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目的:观察腹部深部热疗结合中药保留灌肠治疗慢性盆腔炎的疗效。方法:采用随机数表法、对照的原则,将60例慢性盆腔炎患者随机分为观察组和对照组各30例,其中观察组应用腹部深部热疗结合中药保留灌肠治疗,对照组仅予中药保留灌肠治疗。结果:(1)两组临床总有效率比较差异有统计学意义(P<0.05)。(2)两组治疗前后病情评分差值比较,差异有统计学意义(P<0.01)。(3)治疗后两组IL-2及IL-10值水平升高,TNF-α水平下降,与治疗前比较,差异有明显统计学意义(P<0.01)。(4)治疗后观察组IL-2及IL-10水平高于对照组,TNF-α水平低于对照组,差异有统计学意义(P<0.05)。结论:利用超短波行腹部深部热疗配合传统中药保留灌肠的中西医结合的方法治疗慢性盆腔炎,疗效明显优于单一疗法,且进一步提示慢性盆腔炎的发病与患者血清抗炎因子与促炎因子失衡密切相关,免疫学指标的检测或可以揭示综合疗法的作用机制。
Objective: To observe the effect of deep abdominal hyperthermia combined with traditional Chinese medicine retention enema on chronic pelvic inflammatory disease. Methods: Sixty patients with chronic pelvic inflammatory disease were randomly divided into observation group and control group with 30 cases in each group. The observation group was treated with deep abdominal hyperthermia combined with traditional Chinese medicine retention enema, while the control group only received traditional Chinese medicine Retention enema treatment. Results: (1) The total effective rate of the two groups was statistically significant difference (P <0.05). (2) There was significant difference between the two groups before and after treatment (P <0.01). (3) After treatment, the level of IL-2 and IL-10 in both groups increased and the level of TNF-α decreased. Compared with before treatment, the difference was statistically significant (P <0.01). (4) After treatment, the levels of IL-2 and IL-10 in the observation group were higher than those in the control group, and the level of TNF-α was lower than that in the control group (P <0.05). Conclusion: The treatment of chronic pelvic inflammatory disease by ultra-shortwave abdominal deep hyperthermia combined with traditional Chinese medicine retention enema is superior to monotherapy, and further suggests that the incidence of chronic pelvic inflammatory disease and serum anti-inflammatory and proinflammatory cytokines The imbalance is closely related to the detection of immunological indicators or can reveal the mechanism of action of the combination therapy.