中药保留灌肠治疗盆腔炎性疾病后遗症的临床研究

Clinical Study on Chinese Medicine Retention Enema in the Treatment of Sequela of Pelvic Inflammatory Disease

目的通过对中药保留灌肠治疗盆腔炎性疾病后遗症的临床观察,拟定中药外治法治疗本病的有效方案。方法将入组的70名患者随机分为治疗组及对照组,治疗组以中药煎剂保留灌肠,对照组以金刚藤丸口服,2组疗程均为3个月。结果治疗组总有效率为88.57%(31/35),对照组总有效率为65.71%(23/35),2组比较差异有统计学意义(P<0.05)。治疗组治疗前后临床症状与妇科检查结果比较差异均有统计学意义(P<0.05);其中治疗后带下量多、下腹痛、腰骶酸痛以及子宫活动度差、宫颈举痛、附件增厚或包块等方面,2组比较差异有统计学意义(P<0.05)。结论中药保留灌肠外治法是治疗盆腔炎性疾病后遗症的有效方法,进一步规范操作方法可提高疗效。

Objective To formulate a standard treatment plan for the treatment of this disease by the external treatment of traditional Chinese medicine through the clinical observation on the treatment of the sequela of pelvic inflammatory disease by retention enema of traditional Chinese medicine for clearing heat, removing dampness and removing blood stasis. Methods 70 patients were randomly divided into treatment group and control group. The treatment group received Chinese medicine retention enema. The control group took orally Jingangteng pills. One course of treatment of the two groups was 3 months. Results The total effective rate of the treatment group and the control group was 91.67% and 80.00 %, respectively. The difference between clinical symptoms and gynecological examination results in the treatment group before and after treatment was statistically significant（ P〈 0.05）. After treatment,abdominal pain, lumbosacral pain, taken down and more lift and cervical pain, uterine mobility is poor, and accessory bag piece or thickening comparison between the two groups, and the difference was statistically significant（ P 〈0.05）. Conclusion The external treatment of Chinese medicine retention enema is an effective method to treat pelvic inflammatory diseases.