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The Study On The Evalvation Criteria Of Effect About TCM Treatment Forchronic Pelvic Pain Of CPID

Posted on:2013-09-12Degree:MasterType:Thesis
Country:ChinaCandidate:T T HeFull Text:PDF
GTID:2234330395455884Subject:TCM gynecology
Abstract/Summary:PDF Full Text Request
Objective:Pelvic inflammatory disease sequelae efficacy of the formulation of the rating scale, preliminary study, the efficacy evaluation of pelvic inflammatory diseasesequelae and to promote the development of scientific, standardized, improved, unified clinical efficacy evaluation system, Chinese medicine treatment of pelvic inflammatory disease sequelaemethod development and promotion are essential.Methods:Reference scale and combination of statistics, developed a rating scale of the efficacy of pelvic inflammatory disease sequelae. Relying on the State Administration of Traditional Chinese Medicine "Eleventh Five-Year" key specialist subject-pelvic inflammatory disease program clinical validation study, the Sichuan Provincial Chinese Medicine Hospital gynecological outpatient and inpatient, pelvic inflammatory disease sequelae in patients before treatment and after a month,2months after treatment, fill in pelvic inflammatory disease sequelae efficacy rating scale and subjects designed case observation table test. Through the establishment of the database and to use spss17.0statistical software for statistical analysis, analysis of the comparison of the efficacy of Chinese medicine treatment of pelvic inflammatory disease sequelae and two efficacy evaluation method.Results:Into the cases of a total of120cases, excluding the four cases of failure cases, effective cases of116cases.①In the integral comparison:Scale:The scale:before and after the three examination clinical symptoms, signs and B ultrasound changes, difference has statistical significance. The observed table:clinical symptoms in two clinics and three clinics compared with P>0.05; signs of uterus (activity, tenderness) and uterosacral ligament (thickening, tenderness) before and after the three treatment changes, with statistical significance. While the dual attachment area (thickening, thickening, tenderness) in two clinics and three clinics compared with P=0.308>0.05, not statistically significant. Symptoms total score in two clinics and three clinics compared with P=0.472>0.05, the difference was not statistically significant.②The results of comparison:disease effect results:scale:a significant rate of64.65%; the observed table:a significant rate of59.48%. After a nonparametric test, P-0.605(>0.05), no statistical significance.The curative effect comparison of results: scale greater rate of65.15%. The observed table results:significant rate of57.76%. Two more rate compared with P=0.138(>0.05), the difference was not statistically significant.Conclusion:This topic through statistic analysis, scale or observation table can response to the patient’s condition changes, the disease, curative effect results in terms of comparative, reached consistent efficacy evaluation results. But the scale in three before and after the diagnosis of clinical symptoms, signs and B ultrasound score changes were statistically significant, because the scale used was the patients clinical symptoms, it can truly reflect the disease changes; and scale covering the clinical symptoms, signs of comprehensive on. In order to illustrate the evaluation system is better than the observed table, for the treatment of CPID with traditional Chinese medicine curative effect evaluation tools that provide.
Keywords/Search Tags:sequela of pelvic inflammatory disease, therapy of traditional Chinesemedicine, clinical efficacy scales
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