清宫饮联合抗生素治疗急性盆腔炎临床观察

Clinical Observation on Qinggong Drink Combined with Antibiotics in the Treatment of Acute Pelvic Inflammatory Disease

目的系统性评价清宫饮联合抗生素治疗急性盆腔炎的临床效果。方法选取2019年2月—2020年2月阜新市中医医院妇科病房收治的急性盆腔炎患者60例,入组病例均采用信封法随机分为对照组和试验组,每组30例。对照组应用常规抗生素治疗方案;试验组在对照组基础上联合清宫饮内服治疗方案,观察2组患者治疗前后中医证候积分、白细胞恢复正常时间、腹痛消失时间及盆腔积液吸收率变化情况。结果试验组中医证候积分,白细胞恢复时间,腹痛恢复时间均低于对照组,差异有统计学意义(P<0.05);试验组盆腔积液吸收率为90.00%(27/30),高于对照组73.33%(22/30),差异有统计学意义。结论清宫饮具有清热利湿、通调脏腑气机、化瘀凉血、解毒清带的功效,联合抗生素药物治疗可有效控制急性盆腔炎患者机体感染水平,在短期内立刻消除腹痛。可见,清宫饮与抗生素的联合治疗方法临床疗效显著,值得临床推广。

Objective To systematically evaluate the clinical effect of Qinggong drink combined with antibiotics on patients with acute pelvic inflammatory disease.Methods A total of 60 patients with acute pelvic inflammatory disease admitted to the gynecological ward of Fuxin Hospital of Traditional Chinese Medicine from February 2019 to February 2020 were randomly divided into control group and experimental group by envelope method,with 30 patients in each group.The control group received routine antibiotic treatment.On the basis of the control group,the experimental group was combined with the treatment plan of Qinggong drink,and the changes of TCM syndrome score,white blood cell recovery time,abdominal pain disappearance time and pelvic fluid absorption rate were observed before and after treatment in 2 groups.Results The TCM syndrome score,WBC recovery time and abdominal pain recovery time of experimental group were lower than those of control group,the differences were statistically significant(P<0.05).The absorption rate of pelvic effusion in experimental group was 90.00%(27/30),which was higher than that in control group 73.33%(22/30).The difference was statistically significant.Conclusion Qinggong drink has the effects of clearing heat and dampness,regulating viscera qi,removing blood stasis and cooling blood,detoxifying and clearing the belt.Combined with antibiotic drug treatment,it can effectively control the body infection level of patients with acute pelvic inflammatory disease,and immediately eliminate abdominal pain in a short term.It can be seen that the combined treatment of Qinggong drink and antibiotics has significant clinical efficacy and is worthy of clinical promotion.