中药内服结合保留灌肠及药渣外敷热疗法治疗慢性盆腔炎临床研究

Treatment of Chronic Pelvic Inflammatory Disease by Oral Administration of Traditional Chinese Medicine and Retention Enema Combined with External Application of Residue Heat Therapy

目的:探讨中药内服结合保留灌肠及药渣外敷热疗法治疗寒湿凝滞型慢性盆腔炎的临床效果。方法:选取90例寒湿凝滞型慢性盆腔炎的患者作为研究对象,将其随机分为中药内服组、中药内服+保留灌肠组及中药内服+保留灌肠+药渣外敷热疗组各30例,比较三组患者的临床效果。结果:治疗后,中药内服+保留灌肠+药渣外敷热疗组总疗效明显优于中药内服+保留灌肠组及中药内服组(P<0.05),中药内服+保留灌肠组总疗效明显优于中药内服组(P<0.05);在综合疗效、中医证候、中医症状、局部体征、血液流变学指标方面,中药内服+保留灌肠+药渣外敷热疗组分别与中药内服+保留灌肠组及中药内服组比较,差异有统计学意义(P<0.05),中药内服+保留灌肠组与中药内服组比较,差异有统计学意义(P<0.05),中药内服保留灌肠药渣外敷热疗法的总疗效为96.7%。三组患者均无不良反应。结论:中药内服结合保留灌肠及药渣外敷热疗法治疗盆腔炎临床疗效优,适合临床推广应用。

Objective:To investigate the clinical effect of traditional Chinese medicine oral retention enema and external application of drug residue in the treatment of chronic pelvic inflammatory disease of cold-damp ness stag nation type.Methods:Ninety patients with chronic pelvic inflammatory disease of cold-dampness stagnation type were randomly divided into three groups:oral Chinese medicine group,oral Chinese medicine + enema group and oral Chinese medicine + retention enema + external application of dregs group,30 cases in each group.The clinical effects of the three groups were compared.Results:After treatment,the total curative effect of TCM oral administration + retention enema + residue external application hyperthermia group was significantly better than that of TCM oral administration + retention enema group and TCM oral administration group(P<0.05),and the total curative effect of TCM oral administration + retention enema group was significantly better than that of TCM oral administration group(P<0.05);in improving the comprehensive curative effect,TCM syndromes,TCM symptoms,local signs and hemorheological indexes,TCM internal administration + retention enema group was significantly better than that of TCM internal administration group(P<0.05).There was a significant difference between the two groups(PV0.05).There was a significant difference between the two groups(P<0.05).There was a significant differenee between the two groups(P<0.05).The total curative effect of the two groups was 96.7%.There were no adverse reactions in the three groups.Conclusion:Thermotherapy with retention enema and external application of Chinese herbal medicine residue for pelvic inflammatory diseases has excellent clinical efficacy and is suitable for clinical application.