中西医结合治疗瘀阻胞宫型慢性盆腔炎的临床疗效分析(1)
[摘要] 目的 通过对中药内服联合中药灌肠治疗慢性盆腔炎的疗效进行观察，研究其治疗慢性盆腔炎的临床价值。方法 将68例经门诊确诊的慢性盆腔炎患者分为治疗组和对照组，每组34例，对两组患者治疗后的临床疗效及症状进行对比研究。 结果 经过2个疗程治疗后，无论是总有效率还是优良率，对照组均较治疗组低，差异具有高度统计学意义(P<0.01)；两组患者治疗后的症状体征改善治疗组均优于对照组，差异均有统计学意义(P<0.05)。结论 在慢性盆腔炎的治疗方面，相对于单纯抗生素治疗而言，加用中药内服和灌肠综合治疗能取得较好的临床效果，值得推广。
[关键词] 中西医结合；慢性盆腔炎；临床疗效；随机对照试验
[中图分类号] R711.33 [文献标识码] B [文章编号] 1673-9701(2016)17-0054-03
Integrative analysis of clinical efficacy of treatment stasis uterus chronic pelvic inflammatory disease
LIU Chunni LIAO Xinbo
Department of Gynecology，TCM Hospital of Jiujiang City in Jiangxi Province， Jiujiang 332000，China
[Abstract] Objective To explore the efficacy of Chinese Herbs Combined enema in treatment of chronic pelvic inflammatory disease were observed in clinical studies of its value in treating chronic pelvic inflammatory disease. Methods A total of 68 cases of outpatients diagnosed chronic pelvic inflammatory disease were divided into treatment group and control group， 34 cases in each group. The symptoms and the clinical efficacy of the two groups of patients after treatment were compared. Results After two courses of treatment， the total effective rate and the excellent rate of the low-control group were lower than those in the treatment group， the difference was statistically significant(P<0.01)； after treatment， the symptoms and signs of improvement in the treatment group were better than those in the control group， the differences were statistically significant(P<0.05). Conclusion In the treatment of chronic pelvic inflammatory disease， as opposed to simple antibiotics， the use of Chinese medicine oral and enema combined therapy can achieve better clinical results， worthy of promotion.
[Key words] Integrative medicine；Chronic pelvic inflammatory disease；Clinical efficacy；Randomized controlled trial
慢性盆腔炎是一种妇科临床上常见的多发性疾病，其病情顽固，治疗后病情容易反复发作[1，2]，加上慢性盆腔炎的临床症状并不是很典型，很容易被患者所忽略，当成普通的炎症治疗。很多慢性盆腔炎患者经常在工作过度劳累，或者身体抵抗力下降时，症状才表现得比较典型[3，4]，从而耽误了治疗的最佳时间，增加了治疗的难度。慢性盆腔炎的患者一般存在月经不调、痛经、白带异常、下腹部出现包块等症状[5，6]，严重的患者会导致不孕的可能。目前对于慢性盆腔炎的治疗，临床上主要是运用抗生素针对病情进行抗感染治疗，但是效果达不到很好的预期目标[7，8]，近年来随着中医治疗的大力推广使用，使用中西医结合治疗慢性盆腔炎已经取得了很好的临床疗效，现报道如下。
1 资料与方法
1.1 一般资料
选取2011年12月～2014年7月就诊于我院门诊患者。严格按照2005年出版的《中华妇产科学》的慢性盆腔炎的诊断标准进行[9]。中医辨证属瘀阻胞宫证，症状表现为小腹、腰骶疼痛，带下黄稠，素有癥块，舌质紫暗或有瘀点，脉沉涩。将符合纳入标准的68例患者采用电脑随机分组方法，分为治疗组及对照组，每组34例。治疗组：年龄23～46岁， 平均(36.1±6.3)岁，病程2.2～8.6年，平均(5.9±2.7)年；对照组：年龄25～48岁，平均(32.7±10.5)岁，病程1.9～7.9年，平均(4.7±2.2)年。两组患者的所有基线资料进行比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(刘春泥 廖鑫波)
[关键词] 中西医结合；慢性盆腔炎；临床疗效；随机对照试验
[中图分类号] R711.33 [文献标识码] B [文章编号] 1673-9701(2016)17-0054-03
Integrative analysis of clinical efficacy of treatment stasis uterus chronic pelvic inflammatory disease
LIU Chunni LIAO Xinbo
Department of Gynecology，TCM Hospital of Jiujiang City in Jiangxi Province， Jiujiang 332000，China
[Abstract] Objective To explore the efficacy of Chinese Herbs Combined enema in treatment of chronic pelvic inflammatory disease were observed in clinical studies of its value in treating chronic pelvic inflammatory disease. Methods A total of 68 cases of outpatients diagnosed chronic pelvic inflammatory disease were divided into treatment group and control group， 34 cases in each group. The symptoms and the clinical efficacy of the two groups of patients after treatment were compared. Results After two courses of treatment， the total effective rate and the excellent rate of the low-control group were lower than those in the treatment group， the difference was statistically significant(P<0.01)； after treatment， the symptoms and signs of improvement in the treatment group were better than those in the control group， the differences were statistically significant(P<0.05). Conclusion In the treatment of chronic pelvic inflammatory disease， as opposed to simple antibiotics， the use of Chinese medicine oral and enema combined therapy can achieve better clinical results， worthy of promotion.
[Key words] Integrative medicine；Chronic pelvic inflammatory disease；Clinical efficacy；Randomized controlled trial
慢性盆腔炎是一种妇科临床上常见的多发性疾病，其病情顽固，治疗后病情容易反复发作[1，2]，加上慢性盆腔炎的临床症状并不是很典型，很容易被患者所忽略，当成普通的炎症治疗。很多慢性盆腔炎患者经常在工作过度劳累，或者身体抵抗力下降时，症状才表现得比较典型[3，4]，从而耽误了治疗的最佳时间，增加了治疗的难度。慢性盆腔炎的患者一般存在月经不调、痛经、白带异常、下腹部出现包块等症状[5，6]，严重的患者会导致不孕的可能。目前对于慢性盆腔炎的治疗，临床上主要是运用抗生素针对病情进行抗感染治疗，但是效果达不到很好的预期目标[7，8]，近年来随着中医治疗的大力推广使用，使用中西医结合治疗慢性盆腔炎已经取得了很好的临床疗效，现报道如下。
1 资料与方法
1.1 一般资料
选取2011年12月～2014年7月就诊于我院门诊患者。严格按照2005年出版的《中华妇产科学》的慢性盆腔炎的诊断标准进行[9]。中医辨证属瘀阻胞宫证，症状表现为小腹、腰骶疼痛，带下黄稠，素有癥块，舌质紫暗或有瘀点，脉沉涩。将符合纳入标准的68例患者采用电脑随机分组方法，分为治疗组及对照组，每组34例。治疗组：年龄23～46岁， 平均(36.1±6.3)岁，病程2.2～8.6年，平均(5.9±2.7)年；对照组：年龄25～48岁，平均(32.7±10.5)岁，病程1.9～7.9年，平均(4.7±2.2)年。两组患者的所有基线资料进行比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(刘春泥 廖鑫波)