中药保留灌肠配合中药外敷辅助治疗急性盆腔炎50例临床观察

Observation of Herbal Retention Enema Combined with Herbal External Application in Adjuvant Treatment of Acute Pelvic Inflammation:A Report of 50 cases

目的:观察中药保留灌肠配合中药外敷辅助治疗急性盆腔炎湿热瘀结证的临床疗效。方法:将100例急性盆腔炎湿热瘀结证患者随机分为观察组和对照组各50例。对照组给予注射用头孢他啶和替硝唑葡萄糖注射液静脉滴注治疗,观察组在对照组用药基础上辅以中药保留灌肠和中药外敷,2组均治疗14天。观察临床症状、体征及血象的改善情况,记录腹痛消失时间、白细胞恢复正常时间和住院时间,检测治疗前后盆腔炎性包块直径和盆腔积液。结果:观察组总有效率100%,高于对照组的86.0%,差异有统计学意义(P<0.01)。观察组腹痛消失时间、白细胞恢复正常时间和住院时间均短于对照组,差异均有统计学意义(P<0.01)。治疗后,2组盆腔炎性包块直径及盆腔积液均较治疗前缩小,观察组的盆腔炎性包块直径和盆腔积液均较对照组缩小更明显(P<0.01)。结论:在西药常规抗感染的基础上辅以中药保留灌肠和中药外敷治疗急性盆腔炎湿热瘀结证,可更有效地缩短腹痛消失时间、白细胞恢复正常时间和住院时间,缩小盆腔炎性包块和减少盆腔积液。

Objective：To observe the clinical effect of herbal retention enema combined with herbal external application in adjuvant treatment of acute pelvic inflammation with stagnant dampness-heat syndrome. Methods ：Divided 100 cases of patients with acute pelvic inflammation with stagnant dampness-heat syndrome into the observation group and the control group randomly, 50 cases in each group. Both groups received ceftazidime injection as well as tinidazole and glucose injection,while the observation group additionally received herbal retention enema and herbal external application. Both groups received treatment for 14 days. Recorded disappearance time of abdominal pain, recovery time of leukocyte and hospitalization time. Determined the diameter of pelvic inflammation mass and the pelvic effusion before and after treatment.Results：The total effective rate in the observation group was 100%,being higher than 86% in the control group（P〈0.05）.Disappearance time of abdominal pain,recovery time of leukocyte and hospitalization time in the observation group were all shorter than those in the control group（P〈0.01）. After treatment,the diameter of pelvic inflammation mass and the depth of pelvic effusion in both groups were all improved,comparing with those before treatment（P〈0.01）. The improvements of two indexes in the observation group were more evident than those in the control group（P〈0.01）. Conclusion： The adjuvant therapy of herbal retention enema combined with herbal external application based on routine anti-infection western medicine therapy for acute pelvic inflammation with stagnant dampness-heat syndromecan can effectively shorten disappearance time of abdominal pain,recovery time of leukocyte and hospitalization time. It can also reduce the pelvic inflammation mass and decrease pelvic effusion.