清热解毒汤加减治疗急性盆腔炎性疾病54例

Fifty-Four Cases with Acute Pelvic Inflammatory Disease Treated with Modified Heat-Clearing and Detoxification Decoction

目的:观察清热解毒汤加减治疗急性盆腔炎性疾病的临床疗效。方法:选择2011年12月—2013年12月就诊于本院的108例急性盆腔炎性疾病患者为研究对象,随机分为对照组和观察组,每组各54例。对照组给予常规西医治疗,观察组在对照组的基础上加用清热解毒汤治疗。比较两组患者的临床疗效,观察两组患者治疗前后在外周白细胞(white blood cell,WBC)和中性粒细胞计数,血沉(erythrocyte sedimentation rate,ESR)和C反应蛋白(C reactive protein,CRP)变化情况。B超检测两组患者治疗前后盆腔积液和盆腔包块消失或减少情况。结果:观察组有效率为94.44%,对照组有效率为79.63%,两组患者临床疗效比较,差异具有统计学意义(P<0.05)。两组患者治疗后WBC、中性粒细胞计数、CRP、ESR较治疗前下降,且观察组低于对照组,差异具有统计学意义(P<0.05);两组治疗后盆腔积液和盆腔包块显著少于治疗前,且观察组少于对照组,差异具有统计学意义(P<0.05)。结论:清热解毒汤加减治疗急性盆腔炎性疾病临床效果显著,可显著改善患者的临床症状。

Objective ：To investigate the clinical effects of Modified Heat-Clearing and Detoxification Decoction on acute pelvic in- flammatory disease. Methods ：Totally 108 cases with acute pelvic inflammatory disease patients treated in this hospital between De- cember 2011 and December 2013 were selected and divided randomly into control group and observation group,54 cases in each group. Control group were given conventional western medicine for the treatment while observation group were additionally given Modified Heat-Clearing and Detoxification Decoction. The clinical effects of the two groups were compared. The changes of WBC count,neutrophil count,ESR and CRP in both groups after treatment were observed. Results：The effective rate was 94.44% in observation group and 79.63% in control group ;the difference had statistical significance （ P 〈 0.05 ）. The WBC count, neutro- phil count, ESR and CRP in both groups declined,and observation group were lower than control group;the difference had statisti- cal significance （ P 〈 0.05 ）. The symptoms of pelvic effusion and lumps decreased significantly after treatment in both groups, and observation group were less than control group;the difference had statistical significance （P 〈 0.05 ）. Conclusion：Modified Heat- Clearing and Detoxification Decoction has significant therapeutic effects on acute pelvic inflammatory disease, which can improve the clinical symptoms of the patients.