中药保留灌肠联合中药溻渍治疗盆腔瘀血综合征的临床观察

Clinical Observation on TCM Retention Enema Combined with TCM Tazi in Treatment of Pelvic Congestion Syndrome

目的：观察中药保留灌肠联合中药溻渍治疗盆腔瘀血综合征的临床疗效。方法：随机数字表格法将200例盆腔瘀血综合征患者分为观察组与对照组,各100例,观察组行中药保留灌肠联合中药溻渍治疗,对照组仅给予中药保留灌肠治疗,评价两组疗效。结果：观察组治疗总有效率96.00%显著高于对照组的85.00%（P〈0.05）;两组治疗后中医证候下腹坠痛、腰骶疼痛、性交痛、月经量增多积分及总积分、盆腔静脉内径、静脉丛范围比治疗前均显著小,盆腔静脉流速显著上升,差异有统计学意义（P〈0.05）,观察组治疗后上述指标均显著优于对照组（P〈0.05）;均无药物不良反应发生。结论：中药保留灌肠联合中药溻渍治疗盆腔瘀血综合征疗效明确,能明显改善患者盆腔静脉血流,缓解盆腔瘀血综合征症状,安全性高。

Objective： To observe the clinical curative effect of traditional Chinese medicine（TCM） retention enema combined with TCM Tazi in the treatment of pelvic congestion syndrome. Methods： A total of 200 patients with pelvic congestion syndrome were divided into the observation group and the control group with 100 patients in each group by the random number table method. The observation group were treated with TCM retention enema combined with TCM Tazi while the control group were treated with TCM retention enema alone. The curative effect in the two groups was evaluated. Results： The total effective rate of the observation group was higher than that of the control group（96. 00% vs 85. 00%）（P〈0. 05）. After treatment,scores of lower abdominal bearing-down pain,lumbosacral pain,sexual pain and increasing amount of menstruation and the total score,the diameter of pelvic vein andthe range of venous plexusin the two groups were significantly lower or smaller than those before treatment,and the pelvic venous velocity increased significantly（P〈0. 05）. After treatment,the above-mentioned indexes in observation group were significantly better than those in the control group（P〈0. 05）. There were no adverse drug reactions. Conclusion： TCM retention enema combined with TCM Tazi is effective in the treatment of pelvic congestion syndrome. The regimen can significantly improve thepelvic venous blood flow and relieve pelvic congestion syndrome,with high safety.