胡氏红英汤加减治疗慢性盆腔炎(湿热瘀结型)的临床观察

Clinical Observation on Hu Hongying Decoction in the Treatment of Chronic Pelvic Inflammatory Disease(Hotand Samp Stasis Ties)

目的观察"胡氏红英汤"治疗慢性盆腔炎(湿热瘀结型)的临床疗效。方法收集2015年9月-2016年9月上海市青浦区中医医院专家门诊及普通门诊80例慢性盆腔炎(湿热瘀结型)患者,随机分为对照组40例,实验组40例,对照组采用妇科千金胶囊治疗,实验组采用"胡氏红英汤"加减治疗,两组均以7 d为1个疗程,治疗3个疗程,连续3周。疗程结束后,观察患者下腹及腰骶胀痛、带下的量、色、质及次症的总积分变化情况,患者体征变化及中医证候等疗效指标,比较两组患者的临床疗效结果。结果实验组总有效率92.5%,对照组总有效率72.5%,两组有效率比较,差异有统计学意义(P<0.05);实验组与对照组相比,实验组症状、体征总积分减少较对照组明显,两组比较,差异有统计学意义(P<0.05);两组患者治疗前后下腹及腰骶胀痛积分比较,差异有统计学意义(P<0.05)。实验组的临床治疗效果较对照组明显。结论胡氏红英汤加减治疗慢性盆腔炎(湿热瘀结型)疗效确切,在症状、体征的改善上有明显的作用,具有明显的疗效和良好的安全性。

Objective To observe the effect of ＂Hu Hongying Decoction＂ in the treatment of chronic pelvic inflammatory disease （hotand samp stasis ties）. Methods 80 cases of chronic pelvic inflammatory disease （hotand samp stasis ties） from qingpu district hospital of traditional Chinese medicine and general outpatient clinic experts from September 2015 to September 2016 in Shanghai City, were randomly divided into control group 40 cases, 40 cases in the experimental group, the control group used Fukeqianjin capsule treatment, the experimental group used the ＂Hu Hongying soup treatment, two group 7 days for 1 courses, 3 courses of treatment for 3 weeks. After the end of treatment, observation of patients with lower abdomen and lumbosacral pain, vaginal discharge volume, color, quality and time in the total score changes were observed, and the changes of physical signs and TCM syndrome curative effect, clinical efficacy of two groups were compared the results. Results The experimental group of 40 patients with the total efficiency was 92.5%, 40 patients in the control group the total efficiency was 72.5%, the efficiency of the two groups were significantly different （P〈0.05）; the experimental group and control group, experimental group, the total scores of symptoms and signs decreased significantly compared with the control group, the two groups had statistical significance （P〈0.05）; compared the lower abdomen and lumbosacral pain score of two groups before and after treatment, the difference was statistically significant （P〈0.05）. The clinical efficacy of the experimental group was significantly higher than that of the control group. Conclusion hu hongying decoction on the treatment of chronic pelvic inflammatory disease （type of damp heat and blood stasis） has obvious effect on symptoms and signs of improvement, and obvious curative effect and good safety.