摘要
目的:观察盆炎灌肠方保留灌肠治疗盆腔炎性疾病的临床疗效。方法:将入选的120例患者随机分为4组,每组30例,A组予盆炎灌肠方保留灌肠,B组予口服蒲皂愈炎汤,C组予口服蒲皂愈炎汤并保留灌肠,D组予奥硝唑分散片。结果:经14 d治疗后,A组、B组、C组的中医临床痊愈率、显效率和总有效率均明显优于D组( P<0.05或P<0.01)。 A组与C组的显效率分别为50.00%和53.33%(P>0.05);A、C组与B组比较(P<0.05或P<0.01)。总有效率依次为C组93.33%、A组90.00%、B组76.67%、D组66.67%,A组与C组比较(P>0.05);A、C组与B组比较(P<0.05或P<0.01)。表明A组和C组的疗效明显优于B组和D组。4组患者治疗后的局部体征评分、疼痛评分、止痛疗效及中医症状评分均较治疗前明显改善( P<0.05或P<0.01)。止痛疗效A组、B组、C组、D组的总有效率依次为86.67%、76.67%、83.33%和73.33%,A组优于其他3组。 A组有2例、C组有1例于1~3 d时出现肛门口轻微不适感,未经特殊处理自行好转;D组有7例有恶心感,加服维生素B6后改善。表明A组无明显不良反应;治疗费4组从少到多依次为D组2.59×14=87.63(元)、A组8.41×14=114.94(元)、B组10.7×14=149.94(元)、C组的费用(8.41+10.7)×14=264.74(元)。结论:盆炎灌肠方保留灌肠治疗盆腔炎性疾病的作用独特、疗效确切、费用低廉。
Objective:To observe the clinical curative effect of TCM Clyster on pelvic inflammation .Methods:the 120 patients were ran-domized into 4 arms:A, B, C and D, 30 cases in each arm.We gave TCM Clyster to Arm A, Puzao Yuyan Decoction to Arm B, TCM Clyster and Puzao Yuyan Decoction to Arm C , Ornidazole dispersible tablet to Arm D .Results:After treatment for 14 consecutive days , the recovery rate , significant effective rate and total effective rate of Arm A , B and C were significantly higher than that of Arm D ( P<0.05 orP<0.01).The significant effective rate of Arm A and C were 50.00%and 53.33%(P>0.05), having statistical significance compared with Arm B (P<0.05 orP<0.01).The total effective rate of Arm C, A, B and D were respectively 93.33%, 90.00%、, 76.67%and 66.67%.Arm A was not statistically different than Arm C , however both arms were significant than Arm B ( P<0.05 orP<0.01), which indicated that the efficacy of Arm A and C was superior to Arm B and D .After treatment, all the arms improved in terms of local symptoms, pain score, analgesic efficacy and TCM symptom score(P<0.05 orP<0.01).The total effective rate of anal-gesic efficacy of Arm A.B,C and D were respectively 86.67%、76.67%、83.33% and 73.33%.2 patients in Arm A and 1 patient in Arm C felt slight discomfort in the anus at day 1-3, which recovered spontaneously without corrective treatment .7 patients in Arm D felt nauseated, which was relieved after taking vitamin B 6.Patients in Arm A reported no obvious adverse reactions .Costs of treatment:Arm D:¥87.63, Arm A:¥114.94, Arm B:¥ 149.94, Arm C:264.74.Conclusion:TCM Clyster is effective to treat pelvic inflammation , and less expensive compared to other treatments in this research .
出处
《世界中医药》
CAS
2014年第2期188-192,共5页
World Chinese Medicine
基金
福建省泉州市科技局重点课题(编号:Z20100159)