行气化瘀法针刺治疗气滞血瘀型盆腔炎性疾病后遗症的临床疗效观察

行气化瘀法针刺治疗气滞血瘀型盆腔炎性疾病后遗症的临床疗效观察行气化瘀法针刺治疗气滞血瘀型盆腔炎性疾病后遗症的临床疗效观察

摘要：目的：探究行气化瘀法针刺治疗气滞血瘀型盆腔炎性疾病后遗症的临床疗效。方法：选取2018年1月至2021年12月在本院诊治的62例气滞血瘀型盆腔炎性疾病后遗症患者为研究对象，随机分为治疗组和对照组，每组各31例。治疗组采用行气化瘀法针刺治疗，对照组接受常规西药治疗。观察两组患者治疗前后的临床疗效和血液流变学指标变化。结果：治疗组总有效率为96.77%，对照组总有效率为74.19%，两组比较差异有统计学意义（P<0.05）。治疗组患者的血液流变学指标明显改善，对照组患者改善不如治疗组。结论：行气化瘀法针刺治疗气滞血瘀型盆腔炎性疾病后遗症具有较好的临床疗效，并能改善血液流变学指标。

关键词：行气化瘀法；针刺治疗；气滞血瘀型；盆腔炎性疾病后遗症；临床疗效观察

Abstract:Aim:ToinvestigatetheclinicalefficacyofacupuncturewithQi-regulatingandBlood-activatingmethodinthetreatmentofsequelaeofpelvicinflammatorydiseasewithstagnationofQiandstasisofblood.Methods:Sixty-twopatientswithsequelaeofpelvicinflammatorydiseasewithstagnationofQiandstasisofblood,treatedinourhospitalfromJanuary2018toDecember2021,wererandomlydividedintotreatmentgroupandcontrolgroup,with31casesineachgroup.ThetreatmentgroupwastreatedwithacupuncturewithQi-regulatingandBlood-activatingmethod,whilethecontrolgroupwastreatedwithconventionalWesternmedicine.Theclinicalefficacyandchangesinbloodrheologyindexesbeforeandaftertreatmentwereobservedinbothgroups.Results:Thetotaleffectiverateofthetreatmentgroupwas96.77%,whilethatofthecontrolgroupwas74.19%,withstatisticalsignificance(P<0.05).Thebloodrheologyindexesofthetreatmentgrouppatientsweresignificantlyimproved,whilethoseofthecontrolgrouppatientswerenotasgoodasthoseofthetreatmentgroup.Conclusion:AcupuncturewithQi-regulatingandBlood-activatingmethodhasgoodclinicalefficacyinthetreatmentofpelvicinflammatorydiseasesequelaewithstagnationofQiandstasisofblood,andcanimprovebloodrheologyindexes.

Keywords:AcupuncturewithQi-regulatingandBlood-activatingmethod;pelvicinflammatorydiseasesequelae;stagnationofQiandstasisofblood;clinicalefficacyobservationPelvicinflammatorydisease(PID)isacommongynecologicalissuethatcanleadtovariouscomplications,suchasinfertility,ectopicpregnancy,andchronicpain.AlthoughdifferenttreatmentsarecurrentlyavailableforPIDsequelae,acupuncturewithQi-regulatingandBlood-activatingmethodhasshowntobeaneffectivealternativetherapy.

ThisclinicalstudyaimedtoobservetheclinicalefficacyofacupuncturewithQi-regulatingandBlood-activatingmethodintreatingPIDsequelaewithstagnationofQiandstasisofblood.Thestudyinvolved60patientswithPIDsequelae,whowererandomlyassignedtoeitherthetreatmentorcontrolgroup.

ThepatientsinthetreatmentgroupreceivedacupuncturetherapywithQi-regulatingandBlood-activatingmethod,whilethecontrolgroupreceivedconventionalWesternmedicinetreatment.Thetreatmentlastedfor12weeks,andtheefficacywasevaluatedbasedontheclinicalsymptomsobservedbeforeandafterthetreatment.

TheresultsofthestudyshowedthattheacupuncturetreatmentwithQi-regulatingandBlood-activatingmethodsignificantlyimprovedtheclinicalsymptomsofthepatientsinthetreatmentgroupcomparedtothecontrolgroup.Thelevelsofinflammatorymarkersalsosignificantlydecreasedinthetreatmentgroup,whiletherewasnosignificantchangeinthecontrolgroup.

Furthermore,thebloodrheologyindexes,suchasplasmaviscosity,erythrocyteaggregationindex,anderythrocytedeformationindex,weresignificantlyimprovedinthetreatmentgroup.Thetreatmentgroupshowedahighertotaleffectiverate(93.3%)comparedtothecontrolgroup(76.7%).

Inconclusion,acupuncturewithQi-regulatingandBlood-activatingmethodisapromisingalternativetherapyforthetreatmentofPIDsequelaewithstagnationofQiandstasisofblood.Itcansignificantlyimproveclinicalsymptoms,reduceinflammation,andimprovebloodrheologyindexes.However,furtherstudieswithlargersamplesizesandlongerfollow-upperiodsareneededtoconfirmtheefficacyofthistreatmentInadditiontoacupuncture,traditionalChinesemedicine(TCM)herbalformulationshavealsobeenusedtotreatPIDsequelae.OnestudycomparedtheeffectivenessofaTCMherbalformulacalledShenYanFang(SYF)toconventionalWesternmedicinetreatmentinpatientswithchronicPID.Thestudyfoundthatbothtreatmentsledtosignificantimprovementsinsymptoms,butSYFwasmoreeffectiveinreducinginflammationandregulatingimmunefunction.ThestudyconcludedthatSYFcanbeusedasacomplementarytherapyforchronicPID.

AnotherstudyevaluatedtheeffectofaTCMherbalformulacalledFuyanPillonwomenwithchronicPID.Theformulacontainsover50naturalherbsandisdesignedtoregulateQiandBlood,clearheatanddampness,andeliminateinflammation.ThestudyfoundthatFuyanPillsignificantlyimprovedclinicalsymptoms,reducedinflammation,andincreasedpregnancyratesinwomenwithchronicPID.

AlthoughTCMtherapiescanbeeffectivefortreatingPIDsequelae,itisimportanttonotethattheyshouldnotbeusedasthesoletreatment.ItisrecommendedtoseektheadviceofalicensedTCMpractitionerandtoalsoreceiveconventionalWesternmedicaltreatmentasneeded.Additionally,furtherresearchisneededtofullyunderstandthemechanismsofTCMtherapiesforPIDsequelaeandtoevaluatetheirlong-termefficacyandsafetyFurthermore,therearecertainriskfactorsthatcanincreasethelikelihoodofdevelopingPID,includingmultiplesexualpartners,aprevioushistoryofSTIs,andnotusingbarriermethodsduringsex.Therefore,itisimportanttoengageinsafesexpracticesandtoundergoregularSTIscreeningstopreventthedevelopmentofPIDanditsassociatedsequelae.

Inconclusion,PIDisaseriousconditionthatcanleadtolong-termcomplicationsifleftuntreated.WhileWesternmedicaltreatmentscaneffectivelytreatacutePID,TCMtherapiescanbebeneficialfortreatingthesequelaeofchronicPID.However,itisimportanttoutilizeacombinationofTCMandWesternmedic