异位妊娠术后盆腔炎Ⅰ号方保留灌肠再次异位妊娠的风险

Study on the recurrence risk of retaining enema with pelvic inflammatory disease Ⅰ formula after ectopic pregnancy

目的:探讨异位妊娠术后盆腔炎Ⅰ号方保留灌肠再次异位妊娠的风险。方法:研究组:于术后1个月月经干净后3天,给予盆腔炎Ⅰ号方,煎汤,煎成浓汁100 ml,温度40℃,睡前给予保留灌肠1次,每日1剂,10天为1个疗程,共3个疗程。对照组:术后常规给予抗生素静脉滴注1周,腹部切口愈合良好,生命体征平稳出院。两组均未采取避孕措施,于6、12、18、24个月观察患者受孕情况。结果:研究组550例,于术后6、12、18、24个月复查或随访,其中8例(1.45%)述轻微下腹痛,因生命体征平稳,未做特殊处理,再次异位妊娠共10例(1.82%),自然受孕共376例(68.36%)。对照组550例,于术后6、12、18、24个月复查或随访,其中27例(4.91%)述下腹痛,给予抗炎等处理,再次异位妊娠共53例(9.64%),自然受孕共201例(36.55%)。研究组再次异位妊娠发生率明显低于对照组(P<0.05)。结论:异位妊娠术后盆腔炎Ⅰ号方保留灌肠,可降低再次异位妊娠发生率,并取得较好的临床效果。

Objective： To study the recurrence risk of retaining enema with pelvic inflammatory disease I formula after ectopic pregnancy surgery. Methods： Study group were retained enema with pelvic inflammatory disease Ⅰ formula after ectopic pregnancy in the first month three clays after menstruation, fried gravy 100 ml, 40 Celsius, gave retention enema before bedtime, ten days for a course, a total of three courses. Control group were given conventional intravenous antibiotics after surgery for a week or so, discharged after abdominal inci- sion healed well and vital signs were stable. The two groups were not taken contraceptive measures, the situation in patients with pregnancy was observed at 6, 12, 18, 24 months. Results： Study group of 550 patients were reviewed or followed after ectopic pregnancy at 6, 12, 18, 24 months, 8 cases （1.45%） described mild lower abdominal pain, were not given special treatment because of stable vital signs, 10 cases （ 1.82% ） of ectopic pregnancy again, a total of 376 cases of natural conception （68.36%） . Control group of 550 patients were reviewed or followed after ectopic pregnancy at 6, 12, 18, 24 months, 27 cases （4.91%） described lower abdominal pain, were given anti - inflammatory treatment, 53 cases （9.64%） of ectopic pregnancy again, a total of 201 cases of natural conception （36. 55% ） . The recurrence rate of ectopic pregnancy of the study group was significantly less than the control group （P 〈 0.05） . Conclusion ： Retain enema with pelvic inflammatory disease Ⅰ formula after ectopic pregnancy surger can reduce the recurrence rate of ectopic pregnancy and achieve better effect