Dissertation
Dissertation > Medicine, health > Chinese Medicine > Traditional Chinese Medicine Obstetrics and Gynecology > Modern medicine, obstetrics and gynecology disease

Clinical Research of Comprehensive TCM Treatment for Pelvic Inflammatory Disease (Damp-Heat Stasis Pattern)

Author KangLi
Tutor WeiShaoBin
School Chengdu University of Traditional Chinese Medicine
Course Chinese Gynecology
Keywords Chronic Pelvic Inflammatory Disease damp-heat stasis pattern TCM treatment Rectum to medicine Packet topical Iontophoresis Clinical curative effect
CLC R271.9
Type Master's thesis
Year 2010
Downloads 49
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ObjectiveIn order to verify clinical efficacy in Traditional Chinese Medicine (TCM in short) treatment for Pelvic Inflammatory Disease (PID in short) on Damp-Heat Stasis Pattern (DHSP in short), through comparing dual therapy to triple therapy on DHSP, it will optimize PID treatment programs, form TCM treatment guidelines of PID, and further more provide evidence in promoting the normal application of PID.MethodsChoose 210 patients,who were diagnosed chronic PID of DHSP form many center. Dual therapy group, triple therapy group 1, triple therapy group 2 of 70 cases. In this study, dual therapy with oral Chinese joint rectal administration, triple therapy group 1 combination therapy based on dual therapy and add external application of Chinese medicine packet. Triple therapy group 2 combination therapy based on dual therapy and add iontophoresis of Chinese medicine. A course of 28 days for oral chinese medition, menstrual periods also continue, once every two courses; medicine rectal administration, external application packet, TCM iontophoresis to 14 days for a course, menstruation stop. Insist two courses. Collected before and after treatment in all treatment groups Syndrome, check local signs and vaginal secretions, B-ultrasound data, statistical processing, evaluation of clinical efficacy and discussed. Results(1) The effect of three pelvic pain, compared with dual therapy group markedly effective rate was 72.86 percent, triple Group 1 markedly effective rate was 85.29 percent, triple Group 2 routine was 80.60 percent. Markedly effective rate of three statistical test,P=0.341(>0.05), no statistical significance.(2)Three groups of treatment effect on the dissipation of pelvic masses by statistical test, P=1.00 (>0.05), no statistical significance.(3) Three groups of Chinese medicine syndromes of comparison, the dual therapy group markedly effective rate was 64.28 percent, triple group 1 rate was 77.94 percent, triple Group 2 rate was 89.55 percent. Markedly effective rate of three statistical test, P=0.002(<0.05),be of comparable. Further indicated by PearsonX2 test:dual therapy group and the triple therapy group 2 syndromes differ markedly effective rate,P=0.000, be of comparable.(4) The effect of three signs of comparison, the combination therapy group markedly effective rate was 57.14 percent, triple group 1 rate was 80.88 percent, triple group 2 was 76.12 percent. Markedly effective rate of three statistical test, P= 0.005, comparable. Further indicated by PearsonX2 test:dual therapy between triple therapy and triple therapy group 1 and group 2 was markedly effective rate on the signs are different, each group P<0.05,be of comparable.(5) The three Chinese main card recovery rate comparison, the recovery rate of lumbosacral pain there are differences, P=0.032 (<0.05). Further indicated by PearsonX2 test:triple therapy group 1 in the treatment of lumbosacral pain different from dual therapy and triple therapy group 2, (P<0.05), triple therapy group 1 healing lumbosacral Expansion pain better than the other two groups.(6) Three groups, normalization rate between the individual signs in the cure of uterine activity limitation, tenderness on the differences, P= 0.001 (<0.05). Using PearsonX2 test further indicated that triple therapy group 2 cure uterine activity limitation, tenderness with dual therapy and triple therapy group differences between Group 1, (P<0.05), triple therapy group were cured of uterine 2 limited mobility, tenderness, the better than the other two groups.ConclusionMedical treatment of PID (Damp-Heat Stasis Pattern) be of significant effect. Triple therapy effective in markedly effective rate of symptoms and signs on the effect of markedly effective rate was significantly higher than the dual therapy group. Among them, the triple therapy group 1 lumbosacral pain in the cure, the better than the other two groups; triple therapy group 2 for cure of uterine activity is better than the other two groups.

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