支原体、衣原体引起慢性盆腔炎180例治疗体会

Clinical experiences on treating 180 cases of chronic pelvic inflammatory caused by mycoplasma and chlamydia

目的 探讨解脲支原体、沙眼衣原体感染引起慢性盆腔炎的有效治疗方法.方法 180例患者随机分为两组,A组：采用静滴头孢呱酮钠舒巴坦钠＋替哨唑液、配合中药灌肠理疗;B组：在A组治疗的基础上加大环内酯类药物联合治疗.结果 A组90例有效率82.22%,支原体、衣原体转阴率61.11%.B组有效率96.66%,支原体、衣原体转阴率92.22%,两组比较差异有显著性（P＜0.05）.结论 静滴头孢呱酮钠舒巴坦钠＋替哨唑液、配合中药灌肠理疗加大环内酯类药物联合治疗支原体、衣原体慢性盆腔炎较静滴头孢呱酮钠舒巴担钠十替哨唑液加中药灌肠理疗疗效好.

Objective To explore effective treatment methods for chronic pelvic inflammatory disease caused by ureaplasma urealyticum and chlamydia trachomatis. Methods 180 patients were randomly divided into two groups, the first group was treated by intravenous drip of Cefoperazone Sodium and Sulbactam Sodium＋Tinidazole and cooperated by physical therapy of Chinese traditional medicine enema, while the second was treated by added macrolides at the base of the first group. Results The effective rate of the first group was 82.22%, and the rate of changing to Negative was 61.11%, while the second group was 96.66% and 92.22%. There was statistical significant difference（P 〈0.05）between the two groups. Conclusion The curative effect of combined therapy of intravenous drip of CefoperazoneSodium and Sulbactam Sodium＋Tinidazole, physical therapy of Chinese traditional medicine enema and macrolides is better than therapy of intravenous drip of Cefoperazone Sodium and Sulbactam Sodium＋Tinidazole and physical therapy of Chinese traditional medicine enema.