红藤汤保留灌肠联合保妇康栓治疗慢性盆腔炎临床研究

Clinical Study on Retention Enema with Hongteng Tang Combined with Baofukang Suppository for Chronic Pelvic Inflammation

目的:观察红藤汤保留灌肠联合保妇康栓治疗慢性盆腔炎的临床疗效。方法:选取84例慢性盆腔炎患者,按随机数字表法分为对照组和治疗组各42例。对照组给予保妇康栓治疗,治疗组在对照组基础上加用红藤汤保留灌肠。治疗后比较2组临床疗效,观察患者血液流变学指标的改善情况。结果:总有效率对照组76.19%,治疗组90.48%,2组比较,差异有统计学意义(P <0.05)。治疗后,2组证候积分均较治疗前降低,差异均有统计学意义(P <0.05);治疗组证候积分低于对照组,差异有统计学意义(P <0.05)。治疗后,2组全血黏度、红细胞沉降率及全血还原黏度水平均较治疗前降低,差异均有统计学意义(P <0.05);治疗组3项血流动力学指标水平均低于对照组,差异均有统计学意义(P <0.05)。治疗组不良反应发生率4.76%,对照组不良反应发生率7.14%。2组比较,差异无统计学意义(P> 0.05)。结论:红藤汤保留灌肠联合保妇康栓治疗慢性盆腔炎,能有效缓解患者的临床症状,用药安全性高。

Objective:To observe the clinical effect of retention enema with Hongteng tang combined with Baofukang suppository for chronic pelvic inflammation.Methods:A total of 84 cases of patients with chronic pelvic inflammation were divided into the control group and the treatment group according to the random number table method,42 cases in each group.The control group was treated with Baofukang suppository,and the treatment group was additionally treated with retention enema with Hongteng tang based on the treatment of the control group.After treatment,the clinical effect in the two groups was compared and the improvement of the hemorheological indexes was observed.Results:The total effective rate was 76.19%in the control group and 90.48%in the treatment group,the difference being significant(P<0.05).After treatment,the syndrome scores in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05);the syndrome score in the treatment group was lower than that in the control group,the difference being significant(P<0.05).After treatment,the levels of the whole blood viscosity,the erythrocyte sedimentation rate and the whole blood reduced viscosity in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05);the levels of the three hemorheological indexes in the treatment group were lower than those in the control group,differences being significant(P<0.05).The incidence of adverse reactions was 4.76%in the treatment group and 7.14%in the control group,there being no significance in the difference(P>0.05).Conclusion:The therapy of retention enema with Hongteng tang combined with Baofukang suppository has significant clinical effect in treating chronic pelvic inflammation,which can effectively alleviate the clinical symptoms of patients with high drug safety.