妇产科实施慢性盆腔炎临床治疗的方法及效果分析

Clinical treatment of chronic pelvic inflammatory disease in obstetrics and gynecology:methods and effectiveness analysis

目的:探析慢性盆腔炎(CPID)临床治疗的方法及效果。方法:纳入本院2020年1月至2022年12月收治共计200例CPID患者,采用简单随机化方法将纳入患者均分且设定为对照组、观察组(均n=100),前一组给予常规西医治疗,后一组加施中成药口服+红外线腹部照射+低频脉冲电治疗,比较两组临床效果、症状缓解时间、中医症候积分、血液流变学指标以及炎症因子水平和不良反应发生情况。结果:观察组临床总有效率93.00%较对照组的82.00%居于更高水平(P<0.05)。观察组下腹坠胀、下腹疼痛以及腰骶部酸痛等症状缓解时间均较对照组更短(P<0.05)。治疗前,两组下腹胀痛或刺痛、带下色黄质稠量多、胸闷纳呆、经期长量大色黯红等症候评分均无差异(P>0.05);治疗2周,观察组各项症候评分均较对照组更低(P<0.05)。治疗前,两组ESP、CP、PV、FIB水平均无统计学差异(P>0.05);治疗2周,观察组ESP、CP、PV、FIB水平均较对照组更低(P<0.05)。治疗前,两组IL-8、IL-10、TGF-β1、MCP-1水平均无统计学差异(P>0.05);治疗2周,观察组IL-8、TGF-β1、MCP-1水平均较对照组更低,IL-10水平较对照组更高(P<0.05)。观察组头晕、恶心、皮疹等常见不良反应总发生率4.00%与对照组的6.00%比较无统计学差异(P>0.05)。结论:于CPID患者而言,在常规西医治疗基础上加施中成药口服+红外线腹部照射+低频脉冲电治疗,能够取得理想效果,且安全性较高,值得应用。

Objective:To explore the method and effect of clinical treatment of chronic pelvic inflammatory disease(CPID).Methods:A total of 200 patients with CPID were enrolled in our hospital from January 2020 to December 2022.The patients were divided equally into cont rol group and Observation Group by simple randomization method(n=100),the former group was treated with routine Western medicine,the latter group was treated with oral administration of Chinese patent medicine,infrared radiat ion on abdomen and low frequency pulse elect ric therapy.The clinical efficacy,symptom relief time,TCM symptom score,hemorheology index,levels of inflammatory factors and adverse react ions were compared between the two groups.Results:The total effective rate of the observation group(93.00%)was higher than that of the control group(82.00%)(P<0.05).The time of relieving symptoms such as abdominal distension,abdominal pain and lumbosacral pain in the observation group was shorter than that in the control group(P<0.05).Before treatment,there was no significant difference in the scores of abdominal distension or tingling pain,yellow consistency with lower color,chest tightness,long period of heavy color and dark red between the two groups(P>0.05),and after 2 weeks of treatment,there was no significant difference between the two groups in the scores of symptoms and signs(P>0.05),but after 2 weeks of treatment,the scores of symptoms and signs(P>0.05),the scores of symptoms and signs(P>0.05).The$cores of all symptoms in the observat ion group were lower than those in the control group(P<0.05).Before treatment,the levelsof ESP,CP,PV and FIB had no difference between the two groups(P>0.05),but after 2 weeks treatment,the levels of ESP,CP,PV and FIB in the observation group were lower than those in the control group(P<0.05).Before treatment,the levels of IL-8,IL-10,TGF-β1 and MCP-1 had no difference between the two groups(P>0.05),but after 2 weeks treatment,the levels of IL-8,TGF-β1 and MCP-1 in the observation group were lower than those in the control group,the level of IH10 was higher than that of the control group(P<0.05).There was no significant difference between the two groups(4.00%Vvs 6.00%,P>0.05).Conclusion:For the patients with CPID,the traditional Chinese medicine plus infrared radiation plus low-frequency pulse electrotherapy on the basis of routine Westerm medicine treatment can obtain ideal effect with high safety,it is worth applying.