针刺结合温和灸治疗慢性盆腔炎的临床疗效观察

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1、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

2、＜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TheObservationofClin

3、icalEffectonChronicPelvicInflammatoryDiseasebyAcupunctureandWarmingMoxibustionSpeciality：ScienceofAcupunctureandMoxibustionandMassageAuthor：LiYongTutor：ProfessorZhangYongchenAbstractObjective:ToobservetheclinicaleffectonChronicPelvicInflammatoryDiseasebyAcupunctureandwarmingmoxibustion,andtoexpl

4、orethemechanism,thepaperreachesareliabletreatmentbyacupuncture.Method:98Patientsweredividedintoobservationgroupandcontrastgroup,49patientsineachgroup.Onewasacupunctureandwarmingmoxibustiontreatmentgroupandanotherwassimpleacupuncturegroup.Thegroupsseparatelyadoptedtwomethods---acupunctureandwarmi

5、ngmoxibustionandsimpleacupunctureonguanyuan,shuidao,sanyinjiao.Beforetreatment,afterperiodsoftreatmentand2monthslater,werecordedandcomparedthescoreofpatients’symptoms.Result:Afterperiodsoftreatment,therewere17clinicalcured,19markedeffect,10effect,3noeffectamongthe49patientsinobservationgroup.The

6、recoveryratewas34.69%,thetotaleffectiveratewas93.88%.Therewere8clinicalcured,15markedeffect,18effect,8noeffectamongthe49patientsincontrastgroup.Therecoveryratewas16.33%,thetotaleffectiveratewas83.67%.Theobservationgroupwassuperiortothecontrastgrouponrecoveryrateandtotaleffectiverate（P<0.05).Twom

7、onthsaftertreatment,therewere20clinicalcured,21markedeffect,7effect,1noeffectamongthe49patientsinobservationgroup.Therecoveryratewas40.82%,thetotaleffectiveratewas97.96%.Therewere9clinicalcured,16markedeffect,18effect,6noeff