| 屈 方,张普敬,蔡 蕊,王玉滢,付潇潇.低频电刺激+耳穴压豆+中药汤药治疗宫内残留物的效果及对超声指标的影响[J].,2024,(5):955-960 |
| 低频电刺激+耳穴压豆+中药汤药治疗宫内残留物的效果及对超声指标的影响 |
| Effect of Low Frequency Electrical Stimulation + Auricular Point Pressure Bean + Traditional Chinese Medicine Decoction on Intrauterine Residue and Its Influence on Ultrasonic Index |
| 投稿时间：2023-08-05 修订日期：2023-08-28 |
| DOI：10.13241/j.cnki.pmb.2024.05.028 |
| 中文关键词: 低频电刺激 耳穴压豆 生化汤加减 宫内残留物 |
| 英文关键词: Low-frequency electrical stimulation Auricular point pressure bean Biochemical decoction added or decreased Intrauterine residue |
| 基金项目:陕西省重点研发计划项目（2023-YBSF-305） |
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| 中文摘要: |
| 摘要 目的：探讨低频电刺激+耳穴压豆+中药汤药治疗宫内残留物的效果及对超声指标的影响。方法：选择2022年1月至12月来我院诊治的存在宫内残留物患者120例，根据随机数字表法，将120例患者分为A组、B组、C组、D组，每组30例，A组患者采用生化汤加减治疗，B组使用低频电刺激+生化汤加减治疗，C组使用耳穴压豆+生化汤加减治疗，D组低频电刺激+耳穴压豆+生化汤加减治疗。对比四组治疗前后的宫内残留物超声影像表现，对比四组的超声RI、PI水平、中医证候积分、凝血功能指标，对比四组的血β-HCG水平恢复正常时间、月经复潮时间、阴道流血持续时间、临床疗效及不良反应发生情况。结果：治疗前，四组患者均有宫内残留物，声像的图像表现为子宫局灶性增厚，子宫内膜的回声欠均匀，厚薄不均，宫腔内局部可见不均质的回声团，边界欠清晰；治疗后，四组超声检查发现部分患者无宫内残留物；部分患者的宫内残留物回声明显减低。治疗前，四组宫内残留物超声RI、PI水平、中医证候积分、凝血功能指标对比无差异（P>0.05）；治疗后，四组的RI、PI水平较治疗前明显升高，B、C、D组明显较A组高，D组明显较B、C组高（P均<0.05）；四组的阴道出血量、小腹痛、大便干、舌苔、脉象评分、全血低切粘度、全血高切粘度、纤维蛋白原较治疗前明显降低，B、C、D组明显较A组低，D组明显较B、C组低（P均<0.05）。B、C、D组的血β-HCG水平恢复正常时间、月经复潮时间、阴道流血持续时间明显较A组低，D组的明显较B、C组低（P均<0.05）；B、C组以上指标对比无差异（P>0.05）。B、C、D组的临床疗效较A组高，D组较B、C组高，四组患者的临床疗效对比无差异（P>0.05）。治疗过程中，四组均无明显不良反应，完成治疗。结论：低频电刺激+耳穴压豆+生化汤加减治疗可明显提高血瘀证宫内残留物的效果，可能与其可改善患者的凝血功能有关，阴道彩色多普勒超声可用于评估宫内残留物治疗的疗效。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of low frequency electrical stimulation+auricular point pressure bean+traditional Chinese medicine decoction on intrauterine residue and its influence on ultrasonic indexes. Methods: 120 patients with intrauterine residue who came to our hospital from January to December 2022 were selected, and the 120 patients were divided into group A, B, C and D according to random number table method, with 30 cases in each group. Patients in group A received plus or minus treatment with Shenghua Decoction, group B received plus or minus treatment with low-frequency electrical stimulation plus or minus treatment with Shenghua decoction, and group C received plus or minus treatment with auricular point pressure Dou plus or minus treatment with Shenghua decoction. Group D low-frequency electrical stimulation+ear point pressure bean + Shenghua decoction plus or minus treatment. The ultrasonographic manifestations of intrauterine residues before and after treatment in the four groups were compared, as well as the ultrasonographic RI and PI levels, TCM syndrome scores and coagulation function indexes of the four groups, as well as the time for blood β-HCG level to return to normal, menstrual rehydration time, vaginal bleeding duration, clinical efficacy and occurrence of adverse reactions in the four groups. Results: Before treatment, all the patients in the four groups had intrauterine residue, and the sound image showed focal uterine thickening, the endometrium echo was not uniform, the thickness was not uniform, and the intrauterine echo cluster was locally visible, and the boundary was not clear. After treatment, ultrasound examination of the four groups showed that some patients had no intrauterine residue; The echo of intrauterine residue was reduced in some patients. Before treatment, there was no significance in the levels of RI and PI of intrauterine residue, TCM syndrome score and coagulation function index among the four groups (P>0.05). After treatment, RI and PI levels in the four groups were higher than before treatment, and those in groups B, C and D were higher than those in group A, and those in group D were higher than those in groups B and C (all P<0.05). The amount of vaginal bleeding, small abdominal pain, dry stool, tongue coating, pulse score, whole blood low shear viscosity, whole blood high shear viscosity and fibrinogen in the four groups were lower than before treatment, and the levels in groups B, C and D were significantly lower than those in group A, and the levels in group D were lower than those in groups B and C (all P<0.05). The normal time of blood β-HCG level, menstrual rehydration time and vaginal bleeding duration in groups B, C and D were lower than those in group A, and those in group D were significantly lower than those in groups B and C (all P<0.05). There was no significance between groups B and C (P>0.05). The clinical efficacy of groups B, C and D was higher than that of group A, and that of group D was higher than that of group B and C, and there was no significance in the comparison of clinical efficacy among the four groups (P>0.05). During the treatment, there were no obvious adverse reactions in the four groups, and the treatment was completed. Conclusion: Low-frequency electrical stimulation+ auricular point pressure bean+Shenghua decoction can significantly improve the effect of intrauterine residue in blood stasis syndrome, which may be related to improving the coagulation function of patients. Vaginal color Doppler ultrasound can be used to evaluate the efficacy of intrauterine residue treatment. |
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