扶阳罐辅助西药对盆腔炎性疾病后遗症慢性盆腔痛患者血清炎症因子及血液流变学的影响
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R711.33

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江苏省南京市卫健委项目(NJCC-ZJ-202358)


Clinical outcomes of western medicine plus Fuyang cupping therapy for chronic pelvic pain secondary to pelvic inflammatory disease and its impact on serum inflammatory factors and hemorheology
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    摘要:

    目的:探讨扶阳罐疗法辅助西药治疗盆腔炎症疾病后遗症慢性盆腔痛(SPID-CPP)的效果。方法:选取100例 SPID-CPP患者作为研究对象,按照治疗方案不同将患者分为对照组和观察组,每组各50例。两组分别采用布洛芬片口服单 独治疗及在此基础上联用扶阳罐疗法,均持续治疗3个月经周期。对比两组疼痛评分、局部体征评分、中医证候积分和生活 质量评分,检测两组血清炎症因子[超敏 C反应蛋白(hs-CRP)、白细胞介素6(IL-6)]和血液流变学指标[血浆红细胞沉降率 (ESR)、纤维蛋白原(Fib)、血浆黏度],并评估两组疗效及不良反应发生情况。结果:与对照组比较,观察组总有效率更高 (P<0.05)。治疗后,观察组相比对照组疼痛评分(下腹部、腰骶部)、局部体征评分和中医证候积分均更低(P<0.05),生活 质量评分更高(P<0.05)。治疗后,观察组血清中的hs-CRP、IL-6、ESR、Fib含量及血浆黏度值均低于对照组(P<0.05)。两 组患者不良反应总发生率无统计学差异(P>0.05)。结论:扶阳罐疗法辅助西药治疗 SPID-CPP疗效显著,能够更有效缓解 疼痛,改善局部症状,减轻炎症和改善血液流变学可能是其相关作用机制。

    Abstract:

    Objective: To investigate the efficacy of Fuyang cupping therapy combined with western medicine in the treatment of chronic pelvic pain secondary to sequelae of pelvic inflammatory disease (SPID-CPP). Methods: A total of 100 SPID-CPP patients were selected and divided into two groups according to different treatment options, 50 cases in each group. The control group was managed with oral ibuprofen. On this basis, the observation group received supplementary Fuyang cupping sessions. Both groups received treatment for 3 menstrual cycles. The scores of pain score (lower abdominal pain, lumbosacral pain), local sign score, the TCM syndrome scores and quality of life scores were compared between the two groups. Serum inflammatory factors [hypersensitive C-reactive protein (hs-CRP), interleukin-6 (IL-6)] and hemorheology indexes [erythrocyte sedimentation rate (ESR), fibrinogen (Fib), plasma viscosity] were detected in both groups, and the efficacy and incidence of adverse reactions were assessed in each of the two groups. Results: The total effective rate was higher in the observation group than that in the control group (P<0.05). Post-treatment assessments revealed that the observation group had reduced lower abdominal pain, lumbosacral pain, local sign, and TCM syndrome scores relative to the control group (P<0.05), while their quality of life score was elevated (P<0.05). After treatment, the levels of serum hs-CRP, IL-6, ESR, Fib and plasma viscosity in the observation group were lower than those in the control group (P<0.05). There was no statistically significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion: Fuyang cupping therapy assisted with western medicine exerts a significant efficacy in the treatment of SPID-CPP. It can more effectively alleviate pain, improve local symptoms, and its underlying mechanism may be related to reducing inflammation and improving hemorheology.

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王芳芳;刘德佩;廖云霞.扶阳罐辅助西药对盆腔炎性疾病后遗症慢性盆腔痛患者血清炎症因子及血液流变学的影响[J].川北医学院学报,2026,41(7):823-.

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  • 在线发布日期: 2026-07-17
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