广西医学

目的探讨雷火灸联合五行音乐疗法治疗气滞血瘀型盆腔炎性疾病后遗症（SPID）患者的临床效果。方法将65例气滞血瘀型SPID患者随机分为观察组（n=33）和对照组（n=32）。观察组采用雷火灸联合五行音乐疗法治疗，对照组采用单纯雷火灸治疗，两组均治疗2个疗程。比较两组患者治疗前、治疗第1个疗程后、治疗第2个疗程后的中医证候量表评分和医院焦虑抑郁量表（HADS）评分，统计治疗第2个疗程后两组患者不良反应发生情况。结果治疗第1个疗程后及治疗第2个疗程后，两组患者的中医证候量表总分、主症总分、次症总分低于治疗前，且两组患者治疗第2个疗程后的上述指标低于治疗第1个疗程后（P<0.05）；治疗第1个疗程后、治疗第2个疗程后，观察组的中医证候量表总分、主症总分低于对照组（P<0.05）。治疗第2个疗程后，观察组的焦虑评分、抑郁评分低于治疗前及治疗第1个疗程后，且低于对照组（P<0.05），而两组患者均未出现不良反应。结论采用雷火灸联合五行音乐疗法治疗可有效改善气滞血瘀型SPID患者的中医证候，改善患者焦虑、抑郁情绪效果优于单纯雷火灸治疗，且安全性良好。

Objective To explore the clinical effect of Leihuo moxibustion combined with five elements music therapy for the treatment of sequelae of pelvic inflammatory disease (SPID) in qi stagnation with blood stasis type. Methods A total of 65 SPID patients in qi stagnation with blood stasis type were randomly divided into observation group (33 cases) or control group (32 cases). The observation group received Leihuo moxibustion combined with five elements music therapy for treatment, while the control group received simple Leihuo moxibustion for treatment. Both groups received 2 courses of treatment. The scores of Traditional Chinese Medicine Syndrome Scale and Hospital Anxiety and Depression Scale (HADS) were compared between patients of the two groups before treatment, after the first and second courses of treatment. The occurrence of adverse reactions was recorded after the second course of treatment. Results After the first and second courses of treatment, patients of the two groups obtained lower total score of Traditional Chinese Medicine syndrome scale, primary syndrome total score, and secondary syndrome total score as compared with before treatment; furthermore, the aforementioned indices of the two groups were lower after the second course of treatment than after the first course of treatment (P<0.05). The observation group interpreted lower total score of Traditional Chinese Medicine syndrome scale, and primary syndrome total score as compared with the control group after the first and second courses of treatment (P<0.05). The observation group exhibited lower anxiety score, depression score after the second course of treatment as compared with before treatment and after the first course of treatment, as well as with the control group (P<0.05). No adverse reaction was reported in both groups. Conclusion Leihuo moxibustion combined with five elements music therapy can effectively ameliorate Traditional Chinese Medicine syndromes in SPID patients in qi stagnation with blood stasis type; moreover, its effects on ameliorating anxiety and depression of patients are superior to simple Leihuo moxibustion therapy, exerting favorable safety.