改良中医外治法治疗湿瘀互结型慢性盆腔炎临床观察

Clinical observation on modified external therapy of traditional Chinese medicine to chronic pelvicinflammatory disease infections

目的观察改良中医外治法治疗慢性盆腔炎的临床疗效。方法142例患者随机分为治疗组和对照组各71例，治疗组予四黄水蜜脐敷＋毛冬青灌肠＋盆腔治疗仪腰骶部理疗，对照组予口服金刚藤胶囊＋静滴丹参粉针＋毛冬青灌肠＋四黄水蜜外敷腹部，7天为1个疗程，经期停药，治疗2个疗程后评定综合疗效。结果治疗组临床显效率为64．79％，对照组为38．03％；治疗组总有效率为94．37％，对照组为84．51％；差异均有显著性（P〈0．05）。两组患者治疗前后症状积分差值比较，治疗组优于对照组（P〈0．05）。结论改良中医外治法治疗慢性盆腔炎临床疗效确切，依从性好，值得临床推广。

Objective To evaluate the treating efficacy of application of improved external therapy of traditional Chinese medicine on chronic pelvic inflammatory disease infections. Methods Using case control study, we randomly classified patients with chronic pelvic inflammatory disease infections into two groups. The treatment group used Sihuangshui Honey on navel, enema with Maodongqing, and physical treatment on lumbosacral portion with pelvic instrument, while the control group took Jingangteng Capsule, Danshen injection, and application of Sihuangshui Honey on abdomen. Then weevaluated therapy results after two courses of treatment, and each course was 7 days. Treatment suspended during menstrual periods. Results The treatment group＇s significant efficiency was 64.79%, and total effective rate was 95.77%, while those of the control group were 38.03 % and 84.51% respectively. Two groups showed significant difference（ P〈0.05 ）.The treatment group was superior to the control group as far as HEF Differential （P〈0.05） is concerned. Conclusion Improved external therapy of traditional Chinese medicine is effective and safe in treating chronic pelvic inflammatory disease infections. Extension of the treatment is worthwhile.