中药灌肠结合抗生素治疗慢性盆腔炎的疗效观察

Observation on therapeutic effect of TCM enema plus antibiotics on chronic pelvic inflammatory disease

目的:探讨抗生素联合红藤汤治疗慢性盆腔炎的疗效。方法:选择经烟台莱阳市中心医院妇产科诊断为慢性盆腔炎的162例患者,随机分为对照组和中西医组,对照组采用抗生素治疗,中西医组在对照组的基础上加用红藤汤浓缩水煎液保留灌肠,观察比较两组的两个疗程症状量化积分和临床治疗有效率等。结果:两组在症状量化积分方面:两个疗程两次结果比较,中西医组改善均明显优于对照组(P<0.05),差异均具有统计学意义;在疗效评估方面:中西医组在痊愈率和显效率方面的两次比较均明显优于对照组(P<0.05),差异具有统计学意义;第1个疗程总有效率:中西医组优于对照组(P<0.05),两组在第2个疗程之后的总有效率的差异不具有统计学意义(P>0.05)。结论:采用抗生素结合中药灌肠治疗慢性盆腔炎的方法明显优于单纯抗生素口服治疗,其见效快,症状改善更显著,考虑其操作方便,简单易行,容易被患者所接受,故值得在临床推广。

Objective: To observe and compare the therapeutic effect of the Hongteng decoction plus antibiotic on chronic pelvic inflammatory disease. Methods: 162 patients diagnosed as chronic pelvic inflammatory were randomly divided into the control group and TCM and western medicine group. The control group received antibiotics treatment only, while TCM and western medicine group received retention enema of the Hongteng decoction and oral antibiotic. Results: Two groups of patients after the treatment were obviously improved, the TCM and western medicine group showed superior to the control group (P<0.05), the differences were statistically significant; In TCM&nbsp;and western medicine group, the significant efficiency of two courses were significantly better than that in the control group on evaluation of therapeutic effect (P<0.05). Conclusion: The antibiotics plus TCM enema for chronic pelvic inflammatory disease is superior to pure antibiotics treatment, quickly, improving symptoms more obviously.