中西医结合综合治疗女性盆腔炎临床分析

Clinical Analysis of Comprehensive Treatment of Female Pelvic Inflammatory Disease with Integrated Traditional Chinese and Western Medicine

目的探讨中西医结合治疗女性盆腔炎的疗效与安全性。方法方便择取2015年1月—2018年12月该院妇科57例盆腔炎患者,随机分为两组。对照组27例,予以常规西医治疗,抗生素+红外线理疗;实验组30例,中西医结合治疗,对照组基础上加用中药口服、灌肠和塌渍。比较两组自觉症状改善时间,评价临床疗效,统计不良反应。结果实验组临床治愈16例,显效10例,有效3例,总有效率(96.67%)显著高于对照组(81.48%),患者自觉症状改善时间(1.9±1.7)d,早于对照组(3.2±1.7)d,差异有统计学意义(χ^2=4.630,P<0.05;t=3.152,P<0.05)。治疗期间,实验组恶心呕吐、食欲不振、皮疹各1例,均为轻度症状,不良反应率(10.0%)与对照组(7.41%)比较,差异无统计学意义(χ^2=2.336,P>0.05)。结论中西医结合治疗女性盆腔炎效果确切,可促进患者症状早期改善,提高临床治疗效果,不明显增加不良反应,应用安全有效,值得临床推广。

Objective To investigate the efficacy and safety of integrated traditional Chinese and Western medicine in the treatment of female pelvic inflammatory disease.Methods Convenient select a total of 57 patients with pelvic inflammatory disease in our hospital from January 2015 to December 2018 were randomly divided into two groups.27 patients in the control group were treated with conventional Western medicine,antibiotics+infrared physiotherapy;30 patients in the experimental group were treated with integrated Chinese and Western medicine,and the control group was given oral,enema and colander.The time to improve the symptoms of the two groups was compared,the clinical efficacy was evaluated,and adverse reactions were statistically analyzed.Results In the experimental group,16 cases were cured,10 cases were markedly effective,3 cases were effective.The total effective rate(96.67%)was significantly higher than that of the control group(81.48%).The patient's symptoms improved(1.9±1.7)d earlier than the control group(3.2±1.7)d,the difference was statistically significant(χ^2=4.630,P<0.05;t=3.152,P<0.05).During the treatment period,the experimental group had nausea and vomiting,loss of appetite,and rash in 1 case,all of which were mild symptoms.The adverse reaction rate(10.0%)was not statistically significantly of the different from the control group(7.41%)(χ^2=2.336,P>0.05).Conclusion The combination of traditional Chinese medicine and western medicine is effective in the treatment of female pelvic inflammatory disease.It can promote the early improvement of symptoms and improve the clinical treatment effect.It does not significantly increase the adverse reactions,and the application is safe and effective.It is worthy of clinical promotion.