辨证分型联合中极、气海中药离子导入治疗反复性盆腔炎随机平行对照研究

Syndrome Differentiation combined with Acupoint Iontophoresis of Chinese Medicine Treatment of Recurrent Pelvic Inflammatory Disease Randomized Controlled Study

[目的]观察辨证分型联合中极、气海中药离子导入治疗反复性盆腔炎疗效。[方法]使用随机平行对照方法,将76例住院患者按病志号抽签方法简单随机分两组。对照组38例替硝唑,0.4g/次,1次/d,静滴;头孢呋辛4.0g＋250m L5%葡萄糖,静滴,1次/d。治疗组38例辨证分型：气虚（芪藤汤化裁,黄芪、银花藤各20g,党参、生晒参、白术、茯苓、蒲黄各15g,香附10g,鸡内金、赤白芍各12g,丹参20g）;血瘀（少腹逐瘀汤加减,延胡索、当归、川芎各20g,桃仁、赤芍、乳香、没药、丹皮、五灵脂各10g,土茯苓、徐长卿、生薏仁、红藤、败酱草各30g）;湿盛（川芎、赤芍、香附、黄柏各10g,玄胡20g,黄芪、党参、红藤、败酱草、生薏仁、丹参、土茯苓各30g）;1剂/d,水煎750m L/d,3次/d,口服;药渣再行第4次浓煎60min,过滤去渣,浓缩至20m L制成导入液,取纱布垫浸,并置中极、气海,用5~10m A直流电导入,以患者耐受情况为度,25min/次,1次/d。连续治疗15d为1疗程。观测临床症状、盆腔积液、盆腔包块、不良反应。连续治疗6疗程,判定疗效。[结果]临床疗效治疗组优于对照组（P〈0.05）。[结论]辨证分型联合中极、气海中药离子导入治疗反复性盆腔炎,疗效满意,无严重不良反应,值得推广。

[Objective] To observe the syndrome differentiation combined with acupoint iontophoresis treatment of recurrent pelvic inflammatory disease. [Methods] 76 patients were randomly divided into two groups according to random parallel control method. The control group of 38 cases of tinidazole, 0.4g/times, 1 times/d, intravenous cefuroxime; 4.0g＋250mL 5% glucose, intravenous drip, 1 times/d. , fried 750mL/d Daily： treatment group in which 38 cases of syndrome differentiation treatment of Qi deficiency （Qi Teng soup cut, astragalus root, Caulis lonicerae, 20g, pilose asiabell root, ginseng, white atractylodes rhizome, poria cocos, pollen typhae 15g, nutgrass galingale rhizome 10g, chicken＇s gizzard skin, red peony root 12g, salvia miltiorrhiza 20g）; blood stasis （Shaofu Zhuyu Decoction, Rhizoma Corydalis, angelica, chuanxiong, 20g, semen persicae, red peony root, frankincense, myrrh, Cortex Moutan, five wulingzhi 10g, glabrous greenbrier rhizome, Radix Cynanchi paniculati, raw coix seed, Sargentgloryvine Stem, Herba patriniae each 30g）; wet Sheng （Rhizoma chuanxiong, radix paeoniae rubra, Rhizoma Cyperi, treats each 10g, Hyun woo 20g, astragalus root, pilose asiabell root, Sargentgloryvine Stem, dahurian Patrinia herb, coix seed, radix salviae mihiorrhizae, Rhizoma Smilacis Glabrae 30g）; 1 agent, water 3 times daily, orally. Continuous treatment for 1 courses of 15d. Observation of clinical symptoms and adverse reactions. Continuous treatment for 6 courses of treatment, to determine efficacy. [Result] The clinical curative effect of the treatment group was better than the control group （P〈0.05）. [Conclusion] The dialectical type combined with acupoint Chinese medicine ion introduction in the treatment of recurrent pelvic inflammatory disease, and the results were satisfactory. No serious adverse reactions, worthy of promotion.