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| Efficacy of traditional Chinese medicine hot Yanbao combined with psychological intervention for treating women with sequelae of pelvic inflammatory disease caused by qi stagnation and blood stasis type and its influence on their quality of life |
| The Second Traditional Chinese Hospital of Jiangsu, Nanjing, Jiangsu Province, 210000 |
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Abstract To explore the therapeutic effect of traditional Chinese medicine hot Yanbao combined with psychological intervention for treating women with sequelae of pelvic inflammatory disease (SPID) caused by qi stagnation and blood stasis type, and to study its influence on the quality of life of these women. Methods: From October 2020 to October 2021, 60 women with SPID caused by qi stagnation and blood stasis type were selected and were randomly divided into two groups (30 cases in each group). The women in the two groups were treated with Guizhi fuling capsule combined with Kangfu anti-inflammatory suppository and routine nursing for 3 months. The women in the study group were treated with traditional Chinese medicine hot Yanbao and psychological intervention additionally. The TCM syndrome scores, the pelvic mass diameter, the pelvic effusion volume, and the values of hemorheological indexes, such as whole blood high shear viscosity (HBV), whole blood low shear viscosity (LBV), erythrocyte sedimentation rate (ESR), and fibrinogen (FIB), the pelvic pain severity score (VAS), and the quality of life score by SF-36 of the women before and after intervention were compared between the two groups. The efficacy and the adverse reaction rate of the women in the two groups were analyzed. Results: After 3 months of intervention, the scores of the main TCM syndroms, the pelvic mass diameter, the pelvic effusion volume, and the HBV, LBV, ESR, and FIB levels of the women in both groups had decrease significantly, and which of the women in the study were significantly lower than those of the women in the control group. The VAS scores of the women in both groups had decrease significantly, and
which (2.14±0.15 points) of the women in the study were significantly lower than that (2.69±0.27 points) of the women in the control group. The score of SF-36 in both groups had increase significantly, and which (81.47±8.06 points) of the women in the study group were significantly higher than that (72.04±6.19 points) of the women in the control group. The total effective rate (93.3%) of the women in the study group were significantly higher than that (72.04±6.19) of the women in the control group (P＜0.05). There was no significant difference in the total incidence of adverse reactions (3.3% vs.6.7%) between the two groups (P＞0.05). Conclusion: Traditional Chinese medicine hot Yanbao combined with psychological intervention for treating women with SPID caused by qi stagnation and blood stasis type can significantly improve their curative effect, improve their hemorheology, reduce their pelvic mass, promote the pelvic effusion absorption, and relieve their clinical symptoms and pelvic pain degree, and improve their quality of life with good safety.
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