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自拟盆腔炎汤口服与保留灌肠治疗慢性盆腔炎的临床疗效观察 被引量:25

To Observe the Pelvic Inflammation Orally and the Clinical Curative Effect of Retention Enema Treatment of Chronic Pelvic Inflammatory Disease
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摘要 目的观察自拟盆腔炎汤口服与保留灌肠治疗慢性盆腔炎的临床疗效。方法将我院收治的78例慢性盆腔炎患者随机分为观察组39例和对照组39例。对照组患者行西医常规治疗,观察组患者行自拟盆腔炎汤口服与保留灌肠治疗。对比分析2组患者的临床治疗效果,检测并统计两组患者治疗前后的炎症因子指标和血液流变学指标。结果观察组患者临床治疗的总有效率为92.31%,对照组为79.49%,两组比较差异有统计学意义(P<0.05);治疗后,两组患者血清IL-1β、IL-6、TNF-α指标水平比较,差异均无统计学意义(P>0.05),观察组患者全血高切黏度、全血低切黏度和血浆黏度指标值均低于对照组(P<0.05)。结论中药盆腔炎汤口服与保留灌肠治疗慢性盆腔炎的临床疗效优于常规西医,其作用机制与药物消炎作用对血清炎症因子的改善及药物活血化瘀作用对血液粘度的改善有关。 Objective To observe the pelvic inflammation orally and the clinical curative effect of retention enema treatment of chronic pelvic inflammatory disease. Methods Total 78 cases in our hospital of chronic pelvic inflammatory disease patients 39 cases were randomly divided into observation group and control group 39 cases. Patients in the control group routine western medicine treatment,the observation group patients from pelvic inflammatory disease orally with retention enema treatment.Comparative analysis of two groups patients clinical therapeutic effect of detection and statistics of two groups before and after treatment in patients with inflammatory factor index and hemorheology index. Results Observation group of patients with clinical treatment the total effective rate was 92. 31%,control group was 79. 49%,the comparison of two groups,statistically significant difference( P〈0. 05); After treatment,2 groups of patients serum IL-1 beta,IL-6,TNF alpha index level comparison,there were no statistically significant difference( P〈0. 05),the observation group patients' whole blood high shear viscosity,whole blood low shear viscosity and plasma viscosity indexes were lower than the control group( P〈0. 05). Conclusion Oral Chinese medicine pelvic inflammation soup with retention enema treatment of chronic pelvic inflammatory disease of clinical curative effect is superior to conventional western medicine,its mechanism and drug anti-inflammatory effects on the improvement of the serum levels of inflammatory cytokines and drug promoting blood circulation to remove blood stasis role on the improvement of the blood viscosity.
作者 谢小林
机构地区 郫县中医院妇科
出处 《四川医学》 CAS 2015年第12期1680-1682,共3页 Sichuan Medical Journal
关键词 慢性盆腔炎 盆腔炎汤口服 保留灌肠 炎症因子 血液流变学 chronic pelvic inflammation pelvic inflammatory disease orally retention enema inflammatory factor hemorheology
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