针刺配合中药熏蒸治疗慢性盆腔炎疗效观察

摘要

Objective To observe the clinical efficacy of acupuncture plus Chinese medicinal fumigation in treating chronic pelvic inflammatory disease (CPID).Method Totally 120 CPID patients were randomized into group A, group B and group C, 40 cases in each group. Group A was intervened by acupuncture plus Chinese medicinal fumigation, group B was by dry acupuncture treatment, while group C was by Chinese medicinal fumigation alone. After 3 treatment courses, the clinical efficacies were observed, and the relapse rates among the cured cases in 8 months after the whole treatment were compared among the 3 groups.Result The total effective rate and recovery rate were respectively 95.0% and 70.0% in group A, versus 82.5% and 45.0% in group B, and 57.5% and 32.5% in group C, and the total effective rate and recovery rate in group A were significantly different from that in group B and group C (P<0.05). The treatment duration for the recovered cases in group A was significantly different from that in group B and C (P<0.05). The relapse rate in the recovered cases in the 8-month follow-up was 10.7% in group A, versus 44.4% in group B and 53.8% in group C, and the relapse rate in group A was markedly lower than that in group B and C (P<0.05).Conclusion Acupuncture plus Chinese medicinal fumigation is an effective method in treating CPID, and its advantages include content efficacy, short treatment duration, and low relapse rate, etc.%目的：观察针刺配合中药熏蒸治疗慢性盆腔炎的临床疗效。方法将120例慢性盆腔炎患者随机分为A组、B组和C组,每组40例。A组采用针刺配合中药熏蒸治疗,B组采用单纯针刺治疗,C组采用单纯中药熏蒸治疗。治疗3个疗程后,观察各组临床疗效,并比较3组痊愈患者治疗后8个月的复发率。结果 A组总有效率和痊愈率分别为95.0%和70.0%,B组分别为82.5%和45.0%,C组分别为57.5%和32.5%,A组总有效率和痊愈率与B组和C组比较,差异均具有统计学意义(P＜0.05)。A组痊愈患者治疗疗程与B组和C组比较,差异均具有统计学意义(P＜0.05)。A组痊愈患者治疗后8个月复发率为10.7%,B组为44.4%,C组为53.8%,A组复发率明显低于B组和C组(均P＜0.05)。结论针刺配合中药熏蒸是一种治疗慢性盆腔炎的有效方法,具有疗效好、疗程短、复发率低等优点。