医院，江苏 海安 226600
Author(s):
QIAN Hongyan, XU Yangyang, ZHOU Qinqin
Haian City Hospital of TCM, Haian 226600, China
关键词:
盆腔炎性疾病; 中药热罨包; 微波; 致痛因子; 子宫微循环
Keywords:
pelvic inflammatory disease; herbal fomentation; microwave; pain factor; uterine microcirculation
分类号:
R271
DOI:
10.12174/j.issn.2096-9600.2025.03.29
文献标志码:
B
摘要:
目的观察中药热罨包联合微波治疗盆腔炎性疾病后遗症（sequelae of pelvic inflammatory disease，SPID）的临床疗效。 方法将116例SPID患者随机分为对照组和观察组，每组58例。对照组给予常规西药口服，观察组给予中药热罨包联合微波治疗。两组均连续治疗14天。比较两组的临床效果、血常规指标［中性粒细胞（neutrophil，NEUT）、白细胞（white blood cell，WBC）］、盆腔视觉模拟疼痛评分（visual analogue score，VAS）、中医证候积分、不良反应发生率、复发率，监测血清中致痛因子［前列腺素E2（prostaglandin E2，PGE2）、P物质（P substance，SP）］含量，检测子宫动脉微循环指标［动脉收缩期血流速度（systolic velocity，Vs）、平均速度（mean velocity，Vm）、舒张期血流速度（diastolic velocit，Vd）］变化情况。 结果观察组总有效率［96.30%（52/54）］高于对照组［78.85%（41/52）］（P＜0.05）；两组NEUT、WBC、VAS评分、中医证候积分、血清中致痛介质PGE2、SP含量均下降，且观察组下降更明显（P＜0.05）；两组子宫动脉Vs、Vm、Vd均有所上升，且观察组上升更明显（P＜0.05）；观察组不良反应发生率更低（χ2=9.831，P＜0.05）；两组复发率比较，差异无统计学意义（P＞0.05）。 结论中药热罨包联合微波治疗SPID有确切效果，可改善血常规指标，缓解痛感，减轻临床症状，抑制致痛介质表达，促进子宫血液微循环，操作简便，安全性好。
Abstract:
ObjectiveTo survey curative effects of herbal fomentation joined with microwave in the treatment of sequelae of pelvic inflammatory disease (SPID). MethodsA total of 116 SPID patients were randomized into the control group and the observation group with 58 cases in each group. The control group took conventional Western medicine orally, and the observation group was treated with herbal fomentation and microwave, and they were treated for 14 consecutive days. To compare clinical effects, blood routine indexes including NEUT and WBC, VAS, TCM syndrome integrals, the incidences and recurrence rate of adverse reaction in the two groups, to monitor the contents of pain-inducing factors such as prostaglandin E2 (PGE2) and P substance (SP), and to detect the changes of uterine artery microcirculation indexes containing systolic velocity (Vs), mean velocity (Vm) and diastolic velocity (Vd). ResultsTotal effective rate of the observation group was [96.30%(52/54)], higher than [78.85%(41/52)] of the control group (P<0.05); the decrease in NEUT, WBC, VAS scores, TCM syndrome integrals, the contents of PGE2 and SP in the serum could be found in the two groups, and the decrease of the observation group was more evident (P<0.05); Vs, Vm and Vd of uterine artery were elevated in the two groups, and the rise of the observation group was more clear (P<0.05); the incidence of adverse reaction in the observation group was lower (χ2=9.831, P<0.05); the difference had no statistical meaning in the recurrence rates between the two groups (P>0.05). ConclusionHerbal fomentation joined with microwave in the treatment of SPID could gain definite clinical effects, the therapy could improve the levels of blood routine indexes, mitigate pain, relieve clinical symptoms, inhibit the expressions of pain-inducing agents, promote uterine microcirculation, with the advantages of easy operation, and good safety.

相似文献/References:

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　CAO Ailing,LU Ruping.Clinical Effects of Hot-wet Compression of Selfmade Herbal Prescription Combined with Antibiotics in Treating Pelvic Inflammatory Disease[J].Western Journal of Traditional Chinese Medicine,2016,29(03):92.
[2]徐静,张海娣,郭雅静,等.盆腔炎性疾病后遗症患者中医体质与中医证型相关性研究[J].西部中医药,2023,36(06):66.[doi:10.12174/j.issn.2096-9600.2023.06.15]
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[3]李欢.中药保留灌肠辅助治疗盆腔炎性疾病湿毒壅盛证临床观察[J].西部中医药,2024,37(12):150.[doi:10.12174/j.issn.2096-9600.2024.12.36]
　LI Huan.Clinical Observation on Retention Enema with Traditional Chinese Medicine as Adjunctive Therapy for Pelvic Inflammatory Disease of Dampness Toxin Accumulation Pattern[J].Western Journal of Traditional Chinese Medicine,2024,37(03):150.[doi:10.12174/j.issn.2096-9600.2024.12.36]

备注/Memo

备注/Memo:
钱鸿雁（1982—），女，主管护师。研究方向：妇科疾病的临床护理。Email：qianhongyan0811@163.com。江苏省自然科学基金（BK20180935）。
更新日期/Last Update: 2025-03-15