消炎汤口服加保留灌肠治疗慢性盆腔炎的临床疗效分析

Clinical Efficacy of Xiaoyan Decoction Combined with Retention Enema in the Treatment of Chronic Pelvic Inflammation

目的:分析探讨口服消炎汤联合保留灌肠治疗慢性盆腔炎的临床疗效。方法:回顾分析某院2016年3月~2018年12月期间收治的70例慢性盆腔炎患者,按治疗方式分为对照组(35例接受口服消炎汤治疗)和研究组(35例接受口服消炎汤联合保留灌肠治疗),比较两组治疗效果、炎症因子指标、血液流变学指标等。结果:研究组治疗疗效97.14%高于对照组80%(P<0.05);治疗前组间TNF-α、IL-6、IL-1β指标差异无统计学意义(P>0.05),治疗后研究组TNF-α、IL-6、IL-1β低于对照组(P<0.05);治疗前组间盆腔积液深度、包块直径比较(P>0.05),治疗后研究组盆腔积液最深度、炎性包块直径均低于对照组(P<0.05)。结论:慢性盆腔炎患者在口服消炎汤的基础上,再给予保留灌肠治疗,可显著改善其炎症因子和病灶症状,疗效突出。

Objective:To analyze and discuss the clinical effect of oral Xiaoyan decoction combined with retention enema in the treatment of chronic pelvic inflammatory disease.Methods:70 patients with chronic pelvic inflammation admitted to a hospital from March 2016 to December 2018 were retrospectively analyzed.They were divided into control group(35 cases,received oral Xiaoyan decoction)and study group(35 cases received oral Xiaoyan decoction combined with retention enema).The therapeutic effect,inflammatory factor index and hemorheological index of the two groups were compared.Results:The therapeutic effect of the study group was 97.14%,which was higher than that of the control group was 80%(P<0.05).There was no significant difference in TNF-a,IL-6 and IL-1beta between the two groups before treatment(P>0.05).After treatment,TNF-a,IL-6 and IL-1beta in the study group were lower than those in the control group(P<0.05).The depth of pelvic effusion and the diameter of pelvic mass between the two groups before treatment were compared(P>0.05).After treatment,the depth of pelvic effusion and inflammatory mass diameter in the study group were lower than those in the control group(P<0.05).Conclusion:The inflammatory factors and lesions of chronic pelvic inflammation patients can be significantly improved by retention enema therapy on the basis of oral Xiaoyan decoction,with outstanding curative effect.