中药灌肠联合西药治疗盆腔炎随机平行对照研究

Traditional Chinese Medicine Enema Combined Random Parallel Control Study Western Medicine Treatment of Pelvic Inflammatory Disease

[目的]观察中药灌肠联合西药治疗盆腔炎疗效。[方法]使用随机平行对照方法,将68例住院患者按掷骰子法随机分为两组。对照组34例奥硝唑,0.5g/次,2次/d,静注。0.5g头孢西丁钠+100mL0.9%氯化钠,1次/8h,静滴。治疗组34例中药灌肠(红藤、白花蛇舌草、败酱草、香附各30g,元胡、制附子、茯苓各20g,桂枝、桃仁、牡丹皮、蒲公英、木香各15g;寒湿阻滞加赤芍20g;寒热不显加红花、当归、白术各20g;湿热蕴结加白头翁、马齿苋各20g)。1剂/d,水煎100mL,睡前取右侧卧位,灌肠末端涂抹少量润滑油,缓慢插入肛门15cm,药液滴入肛门内,保留约2h,月经期停止用药。治疗期间确保足够睡眠,多饮水,多食清淡,忌辛辣,注意个人卫生,经期禁性生活。西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、B超、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效32例,有效2例,无效0例,有效率94.12%。对照组显效28例,有效6例,无效0例,有效率82.35%。治疗组疗效优于对照组(P<0.05)。[结论]中药灌肠联合西药治疗盆腔炎效果显著,值得推广。

[ Objective ] To observe the traditional Chinese medicine enema combined western medicine treatment of pelvic inflammatory disease curative effect. [ Methods ] Using random parallel control method, 68 cases of hospitalized patients were randomly divided into two groups according to roll the dice method. The control group of 34 cases of ornidazole, 0.5g/time, 2 times/d, the static note. 0.5g＋100 m10 cefoxitin sodium. 9% sodium chloride, 1/8 h, static drops. Treatment group （ 34 cases of traditional Chinese medicine enema （Hongteng, Baihuasheshecao, Baijiangcao, Xiangfu each 30g, Yuanhu, Zhifuzi, Fuling 20g, Guizhi, Taoren, Mudanpi, Pugongying, Muxiang each 15g; cold dampness blockage and Chishao20g, fever doesn＇t add Honghua, Danggui, Baizhu each 20g; damp and hot accumulate knot with Baitouwong, Machixian 20g ） .1/d, water frying, 100 ml, take the right side, before sleeping, apply a small amount of lubricating oil end of the enema slowly inserted into the anus 15 cm, medicine droplets into the anus, reservation about 2 h, menstruation stop drug use. During the treatment to ensure enough sleep, water more, eat more delicate, avoid is acrimony,pay attention to personal hygiene, menstruation ban sex life. Western medicine treatment with the control group. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Treatment as a course （ 7d ）, to determine efficacy. [ Results ~ The treatment group 32 cases were markedly effective, effective in 2 cases, 0 no effect, the total effective rate was 94.12%. Control group 28 cases, 6 cases effective, 0 no effect, the total effective rate was 82.35%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . [ Conclusion ] The traditional Chinese medicine enema combined western medicine treatment of pelvic inflammation effect is remarkable, is worth promoting.