Objective: To compare the curative effect of refined moxibustion, traditional moxa box moxibustion and Chinese patent medicine on the sequelae of pelvic inflammatory disease with qi stagnation and blood stasis.
Methods: A total of 150 patients with sequelae of pelvic inflammatory disease with qi stagnation and blood stasis were randomized into a refined moxibustion group (50 cases), a box-moxibustion group (50 cases) and a Chinese medication group (50 cases, 2 cases dropped off). The patients in the refined moxibustion group were treated with refined moxibustion at Qihai (CV 6), Guanyuan (CV 4), Zigong (EX-CA 1) and Shuidao (ST 28), 2 moxa-cones for each acupoint. The patients in the box-moxibustion group were treated with box-moxibustion on the lower abdomen and Shenque (CV 8), and the patients in the Chinese medication group were treated with penyanqing capsules orally. All groups started treatment after menstruation, moxibustion was applied once every 4 days, twice a week, and medication was taken 3 times a day for a total of 2 menstrual cycles. The TCM symptoms and body signs scores of each group were observed before and after treatment. The short form health survey (SF-36) scores of each group were observed before and after treatment and during follow-up 12 weeks after treatment.
Results: After treatment, the TCM symptoms, body signs and comprehensive scores of each group were lower than those before treatment (P<0.05), and those in the refined moxibustion group were lower than the box-moxibustion group and the Chinese medication group (P<0.05). The SF-36 scores of each group after treatment and during follow-up were higher than before treatment (P<0.05); during follow-up, the SF-36 scores of the box-moxibustion group and the Chinese medication group were lower than after treatment (P<0.05), while that in the refined moxibustion group was higher than after treatment (P<0.05); the SF-36 scores after treatment and during follow-up in the refined moxibustion group were higher than the box-moxibustion group and the Chinese medication group (P<0.05, P<0.01).
Conclusion: Compared with traditional moxa box moxibustion and Chinese patent medicine treatment, refined moxibustion can better improve the symptoms, body signs and quality of life in patients with the sequelae of pelvic inflammatory disease of qi stagnation and blood stasis, and the effect is longer.
目的：比较精灸、传统艾箱灸和中成药治疗气滞血瘀型盆腔炎性疾病后遗症的疗效。方法：将150例气滞血瘀型盆腔炎性疾病后遗症患者随机分为精灸组（50例）、艾箱组（50例）和中药组（50例，脱落2例）。精灸组于气海、关元、子宫、水道穴采用精灸治疗，每穴灸2壮；艾箱组于神阙及小腹部行艾箱灸治疗；中药组口服盆炎清胶囊。各组均于月经干净后开始治疗，艾灸每隔3 d治疗1次，每周2次；药物治疗每天3次，共治疗2个月经周期。于治疗前后观察各组中医症状、体征评分及综合评分；于治疗前后、治疗后随访12周观察各组健康调查简表（SF-36）评分。结果：治疗后各组症状、体征评分及综合评分均较治疗前降低（P<0.05），且精灸组低于艾箱组和中药组（P<0.05）。各组治疗后及随访时SF-36评分均较治疗前升高（P<0.05）；随访时，艾箱组和中药组SF-36评分低于治疗后（P<0.05），精灸组SF-36评分高于治疗后（P<0.05）；精灸组治疗后及随访时SF-36评分均高于艾箱组和中药组（P<0.05，P<0.01）。结论：与传统艾箱灸和中成药治疗相比，精灸治疗能更好地改善气滞血瘀型盆腔炎性疾病后遗症患者的症状体征和生活质量，疗效较持久。.
Keywords: qi stagnation and blood stasis; randomized controlled trial (RCT); refined moxibustion; sequelae of pelvic inflammatory disease.