血府逐瘀汤加味治疗输卵管结扎术后腰腹痛临床研究

Clinical Study on Modified Xuefu Zhuyu Decoction in Treating Postoperative Lumbago and Abdominal Pain after Tubal Ligation

目的:探讨血府逐瘀汤加味治疗输卵管结扎术后腰腹痛的临床疗效。方法:将98例输卵管结扎术后腰腹痛患者随机分为治疗组和对照组,对照组50例采用青霉素480万U合质量分数0.9%氯化钠注射液及质量分数0.5%甲硝唑注射液静脉滴注,每12 h 1次7,d为1个疗程,5个疗程后观察疗效。治疗组48例口服血府逐瘀汤加味(方药组成:当归15 g,川芎10 g,赤芍10 g,熟地黄15 g,怀牛膝15 g,柴胡10 g,枳壳10 g,甘草6 g)治疗。每日1剂,煎药机煎取2袋,早晚2次分服。于月经干净后第2天开始服药,经前5 d停药,3周为1个疗程。2个疗程后观察疗效。结果:治疗组痊愈29例(60%),好转16例(34%),无效3例(6%),有效率为94%。对照组痊愈4例(8%),好转11例(22%),无效35例(70%),有效率为30%。两组有效率经统计学处理,差异有统计学意义。结论:血府逐瘀汤加味治疗输卵管结扎术后腰腹痛疗效显著。

Objective ：To investigate the clinical efficacy of modified Xuefu Zhuyu Decoction in treating postoperative lumbago and abdominal pain after tubal ligation. Methods ：98 cases of lumbago and abdominal pain after tubal ligation were randomly divided into the treatment group and control group. The control group with 50 cases were given penicillin of 4.8 million U together with 0.9% sodium chloride injection and 0.5% metronidazole injection for intravenous infusion,once every 12 h and 7 days as a course of treatment. The curative effects were observed after five courses. 48 cases in the treatment group was given oral administration of Xuefu Zhuyu Decoction （Recipe ：angelica 15 g,hemlock parsley 10 g,red peony root 10 g, Rehmannia 15 g, Achyranthes bidentata 15 g, Chinese thorowax 10 g, Fructus 10 g,licorice root 6 g）. One decoction each day, two bags of decoction were got from the extracting machine and were taken twice daily in the morning and evening. The decoction should be started to take on the second day after the menstruation and stopped five days before the menstruation. Three weeks was regarded as a course of treatment and the carative effects were observed after two courses. Results：In the treatment group,29 cases were cured （60%）, 16 cases were improved （34%） ,3 cases were not improved（6% ） and the effective rate was 94%. In the control group of 50 patients,4 cases were cured （8%）, 11 cases were improved （22%）, 35 cases were not improved（70% ）, and the effective rate was 30%. After the effective rates of two groups were statistically processed, the difference was statistically significant. Conclusion：modified Xuefu Zhuyu Decoction has significant curative effect in treating postoperative lumbago and abdominal pain after tubal ligation.