艾炷灸联合护理干预对慢性盆腔炎患者血液流变学、炎性因子和免疫功能的影响
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R711.33

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Effect of Moxa Cone Moxibustion Combined with Nursing Intervention on Hemorheol⁃ ogy, Inflammatory Factors and Immune Function in Patients with Chronic Pelvic Inflammation
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    摘要:

    目的:探讨艾炷灸联合护理干预对慢性盆腔炎患者血液流变学、炎性因子和免疫功能的影响。方法:将80 例慢性盆腔炎患者按随机数字表法分为对照组和观察组各40 例。2 组患者均给予常规西药治疗,对照组给予综合护理干预,观察组在综合护理干预基础上给予艾炷灸治疗。比较2 组患者的临床疗效、血液流变学、炎性因子、免疫功能、生活质量评分、焦虑和抑郁评分等指标。结果:观察组总有效率为97.50%,高于对照组77.50%,差异有统计学意义(P<0.05)。治疗后,2 组红细胞比容、血浆黏度、全血高切黏度及全血低切黏度较治疗前降低(P<0.05),且观察组血液流变学指标显著低于对照组(P<0.05)。治疗后,2 组血清C-反应蛋白(CRP)、白细胞介素-6(IL-6) 及肿瘤坏死因子(TNF-α) 水平均较治疗前降低,且观察组血清CRP、IL-6 及TNF-α 水平均低于对照组(P<0.05)。治疗后,2 组CD3+、CD4+及CD8+水平较治疗前升高(P<0.05),且观察组CD3+、CD4+及CD8+水平高于对照组(P<0.05)。治疗后,2 组生活质量评分较治疗前升高,焦虑和抑郁评分较治疗前降低(P<0.05);且观察组生活质量评分高于对照组,焦虑和抑郁评分低于对照组(P<0.05)。结论:艾炷灸联合护理干预对慢性盆腔炎患者具有较好的临床疗效,可改善患者的血液流变学指标,降低炎性因子水平和缓解不良情绪,提高免疫功能指标和生活质量。

    Abstract:

    Abstract: Objective: To discuss the effect of moxa cone moxibustion combined with nursing intervention on hemorheology,inflammatory factors and immune function in patients with chronic pelvic inflammation. Methods:A total of 80 cases of patients with chronic pelvic inflammation were divided into the control group and the observation group according to the random number table method,40 cases in each group. Both groups were treated with routine western medicine;the control group was given comprehensive nursing intervention, and the observation group was additionally given moxa cone moxibustion based on the intervention of the control group. The clinical effect, hemorheology, inflammatory factors, immune function and scores of quality of life,anxiety and depression in the two groups were compared. Results:The total effective rate was 97.50% in the observation group,higher than that of 77.50% in the control group,the difference being significant(P<0.05). After treatment, the hematocrit, plasma viscosity, high- shear whole blood viscosity and low- shear whole blood viscosity in the two groups were decreased when compared with those before treatment(P<0.05), and the hemorheology indexes in the observation group were significantly lower than those in the control group(P<0.05). After treatment,the levels of C-reactive protein(CRP),interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in serum in the two groups were decreased when compared with those before treatment,and the levels in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of CD3 + , CD4 + and CD8 + in the two groups were increased when compared with those before treatment(P<0.05),and the levels in the observation group were higher than those in the control group(P<0.05). After treatment, the scores of quality of life in the two groups were increased when compared with those before treatment, and the scores of anxiety and depression were decreased(P<0.05); the score of quality of life in the observation group was higher than that in the control group,and the scores of anxiety and depression were lower(P<0.05). Conclusion:The therapy of moxa cone moxibustion combined with nursing intervention has significant clinical effect for patients with chronic pelvic inflammation,which can improve hemorheology indexes,immune function and quality of life,and reduce the levels of inflammatory factors and bad emotions.

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项小娜,张丽霞.艾炷灸联合护理干预对慢性盆腔炎患者血液流变学、炎性因子和免疫功能的影响[J].新中医,2020,52(16):133-136

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  • 在线发布日期: 2020-08-19
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