| BackgroundAs a generic term of inflammatory syndromes of female upper reproductive system and peripheral connective tissue, Pelvic inflammatory disease is a most common in women of childbearing age genital inflammation, ranking one of the top ten women diseases. It is classified into acute and chronic pelvic inflammatory disease. Inflammation may be confined to one areaor involved several parts. Women with frequent sexual lifeand during menstruating period are susceptible, while those haven't experienced menarche, or have been in menopause, as well as the unmarried group are less sensitive to the disease. With a high incidence, and the nature of easily repeated attack, Pelvic inflammatory disease seriously affects the majority women's health.Chronic pelvic inflammatory disease is a common and frequent occurring gynecological disease. Modern medicine science consider that the main causes of inflammatory disease include incomplete treatment for acute pelvic inflammatory disease, and poor physical fitness as a result of persistent stubborn disease. Patients suffer due to long lasting sickness. Modern researches suggest that chronic pelvic inflammatory disease is caused by desmoplasia which causes the concretion of oviduct and ovaries with the peripheral organs and tissues. Hence there's cicatricial contracture and poor blood circulation, or enclosed mass and hydrops, resulting in malabsorption of lesion area. It not only needs a long-term medication, but also brings poor efficacy and side effects because of the use of antibiotics.ObjectivesThis investigation observes the how Catgut Embedment in Acupoint plays the clinical effects to chronic pelvic inflammation of Qi Stagnation and Blood Stasis. The article serves for the purpose of discovering a treatment of remarkable effect, few number of treatment, simple method and little side effect.MethodsWe select 60 patients of chronic pelvic inflammation of Qi Stagnation and Blood Stasis, gynecology and acupuncture outpatient clinics from the First Affiliated Hospital of Guangzhou University of TCM. The patients were randomly divided into treatment group, which is 30 cases treated with Catgut Embedment in Acupoint, and control group, which is 30 cases treated with Chinese medicine. The treatment group selects two groups of acupoints. The first group acupoints are:Qiha,Guila,Ganshu; the second group acupoints are:Guanyua,Ciliao,Xuehai. A treatment is 6 weeks. The control group treated Jiawei Jin Ling Zi power. A treatment is 6 weeks. After treatment, the changes of clinical symptoms and the physical signs of two groups were observed, and the efficacy of them were assessed. Meanwhile, we prepare statistical data from result aboveto analyze the efficacy of Catgut Embedment in Acupoint.ResultNo significant difference (P>0.05) is observed between the two groups in the basic parameter of age, duration of disease, menstruation, menstrual cycle, general fertility, and severity of the treatment. Hence it can be concluded that the two groups are comparable. Before treatment, clinical symptoms score, physical signs score and comprehensive score of treatment group and control group were tested by statistics. There are no significant difference (P>0.05) in diagnostic standards between the groups hence again, they are comparable from this perspective.After 6 weeks'treatment, clinical symptoms effects, physical signs effects and comprehensive effects of two groups were assessed. Clinical symptoms evaluation, the markedly effective rate and total effective rate of treatment group was 36.66% and 96.67% respectively; markedly effective rate and total effective rate of the control group was 13.33% and 93.33% respectively. With regards to physical signs evaluation, markedly effective rate and total effective rate of the treatment group was 70.00% and 93.33%; markedly effective rate and total effective rate of the control group was 36.67% and 86.67%. As to comprehensive effects evaluation, markedly effective rate and total effective rate of the treatment group was 36.66% and 96.67%; markedly effective rate and total effective rate of the control group was 10.00% and 96.67%. A comparison on clinical symptoms effects, physical signs effects and comprehensive effects (within group assessment) was performed for both groups between the situation before and after treatment. Given the grades are heavily lower than the situation before treatment, it's deemed that grading difference between the two groups was significant (P<0.05), suggesting both treatment can effectively improve patients'clinical symptoms effects, physical signs. Another comparison on same items were performed between the two treatment's results(intergroup assessment), and the grading difference is significant (P<0.05), which suggests that the efficacy of treatment group is better than the control group. With regards to the treatment effect, markedly effective rate was statically significant (P<0.05), suggesting the treatment group is superior to the control group. Total effective rate result is insignificant (P>0.05) yet with a high record, suggesting both method can materially improve patients'clinical symptoms effects and physical signs.After treatment, the clinical symptoms score, physical signs score and comprehensive score of two groups were compared with that before treatment, respectively. Scores were significantly lower in both groups before treatment, difference was significant (P<0.05). This suggests that two groups can both improve the clinical symptoms and Physical signs. After treatment, the clinical symptoms score, physical signs score and comprehensive score of two groups were compared with each other, respectively. Difference was significant (P<0.05). This suggests that the efficacy of treatment group is superior to the control group.ConclusionBoth Catgut Embedment in Acupoint and given Jiawei Jin Ling Zi Powder have clear effects to cure chronic pelvic inflammation of Qi Stagnation and Blood Stasis. Both of them can improve the clinical symptoms and Physical signs. Meanwhile, Catgut Embedment in Acupoint is more effective than oral Jiawei Jin Ling Zi Powder, and can significantly improve clinical symptoms and Physical signs.
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