膈下逐瘀汤治疗慢性盆腔炎临床分析

Effectiveness of gexia zhuyu decoction on chronic pelvic inflammatory disease

目的:探讨膈下逐瘀汤治疗慢性盆腔炎的临床效果和疗效与疗程的关系以及不良反应。方法:将85例气滞血瘀型慢性盆腔炎患者,随机分为治疗组45例,对照组40例。治疗组用膈下逐瘀汤加减治疗,对照组采用氧氟沙星和替硝唑治疗。结果:不同疗程中两组总有效率和不良反应比较,差异均有统计学意义(P<0.05)。不同疗程间总有效率和不良反应比较,治疗组与对照组均呈现2、3个疗程与1个疗程比较,差异均有统计学意义(P<0.05),2、3个疗程间比较,差异均无统计学意义(P>0.05)。结论:膈下逐瘀汤治疗气滞血瘀型慢性盆腔炎疗效显著,2个疗程是治疗最佳疗程,不良反应少,值得临床推广应用。

Objective To discuss the clinical curative effect of gexia zhuyu decoction on chronic pelvic inflammatory disease patients with qi stagnation and blood stasis,the relation of effectiveness and period of treatment and the bad reaction.Methods 85 chronic pelvic inflammatory disease patients with qi stagnation and blood stasis were randomly divided into two groups.45 cases were in treatment group and treated Gexia Zhuyu decoction and the other 40 cases were in control group and treated with ofloxacin and Tinidazole taken orally.Results In different period of treatment,the total effective rate in treatment group was all higher than control group（P0.05）,the bad reaction in treatment group was all less than control group（P0.05）.The total effective rate in treatment group and control group of two or three period of treatment was all higher than ones of one period of treatment（P0.05）.There were both no significant difference on the total effective rate and bad reaction of the two groups between two and three period of treatment（P0.05）.In treatment group,the bad reaction of two or three period of treatment is less than one period of treatment（P0.05）.In control group,the bad reaction of two or three period of treatment is more than one period of treatment（P0.05）.Conlusion The clinical curative effect of Gexia Zhuyu decoction on chronic pelvic inflammatory disease patients with qi stagnation and blood stasis is obvious,the bad reaction is less than others,two period of treatment is best one and worthy to be popularized.