摘 要
慢性盆腔炎是妇科常见疾病，其病程长、易复发，严重影响患者生活质量。现代医学治疗虽有一定效果，但存在抗生素耐药及副作用等问题，而中医在该病的治疗中具有独特优势。为探讨针灸结合中药治疗慢性盆腔炎的临床疗效，本研究选取某医院2018年1月至2021年1月收治的120例慢性盆腔炎患者作为研究对象，随机分为观察组和对照组各60例。对照组采用常规西医药物治疗，观察组在对照组基础上加用针灸结合中药治疗。针灸取穴关元、气海、三阴交等，中药方剂根据患者具体证型进行加减。疗程均为4周，观察两组患者的临床症状改善情况、炎症指标变化、复发率及不良反应发生情况。结果表明，观察组总有效率为93.33%，明显高于对照组的76.67%，差异有统计学意义（P0.05）。观察组患者治疗后白细胞计数、C - 反应蛋白等炎症指标较治疗前显著下降，且低于对照组（P0.05）。随访6个月，观察组复发率为6.67%，低于对照组的20.00%（P0.05）。两组均未出现严重不良反应。针灸结合中药治疗慢性盆腔炎可显著提高临床疗效，改善炎症状态，降低复发率，且安全性良好，为慢性盆腔炎的治疗提供了新的思路与方法，丰富了中医治疗慢性盆腔炎的理论与实践内容。
关键词：慢性盆腔炎；针灸结合中药；临床疗效；炎症指标；复发率
Abstract
Chronic pelvic inflammatory disease is a common gynecological condition, characterized by a prolonged course and tendency to recur, which significantly impairs the quality of life of patients. Although modern medicine has achieved certain therapeutic effects, issues such as antibiotic resistance and side effects remain challenging. In contrast, traditional Chinese medicine demonstrates unique advantages in treating this condition. To investigate the clinical efficacy of acupuncture combined with Chinese herbal medicine for chronic pelvic inflammatory disease, this study selected 120 patients diagnosed with chronic pelvic inflammatory disease from a hospital between January 2018 and January 2021, randomly dividing them into an observation group and a control group, each consisting of 60 cases. The control group received conventional Western medical drug therapy, while the observation group was treated with acupuncture and Chinese herbal medicine in addition to the conventional therapy. Acupuncture points included Guanyuan, Qihai, Sanyinjiao, and others, and the herbal formula was adjusted according to the specific syndrome type of each patient. Both groups underwent a treatment course of four weeks, during which their clinical symptom improvement, changes in inflammatory markers, recurrence rates, and adverse reaction occurrences were observed. The results indicated that the total effective rate in the observation group was 93.33%, significantly higher than the 76.67% in the control group, with a statistically significant difference (P0.05). After treatment, white blood cell count and C-reactive protein levels, among other inflammatory indicators, decreased significantly in the observation group compared to pre-treatment levels and were lower than those in the control group (P0.05). During a six-month follow-up, the recurrence rate in the observation group was 6.67%, lower than the 20.00% in the control group (P0.05). Neither group experienced severe adverse reactions. Acupuncture combined with Chinese herbal medicine for chronic pelvic inflammatory disease can markedly enhance clinical efficacy, improve inflammatory status, reduce recurrence rates, and demonstrate good safety, providing new insights and methods for the treatment of chronic pelvic inflammatory disease while enriching the theoretical and practical content of traditional Chinese medicine in managing this condition.
Keywords：Chronic Pelvic Inflammation；Acupuncture Combined With Traditional Chinese Medicine；Clinical Efficacy；Inflammatory Markers；Recurrence Rate
目 录
摘 要 I
Abstract II
引 言 1
第一章 慢性盆腔炎的现状与挑战 2
1.1 慢性盆腔炎的流行病学特征 2
1.2 现有治疗方法及其局限性 2
1.3 针灸与中药治疗的研究背景 3
第二章 针灸结合中药治疗方案设计 4
2.1 治疗方案的理论依据 4
2.2 针灸穴位选择及操作方法 4
2.3 中药方剂组成与用药原则 5
第三章 临床观察实施过程 6
3.1 病例选择标准与分组 6
3.2 观察指标设定与评估方法 6
3.3 治疗过程中的安全性监测 7
第四章 治疗效果分析与讨论 8
4.1 疗效评价结果统计 8
4.2 不同治疗手段对比分析 8
4.3 结果对临床实践的意义 9
结 论 10
参考文献 11
致 谢 12
