| ObjectiveThe chronic pelvic inflammation diease(C盆腔炎)is a common gynecological disease.It has a rising incidence, long course and is recurrent. C盆腔炎serious impact on the women's physical and mental health and normal life. Acupuncture used in treating C盆腔炎has long history in China. Catgut embedding therapy is a new treatment in rescent years. By embedding Catgut in selected acupoints, it stimulate the body, accelerate the metabolism through a complex progress and then can relieve syndromes of C盆腔炎.Catgut embedding therapy keeps the advantage of acupuncture and moxibustion, and prolong stimulate time for each point, shorten the patient treatment time, clinical curative effect for sure. To observe the clinical efficacy of treating Chronic Pelvie Inflammatory Disease respectively with Catgut embedding Therapy,Regular acupuncture.MethodsAll70cases were collected from Tai Wan Yuanpin Chinese hospital. After this research finish, we observed64cases,33in Catgut embedding Group and31in Regular Acupuncture Group. Baseline of two groups were compared and had no significant difference (P>0.05).(1) TCM symptom score before and after treatment:the treatment in January, TCM symptom score before and after treatment of acupoint catgut embedding group and the routine acupuncture group, catgut implantation at acupoint group after treatment than before treatment symptom score decreased significantly, by t test, P<0.001, the difference was statistically significant; routine acupuncture group after treatment compared with pre-treatment symptom score decreased significantly by t test, P<0.001, statistically significant difference, the routine acupuncture group one month after treatment can effectively reduce the chronic pelvic inflammatory disease in patients with traditional Chinese medicine symptom score; and two sets of points after treatment, P<0.05, the difference of the integrals in the two groups before and after treatment comparison, P<0.05, the differences were statistically significant, catgut implantation at acupoint group compared to conventional acupuncture group, TCM symptom score improvement is more apparent.(2) TCM symptoms after treatment, recovery rate:catgut implantation at acupoint group were abdominal pain after treatment, recovery rate of63.33%,51.72%in the routine acupuncture; lumbosacral tenderness aspects, catgut implantation at acupoint group recovery rate of89.29%. routine acupuncture recovery rate of75.86%; vaginal discharge volume, catgut implantation at acupoint review rate of86.67%,29.41%of the routine acupuncture group; acupoint catgut embedding group of vaginal discharge yellow normalization rate was78.26%, normalization of the routine acupuncture group rate of40.00%; taken off the bad taste acupoint catgut implantation group was71.43%,83.33%of the routine acupuncture group; Shenpi fatigue aspects of acupoint catgut embedding group recovery rate of73.08%, the routine acupuncture group recovery rate of54.17%; low heat terms of ups and downs, the acupoint catgut embedding group complex regular rate of66.67%,100.00%of the routine acupuncture group; negative menstrual disorders, catgut implantation at acupoint recovery rate of17.65%, the routine acupuncture group recovery rate of33.33%; increase the line of abdominal pain acupuncture points catgut embedding group recovery rate of80.00%, the routine acupuncture group recovery rate of70.59%; Xiong Xie breast tenderness recovery rate of85.00%, the routine acupuncture group recovery rate of26.32%; blood dark blood clots aspects acupoint catgut embedding group normalization rate of80.00%, the routine acupuncture group recovery rate of66.67%. X2test, P<0.05, statistically significant differences.(3) Local signs of recovery rate before and after treatment:catgut implantation at acupoint group after the treatment of uterine activity limitation, tenderness, signs of recovery rate of76.67%, routine acupuncture was56.00%; acupoint catgut embedding group after the treatment side of the annex to increase thick, tenderness Signs complex often was47.06%,54.55%in the routine acupuncture; acupoint catgut embedding group after the treatment of bilateral annex thickening, tenderness, signs of recovery rate of46.15%,28.57%in the routine acupuncture; catgut implantation at acupoint sacral ligament thickening in the group of patients after treatment, the tenderness recovery rate of72.73% 37.50%conventional acupuncture. x2test, P>0.05, the difference was statistically significant. The improvement of uterine activity is limited, tenderness, respect, sacral ligament thickening, tenderness aspects, catgut implantation at acupoint group normalization rate than the routine acupuncture group. Thickening in the attachment, tenderness (unilateral or bilateral), two groups of normal difference is not obvious.(4) Two groups after treatment in January, the overall efficacy:treatment in January acupoint catgut embedding group healed in6cases, accounting for19.18%; effective in17cases, accounting for51.52%; effective in nine cases, accounting for27.27%; and one cases, accounting for3.03%. Routine acupuncture group recovered four cases, accounting for12.90%; effective in6cases, accounting for19.35%; effective13cases, accounting for41.94%;8cases, accounting for25.81%. Ridit analysis, P<0.05, the difference was statistically significant, the acupoint catgut embedding group cure rate, markedly effective rate is better than the routine acupuncture group.(5) After treatment, between efficacy in patients with the syndrome types:treatment in January, the acupoint catgut embedding group belongs to the damp heat and junction in patients with a total of17cases,2cases recovered,10cases markedly effective in five cases, and0cases; conventional damp heat and junction in patients with a total of12cases in acupuncture group, recovered one cases, effective in two cases, effective in7cases,3cases; by Ridit analysis, P>0.05, the difference was not statistically significant, the heat Accumulation patients acupoint catgut embedding and routine acupuncture group efficacy. Acupoint catgut embedding group are a total of11cases of blood stasis in patients with cured three cases were cured,5cases,3cases effectively, and0cases; the routine acupuncture group belong to a total of12cases of patients with blood stasis type, recovered one cases two cases markedly effective in7cases, and two cases; Ridit analysis, P<0.05, the difference was statistically significant, and the acupoint catgut embedding group the average Ridit value0.3617, routine acupuncture group the average Ridit value of0.6268for the stagnation of qi blood stasis in patients with catgut implantation at acupoint group effect was excellent. Acupoint catgut embedding group belong to the cold and dampness stagnation type patients with a total of five cases, and recovered one cases, effective in two cases, the effective one cases and1case; routine acupuncture group belongs to the cold and dampness stagnation type patients with a total of12cases and recovered one cases were cured,2cases, effective in7cases; Ridit analysis, P>0.05, the difference was not statistically significant efficacy for the cold and dampness stagnation type, acupoint catgut embedding group and the routine acupuncture group.(6) Adverse reactions:catgut implantation at acupoint group of7people local ecchymosis, a person in pain continued over two days, four people a sense of soreness continued over two days. Routine acupuncture group (4people) acupuncture local subcutaneous hematoma, two people a sense of soreness continued over two days. Adverse reactions of the two groups of patients were cured after treatment, infection and other obvious sequelae. Two groups there were no serious adverse reactions.ConelusionCatgut embedding group and the routine acupuncture group can improve the TCM symptom score of patients with chronic pelvic inflammatory disease, and catgut implantation at acupoint group compared to the routine acupuncture group, TCM symptom score improved more significantly. In improving abdominal pain, lumbar pain, vaginal discharge, bad taste, line of abdominal pain aggravated aspects of the two sets of normalization rate. Acupoint catgut embedding group to improve the amount taken off, taken off the color yellow, Shenpi fatigue, Xiong Xie breast tenderness, etc., complex regular rate is better than the routine acupuncture group. The routine acupuncture group were taken off the bad taste, low thermal fluctuations, menstrual disorders, recovery in the rate of better than catgut implantation at acupoint group. The improvement of uterine activity is limited, tenderness, respect, sacral ligament thickening, tenderness aspects, catgut implantation at acupoint group normalization rate than the routine acupuncture group. Thickening in the attachment, tenderness (unilateral or bilateral), two groups of normal difference is not obvious. Acupoint catgut embedding group cure rate, markedly effective rate is better than the routine acupuncture group. For the effect of blood stasis in patients with catgut implantation at acupoint group is superior. Two groups there were no serious adverse reactions. |
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