|
|
Clinical effect of specific electromagnetic spectrum combined with Guizhi Fuling Capsules on sequelae of cold-damp and dampness stasis type pelvic inflammatory disease |
ZHANG Yanming1 LUO Lihua2▲ WANG Huige3 DONG Jige2 WANG Yusheng2 |
1.Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2.Department of Rehabilitation Therapist, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100102, China;
3.Department of Gynaecology, Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100102, China
|
|
|
Abstract Objective To observe the efficacy of specific electromagnetic spectrum (TDP) irradiation combined with Guizhi Fuling Capsules for patients with sequelae of cold-damp and dampness stasis type pelvic inflammatory disease in the elderly. Methods A total of 64 elderly patients with the sequelae of cold-damp and dampness stasis type pelvic inflammatory disease treated in Wangjing Hospital of China Academy of Chinese Medical Sciences from September 2019 to September 2022 were selected and they were divided into control group and experimental group according to random number table method, with 32 cases in each group. The control group was treated with oral Guizhi Fuling Capsules, and the experimental groups were treated with combined TDP irradiation of b?觀li?觃o point on the basis of the control group. The treatment cycle was four weeks. Before treatment and after four weeks of treatment, the symptom grading, local sign grading, visual analogue scales(VAS) score and therapeutic effect of all patients were compared. Results After treatment, symptom grading quantification score, local signs severity grading score and VAS score were decreased in both groups, and the experimental group was lower than the control group, the differences were statistically significant (P<0.05). The clinical efficacy of experimental group was better than that of control group, and the difference was statistically significant (P<0.05). Conclusion TDP irradiation combined with Guizhi Fuling Capsules could can not only effectively improve the clinical symptoms and related physical signs of elderly patients with cold-damp and dampness stasis type sequelae of pelvic in- flammatory disease in higher clinical efficiency, which is worthy of clinical application.
|
|
|
|
|
[1] Zhang,Yuan L,Wang Y,et al. Effect of Fu Yan Qing prescription on pelvic effusion,mass absorption and microenvironment of pelvic blood stasis in patients with sequelae of pelvic inflammatory disease of accumulation of dampness heat and blood stasis type [J]. Pak J Med Sci,2022,38(5):1376-1381.
[2] Sweeney S,Bateson D,Fleming K,et al. Factors associated with pelvic inflammatory disease: A case series analysis of family planning clinic data [J]. Womens Health (Lond),2022, 18:17455057221112263.
[3] Lindsey K,Jennings,Diann M. Krywko. Pelvic Inflammatory Disease [M]. National Center for Biotechnology Information,2022.
[4] Fan L,Liu Z,Zhang Z,et al. Kangfuxiaoyanshuan alleviates uterine inflammation and adhesion via inhibiting NF-κB p65 and TGF-β/MMP-2 signaling pathway in pelvic inflammatory disease rats [J]. Front Pharmacol,2022,13:894149.
[5] Dhasmana D,Hathorn E,McGrath R,et al. The effectiveness of nonsteroidal anti-inflammatory agents in the treatment of pelvic inflammatory disease:A systematic review [J]. Syst Rev,2014,3:79.
[6] 谢幸,苟文丽. 妇产科学[M].8版.北京:人民卫生出版社,2014: 258 -264.
[7] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:245-247.
[8] Trent M,Bass D,Ness RB,et al. Recurrent PID,subsequent STI,and reproductive health outcomes: findings from the PID evaluation and clinical health (PEACH) study [J]. Sex Transm Dis,2011,38(9):879-881.
[9] Trent M,Haggerty CL,Jennings JM,et al. Adverse ado-lescent reproductive health outcomes after pelvic inflam-matory disease [J]. Arch Pediatr Adolesc Med,2011,165(1): 49-54.
[10] www.sti.guidelines.org.au/syndromes/pid-pelvic-inflam-matory- disease and www.cdc.gov/std/tg2015/pid.htm (accessed 1 February 2018).
[11] 朱小贞,秦秀芳. 温宫消癥方穴位贴敷、中药保留灌肠治疗慢性盆腔炎性疾病后遗症(寒凝血瘀型)疗效观察[J]. 四川中医,2022,40 (9):167-171.
[12] 郭婧,滕秀香,胡晶,等.924例慢性盆腔炎患者中医证型分布与影响因素分析[J].北京中医药,2019,38(7):707- 710.
[13] 郑志博,刘雁峰,孔鑫靓,等.运用经方辨治盆腔炎性疾病后遗症临证撷要[J].江苏中医药,2021,53(8):61-63.
[14] 刘小平,张志聪.草崇原[M].2版.北京:中国中医药出版社,2008:104.
[15] 马继兴,神农本草经集注[M].1版.北京:人民卫生出版社,2013:173.
[16] 郑金生,缪希雍·神农本草经疏[M].1版.北京:中医古籍出版社,2002:283.
[17] 杨爽,杜倩倩,岳倩侠,等.基于UPLC-Q-TOF-MS和HPLC的不同品种白芍主要化学成分分析[J].中国中药杂志,2023,48(3):715-724.
[18] 蔡敏,王璐,刘运红. 桂枝茯苓胶囊治疗慢性盆腔炎疗效及对 IL-8、ICAM-1、MMP-2变化的研究[J].中华中医药学刊,2021,39(9):41-43.
[19] 《中成药治疗优势病种临床应用指南》标准化项目组. 桂枝茯苓胶囊临床应用指南(2021年)[J].中国中西医结合杂志,2022,42(5):525-538.
[20] 刘仁超,周建英. 刮痧结合艾灸八髎穴在妇科疾病中的应用举隅[J].中医药临床杂志,2017,29(3):364-366.
[21] 弭艳红,唐卫红. 脐针配合重灸八髎穴治疗寒湿凝滞型慢性盆腔炎疗效观察[J]. 广西中医药,2018,41(5):43-45.
[22] 柳珺桐,丁天红,张润宁,等.电针八髎穴联合穴位注射治疗神经源性膀胱功能障碍及对患者排尿功能重建的影响[J].陕西中医,2022,43(5): 653-657.
[23] 余妮丝,邹芳.择时中药保留灌肠联合督脉灸治疗慢性盆腔炎的临床观察[J].中国当代医药,2022,29(33):105-108.
[24] 孙喜燕,梁文丽.TDP+盆腔灌注治疗慢性盆腔炎的临床效果及对炎性包块直径、盆腔积液深度的影响[J].临床医学研究与实践,2022,7(23): 88-90.
[25] 周岩.健脾固本散结汤联合中药外敷配合TDP灯照射治疗慢性盆腔炎91例[J].中医研究,2019,32(1):35-37.
[26] 李卫卫,栗蕊.自拟清盆方内服联合外用治疗湿热瘀阻型盆腔炎的临床效果[J].中国医药导报,2022,19(5):101- 104.
[27] 朱姝,李淑萍,黄素英.桂枝茯苓丸合小柴胡汤化裁治疗盆腔炎性疾病后遗症临床疗效观察[J].中国医药科学,2021,11(23):9-12,52.
[28] 郭华林,贺燕.甲珠红藤汤联合TDP照射治疗湿热瘀结型慢性盆腔炎47例[J].中医研究,2021,34(9):23-26.
[29] 黄发婷,梁漫,孙志圣.盆腔灌注联合TDP治疗慢性盆腔炎临床疗效研究[J].陕西医学杂志,2019,48(2):205- 207.
|
|
|
|