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1、中西醫(yī)結(jié)合治療慢性盆腔炎臨床療效探析【摘要】目的:觀察中西醫(yī)結(jié)合治療慢性盆腔炎的臨床療效。方法:將93例患者隨機(jī)分為治療組62例,對照組31例,對照組采用廣譜抗生素藥、替硝唑注射液抗感染治療,10~15天為1療程。治療組在對照組治療基礎(chǔ)上分濕熱瘀結(jié)、血瘀氣滯、肝郁氣滯、寒濕凝滯4型進(jìn)行辯證施治。結(jié)果:治療組治愈57例,好轉(zhuǎn)5例,總有效率91.92%。對照組治愈16例,好轉(zhuǎn)6例,未愈9例,總有效率70.96%。治療組明顯高于對照組,組間差異有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論:中西醫(yī)結(jié)合治療慢性盆腔炎具有療效確切,副作用少等優(yōu)點,值得臨床推廣。【關(guān)鍵詞】慢性盆腔炎;中
2、西醫(yī)結(jié)合治療;綜述CooperationofChineseandWesternmedicinetreatmentchronicpelvicinflammatorydiseaseclinicalcurativeeffectdiscussionPeiQingChiXuexi【Abstract】Goal:ObservationcooperationofChineseandWesternmedicinetreatmentchronicpelvicinflammatorydisease’sclinicalcurativeeffect.Method:Dividesintoth
3、etreatmentgroup62examplesstochastically93examplepatients,the6controlgroup31examples,thecontrolgroupusesthebroadspectrumantibioticmedicine,fortheniterzuoinoculationfluidanti-infectiontreatment,10~15daysare1treatmentcourse.Thetreatmentgroupinthecontrolgrouptreatsinthefoundationtheminute
4、hotanddampstasisknot,thebloodstasisstagnationofflowofvitalenergy,theliverstronglyfragrantstagnationofflowofvitalenergy,tostagnatecold-damp4carriesontreatsdialectically.Finally:Thetreatmentgroupcures57examples,changesforthebetter5examples,totaleffectiveness91.92%.Thecontrolgroupcures16
5、examples,changesforthebetter6examples,not9examples,totaleffectiveness70.96%.Thetreatmentgroupishigherthanthecontrolgroupobviously,thegroupthedifferencehasstatisticssignificance(P<0.05).Conclusion:ThecooperationofChineseandWesternmedicinetreatmentchronicpelvicinflammatorydiseasehasthec
6、urativeeffecttobeaccurate,sideeffectfewandsoonmerits,isworththeclinicalpromotion.【Keywords】Chronicpelvicinflammatorydisease;6CooperationofChineseandWesternmedicinetreatment;Summary【中圖分類號】R463【文獻(xiàn)標(biāo)識碼】A【文章編號】1005-0515(2011)02-0223-021一般資料全部病人均為住院觀察,治療組62例,對照組31例。年齡24~51歲,平均年齡34.1歲,病程7個月~
7、8年,平均2.2年;兩組患者均表現(xiàn)為同程度的下腹墜脹、疼痛,帶下量多、月經(jīng)不調(diào)、不孕等,病情反復(fù),遷延不愈。兩組患者年齡、病程、一般病情等資料比較,差異無統(tǒng)計學(xué)意義(P>0.05),具有可比性。2治療方法2.1西醫(yī)治療:一種光譜抗生素藥加替硝唑注射液抗感染治療,10~15天為1療程,一般2個療程。2.2中醫(yī)治療:①濕熱瘀結(jié)型,患者多表現(xiàn)為發(fā)熱或低熱,腰酸腹痛,行經(jīng)或勞累時加重,經(jīng)血量多或淋漓不凈,帶下赤白或色黃穢臭,舌質(zhì)紅,苔薄黃膩,脈細(xì)或滑。治療:紅藤敗醬散合大黃牡丹湯加減,組方:生甘草6g,赤芍、丹皮、制大黃、桃仁、玄胡、黃柏各10g,澤瀉206g,皂角刺、紅
8、藤、敗醬草