针刺结合温和灸治疗慢性盆腔炎的临床疗效视察.pdfVIP

提 要 目的：观察针刺结合温和灸治疗慢性盆腔炎的临床疗效，并对其机理进行初步探 讨，以期寻求针刺治疗慢性盆腔炎的科学有效的方案。方法：将 98 例慢性盆腔炎患 者，随机分为观察组和对照组，每组各 49 例，取关元、水道、三阴交穴，分别给予 针刺结合温和灸和单纯针刺治疗，并分别于治疗前、疗程结束及 2 个月后对两组患者 症状积分进行评定和疗效比较。结果：治疗结束后，观察组 49 例临床治愈 17 例，显 效 19 例，有效 10 例，无效 3 例，治愈率 34.69%，总有效率 93.88% ；对照组 49 例 临床治愈 8 例，显效 15 例，有效 18 例，无效 8 例，治愈率 16.33%，总有效率 83.67%。 两组治愈率、总有效率比较，具有显著性差异（P ＜0.05)，观察组优于对照组。2 个 月后随访，观察组临床治愈 20 例，显效 21 例，有效 7 例，无效 1 例，治愈率 40.82% ， 总有效率 97.96% ；对照组临床治愈 9 例，显效 16 例，有效 18 例，无效 6 例，治愈 率 18.37%，总有效率 87.76%。两组治愈率、总有效率比较，具有显著性差异(P ＜0.05)， 表明观察组的远期治疗效果优于对照组。结论:针刺结合温和灸疗法与单纯针刺疗法 对慢性盆腔炎患者均有较好的疗效，且针刺结合温和灸明显优于单纯针刺疗法，远期 疗效也较好。针刺和温和灸有相互协同的作用，同时应用能够提高疗效。 关键词 针刺疗法；温和灸；慢性盆腔炎；临床研究 The Observation of Clinical Effect on Chronic Pelvic Inflammatory Disease by Acupuncture and Warming Moxibustion Speciality：Science of Acupuncture and Moxibustion and Massage Author ：Li Yong Tutor：Professor Zhang Yongchen Abstract Objective: To observe the clinical effect on Chronic Pelvic Inflammatory Disease by Acupuncture and warming moxibustion, and to explore the mechanism, the paper reaches a reliable treatment by acupuncture. Method: 98 Patients were divided into observation group and contrast group, 49 patients in each group. One was acupuncture and warming moxibustion treatment group and another was simple acupuncture group. The groups separately adopted two methods acupuncture and warming moxibustion and simple acupuncture on guanyuan, shuidao, sanyinjiao. Before treatment, after periods of treatment and 2 months later, we recorded and compared the score of patients’ symptoms. Result: After periods of treatment, there were 17 clinical cured, 19 marked effect, 10 effect, 3 no effect among the 49 patients in observation group. The recovery rate was 34.69%, the total effective rate was 93.8