| Objective: In this study,the Ziwu Liuzhu theory combined with thunder-fire moxibustion therapy was used to intervene in patients with sequelae of pelvic inflammatory disease(kidney deficiency and blood stasis syndrome).To explore the effect of this method on improving pain,TCM syndromes,quality of life and infrared thermal imaging calorific value in patients with sequelae of pelvic inflammatory disease(kidney deficiency and blood stasis syndrome).To verify the influence of different intervention time points on the efficacy of thunder-fire moxibustion,it will lay a foundation for further research on the mechanism of Shi-chen thunder-fire moxibustion therapy in intervening in the sequelae of pelvic inflammatory disease,and also provide ideas and research foundations for the practical application of the Ziwu Liuzhu theory in clinical practice.Methods: From March 2021 to February 2022,144 patients who met the diagnosis of pelvic inflammatory disease sequelae(kidney asthenia with blood stasis)who were treated in the gynecological outpatient department of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine and voluntarily participated in the study were selected as the subjects.There were randomly divided into the control group and the treatment group,with 69 cases in the control group and 70 cases in the treatment group.The control group was given medication nursing,daily nursing,and thunder-fire moxibustion intervention.The treatment group was given the same nursing measures as the control group.After 1 cycle of intervention and after 2 cycles of intervention,the patients were evaluated by using TCM syndrome quantitative scoring standard,NRS,digital medical infrared thermal imager and SF-36,and the intervention effects of the two groups were evaluated.Statistical analysis was performed using SPSS 23.0 statistical software.The count data were described by frequency and percentage(%),and the measurement data were described by means ± standard deviation(`x±s).If the data did meet the normal distribution,Sample t-test and two independent sample t-test,simple effect analysis were used.Generalized estimation equation and nonparametric rank sum test were used if the data did not meet the normal distribution,P<0.05 indicated that the difference was statistically significant.Result:1.The study finally included 139 patients.70 in the treatment group and69 in the control group.The general data and baseline data of the patients were statistically processed,the t-test,-test and rank sum test showed that,There was no significant difference in the general data and baseline data between the treatment group and the control group(P>0.05),which were comparable and could be compared.2.Comparison of NRS scores in the two groups after the intervention,the NRS scores of the two groups decreased.Comparison within the group:There was a statistically significant difference in the NRS scores between the two groups before and after the intervention(P<0.01).In the comparison of scores between the two groups during the intervention period,the NRS score of the treatment group was lower than that of the control group,and repeated measures analysis of variance showed that the time effect,the between-group effect and the interaction effect were all statistically significant(P<0.001,P<0.05,P<0.001).3.Comparison of TCM main syndrome scores after the intervention in the two groups of patients,the TCM syndrome scores of the two groups decreased.Comparison within groups: after 1 cycle of intervention and before intervention,after 2 cycles of intervention and before intervention,after 2cycles of intervention and after 1 cycle of intervention,there were statistically significant differences in the scores of the treatment groups(P<0.05),the control group There were significant differences in the syndrome scores of lower abdominal pain or tingling pain,lumbosacral pain,and excessive vaginal discharge between the two groups(P<0.05).There were significant differences in the syndrome scores of the two groups of patients,such as lower abdominal distention or tingling pain,lumbosacral distention pain in the chest and flank or breast tenderness(P<0.05),and the treatment group was lower than the control group;After 2 cycles of intervention,the scores of TCM main syndromes in both groups decreased,and there were significant differences in the scores of syndromes such as lower abdominal distention or tingling pain,lumbosacral distention pain,chest flank pain or breast distention pain between the two groups(P <0.05),the treatment group was lower than the control group.4.Comparison of TCM sub-syndrome scores after the intervention in the two groups of patients,the TCM syndrome scores of the two groups decreased.Comparison within groups: Compared with the scores before intervention after 1 cycle of intervention,the difference in emotional depression or irritability scores in the control group was statistically significant(P<0.05).The treatment group had increased abdominal pain,emotional depression or irritability,and abdominal distention pain There was statistical significance in the comparison of equal score(P<0.05);After 2cycles of intervention,compared with the score before intervention,the treatment group and the control group had dark red menstruation or blood clots,increased abdominal pain during menstruation,emotional depression or irritability,epistaxis,etc.There was a statistically significant difference in the scores of abdominal distension and pain(P<0.05).Compared with the scores after 2 cycles of intervention and 1 cycle of intervention,there was a statistically significant difference in the scores of abdominal pain aggravation in the control group(P<0.05).There were significant differences in the scores of dark red or blood clots,emotional depression or irritability(P<0.05).Comparison between groups during the same period of intervention: After 1cycle of intervention,there were significant differences in the syndrome scores of abdominal pain aggravation and abdominal distention in the two groups(P<0.05),and the treatment group was lower than the control group.After 2 cycles of intervention,there were statistically significant differences in the scores of symptoms such as aggravation of abdominal pain,emotional depression or irritability,abdominal distension and pain between the two groups(P<0.05),and the treatment group was lower than the control group.5.Comparison of the calorific value of infrared thermal imaging after the intervention in the two groups of patients,the calorific value of infrared thermal imaging in both groups increased.Comparison within the group,after1 cycle of intervention and before the intervention,there was a statistically significant difference in the calorific value of the lower abdomen in the control group(P<0.05),and there was a statistically significant difference in the calorific value of the lower abdomen and Shenque in the treatment group(P<0.05)After 2 cycles of intervention and before the intervention,the difference in the calorific value of the lower abdomen and the Shenque in the control group was statistically significant(P<0.05),and the difference in the calorific value of the Du meridian,the lower abdomen and the Shenque in the treatment group was statistically significant(P<0.05).Comparison between groups during the same period of intervention: the Du meridian,Shenque and lower abdominal heat values in the treatment group were significantly higher than those in the control group,and repeated measures analysis of variance showed that the time effect,inter-group effect and interaction effect were all statistically significant(P<0.05).The calorific value of the group was higher than that of the control group.After 1 cycle of intervention,there was a statistically significant difference in the calorific value of the lower abdomen and Shenque between the two groups(P<0.05),and the treatment group was higher than the control group.After 2 cycles of intervention,the two groups were compared.There were statistically significant differences in the calorific value of Du meridian,lower abdomen and Shenque of patients(P<0.001),and the treatment group was higher than the control group.6.Comparison of SF-36 scores between the two groups after the intervention,the scores of physiological function,physiological function,physical pain,general health status,energy status,social function,emotional function,and mental health of the two groups of patients were all improved.high.Comparison within groups: After 1 cycle of intervention,compared with before intervention,there were significant differences in the scores of RP,BP,GH,Vt,and RE in the control group(P<0.05),and the scores of RP,BP,GH,Vt,RE,MH in the treatment group were significantly different(P<0.05).There was statistical significance in the comparison of scores(P<0.05).After2 cycles of intervention,compared with before intervention,there were significant differences in the scores of RP,BP,GH,Vt,RE,and MH in the control group(P<0.05).There were statistically significant differences in the scores of the groups(P<0.05).Comparison between groups during the same period of intervention,after 1 cycle of intervention,the scores of PF,BP,GH,Vt,RE,and MH were compared between the two groups,and the differences were statistically significant(P<0.05),and the treatment group was higher than the control group.The intervention was performed for 2cycles After comparison of the scores of PF,RP,BP,GH,Vt,RE,and MH between the two groups,the difference was statistically significant(P<0.05),and the treatment group was higher than the control group.7.Comparison of the efficacy of TCM syndromes before and after the intervention in the two groups of patients.After 2 cycles of intervention,the efficacy of TCM syndromes was compared between the two groups of patients.The chi-square test showed that the two groups of patients were compared in the curative effect of TCM syndromes,and the difference was statistically significant(P<0.05),the cure rate in the treatment group was higher than that in the control group.Conclusion:1.Youshi thunder fire moxibustion in the treatment of patients with sequelae of pelvic inflammatory disease(kidney deficiency and blood stasis syndrome)can improve clinical efficacy,effectively improve patients with lower abdominal pain or tingling,lumbosacral pain,chest and flank or breast pain and other symptoms,and promote pelvic blood circulation,improve TCM syndromes,physical function and physical and mental health,thereby improving the quality of life of patients.1.At present,the sequelae of pelvic inflammatory disease is still a major problem in clinical work.It is a common,difficult and frequently-occurring disease that endangers women’s health.It is necessary to actively and effectively carry out research on prevention and treatment.Shi-chen thunder-fire moxibustion therapy based on the Meridian Liuzhu theory has good clinical curative effect and is worthy of further clinical application. |
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