完带汤联合抗生素治疗炎性盆腔痛35例临床疗效

Wandai Tang Combined with Antibiotics in Treatment of 35 Cases of Inflammatory Pelvic Pain

目的:探讨完带汤联合抗生素治疗炎性盆腔痛患者的临床疗效。方法:选择2012年7月—2014年6月本院收治的慢性盆腔痛患者70例,按照随机数字表法将其随机分为观察组和对照组,每组35例,对照组给予奥硝唑氯化钠注射液静脉滴注,观察组在对照组基础上加用完带汤加减,两组均连续治疗10d,比较两组患者临床疗效、治疗前后疼痛评分以及治疗前后中医证候、体征总评分。结果:观察组治疗总有效率为94.29%、对照组治疗总有效率为77.14%,两组比较,差异具有统计学意义(P<0.05);治疗前,两组患者疼痛评分不具有差异(P>0.05),治疗后,观察组患者疼痛评分改善情况显著优于对照组(P<0.05);治疗前,两组患者证候体征总积分不具有差异(P>0.05),治疗后,观察组患者证候体征总积分改善情况显著优于对照组(P<0.05)。结论:中医完带汤联合抗生素治疗炎性盆腔痛其临床疗效显著,且能够显著改善患者疼痛程度以及中医证候、体征积分,具有一定的临床应用价值。

Objective： To investigate the clinical efficacy of Wandai Tang combined with antibiotics in the treatment of inflammatory pelvic pain. Methods： 70 patients with chronic pelvic pain in July 2012 to June 2014 in our hospital were random Ly divided into observation group and control group,35 cases in each group. The control group was given Ornidazole and Sodium Chloride Injection by intravenous drip and the observation group added modified Wandai Tang. The two groups were treated for 10 d. Before and after treatment,the clinical efficacy of the two groups,the pain score and total score of TCM symptoms and signs were compared. Results： In the observation group,the total effective rate was 94. 29% and the control group＇ s total effective rate was 77.14%. The comparison between the two groups was statistically significant（ P〈0. 05）. Before treatment,two groups＇ pain score had no difference（ P〉0. 05）. After treatment,the observation group＇s pain scores improved more significantly than that of the control group（ P〈0. 05）. Before treatment,two groups＇ symptoms and signs total integral had no difference（ P〈0. 05） and after treatment,the observation group＇ s improved symptoms total score was significantly better than that of the control group（ P〈0. 05）. Conclusion： TCM Wandai Tang combined with antibiotics has the obvious clinical curative effect on inflammatory pelvic pain and can significantly improve the degree of pain,symptoms and signs and has certain clinical application value.