黄美玲 张卫 袁珍

【摘要】 目的：探讨三联中西医疗法治疗盆腔淤血综合征（PCS）的临床效果。方法：选择2018年8月-2020年8月本院治疗的50例PCS患者，按随机数字表法将其分为两组，每组25例。对照组采用甲羟孕酮、塞来昔布及益气散瘀湯治疗，在对照组基础上，观察组采用经皮电神经刺激（TENS）物理疗法治疗。比较两组临床疗效、盆腔血流动力学、疼痛程度及心理健康状态。结果：观察组治疗总有效率为92.00%，高于对照组的68.00%，差异有统计学意义（P<0.05）。治疗前，两组盆腔血流动力学、疼痛程度及心理健康状态比较，差异均无统计学意义（P>0.05）。治疗5个疗程后，两组各指标均优于治疗前，观察组盆腔静脉内径为（3.76±0.69）mm，小于对照组的（4.51±0.85）mm，静脉血流速度为（9.78±1.64）cm/s，高于对照组的（8.74±1.16）cm/s，视觉模拟评分法（VAS）评分为（1.62±0.39）分及医院焦虑抑郁量表（HADS）评分（7.92±1.43）分，低于对照组的（2.19±0.54）分、（10.13±1.54）分，差异均有统计学意义（P<0.05）。结论：PCS患者采用三联中西医疗法治疗效果确切，能够缓解患者疼痛，改善患者盆腔血流动力学及心理健康状态，是治疗PCS安全有效方案。

【关键词】 盆腔淤血综合征 甲羟孕酮 塞来昔布 益气散瘀汤 经皮电神经刺激物理疗法

Clinical Study on Treatment of Pelvic Congestion Syndrome with Triple Traditional Chinese and Western Medicine/HUANG Meiling， ZHANG Wei， YUAN Zhen. //Medical Innovation of China， 2021， 18（28）： -168

[Abstract] Objective： To explore the clinical efficacy of triple traditional Chinese and Western medicine in the treatment of pelvic congestion syndrome （PCS）. Method： A total of 50 PCS patients treated in our hospital from August 2018 to August 2020 were selected and divided into two groups according to the random number table method， 25 cases in each group. The control group was treated with Medroxyprogesterone， Celecoxib and Yiqi Sanyu Decoction. On the basis of the control group， the observation group was treated with transcutaneous electrical nerve stimulation （TENS） physical therapy. The clinical efficacy， pelvic hemodynamics， pain degree and mental health status were compared between two groups. Result： The total effective rate of treatment in the observation group was 92.00%， which was higher than 68.00% in the control group， the difference was statistically significant （P<0.05）. Before treatment， there were no significant differences in pelvic hemodynamics， pain degree and mental health status between two groups （P>0.05）. After 5 courses of treatment， the indicators of two groups were better than those before treatment， the inner diameter of pelvic vein in the observation group was （3.76±0.69） mm， which was smaller than （4.51±0.85） mm of the control group， and the vein blood flow velocity was （9.78±1.64） cm/s， which was higher than （8.74±1.16） cm/s in the control group， visual analogue scoring （VAS） score was （1.62±0.39） points and hospital anxiety and depression scale （HADS） score was （7.92±1.43） points， which were lower than （2.19±0.54） points and （10.13±1.54） points in the control group， the differences were statistically significant （P<0.05）. Conclusion： The treatment of PCS patients with triple Chinese and Western medicine has a definite effect， which can relieve pain， improve pelvic hemodynamics and mental health of patients， it is a safe and effective treatment for PCS.

[Key words] Pelvic congestion syndrome Medroxyprogesterone Celecoxib Yiqi Sanyu Decoction Transcutaneous electrical nerve stimulation physical therapy

First-author’s address： Yichun People’s Hospital， Yichun 336000， China

doi：10.3969/j.issn.1674-4985.2021.28.041

盆腔淤血綜合征（pelvic congestion syndrome，PCS）作为常见的妇科疾病，多由于盆腔静脉淤血所致，患者多以慢性疼痛表现为主，对患者生活质量及身心健康影响较大。目前甲羟孕酮、塞来昔布等西药治疗PCS虽然能缓解患者临床症状，但极易复发，长期使用不良反应较多[1-2]。中医认为，郁怒伤肝或外感寒邪，导致淤血阻滞胞宫，为诱发PCS的重要病因。益气散瘀汤具有补气化瘀止痛之功效，已成为治疗PCS的常用中药方剂[3]。……