摘要
目的：观察中药灌肠液联合抗菌药分型治疗慢性盆腔炎的临床疗效。方法：将240例慢性盆腔炎患者随机分为观察组（按照中医辨证分为湿热瘀结、气滞血瘀、寒湿凝滞三型）和对照组,各120例。对照组给予盐酸左氧氟沙星0.2 g,ivd,,bid,连续用药14 d。观察组在对照组基础上联合中医辨证分型给予灌肠液250 ml（湿热瘀结型患者给予柏薏灌肠液,气滞血瘀型患者给予蒲药灌肠液,寒湿凝滞型患者给予柏药灌肠液）,qd,月经后3~5 d开始用药14 d,连续用药2个月经周期。检测治疗前后两组患者血液流变学指标,比较两组疗效。结果：观察组总有效率为91.7%,明显高于对照组的81.7%（P〈0.05）;治疗后观察组全血黏度、血浆黏度、纤维蛋白原含量、红细胞沉积率、血小板聚集率等指标改善优于对照组,差异均具统计学意义（P〈0.05）。结论：中药灌肠液与抗菌药联合使用治疗慢性盆腔炎疗效确切,值得临床推广。
Objective：To observe the clinical function of Chinese medicine enema liquid combined with antibiotics in syndrome differentiation typing treatment of chronic pelvic inflammation.Methods：A total of 240 patients with chronic pelvic inflammation were randomly divided into the control group（120） and the observation groups（120） including damp-heat stasis accumulation type,qi stagnation and blood stasis type and cold-dampness accumulation type.The patients in the control group received 0.2g levofloxacin hydrochloride with intravenous drip,twice a day for 14 days,while those in the observation groups were given 250 ml Chinese medicine enteroelysis（damp-heat stasis accumulation type was given Baiyi enteroelysis,qi stagnation and blood stasis type was given Puyao enteroelysis,and cold-dampness accumulation type was given Baiyao enteroelysis） with irrigation treatment once a day additionally.The patients in the observation group were given enteroelysis three or five days after menstruation and continued for 14 days,and the treatment course was two menstrual cycles.The indices of hemorheology and clinical efficacy were compared after the treatment between the groups.Results：The total effective rate in the observation group（91.7%） was higher than that in the control group（81.7%）（P〈0.05）.The improvement of whole blood viscosity,plasma viscosity,fibrinogen,erythrocyte sedimentation rate and platelet aggregation rate in the observation group were better than those in the control group（P〈0.05）.Conclusion：Chinese medicine enteroelysis shows obvious curative effect in the treatment of chronic pelvic inflammatory diseases,and combined with antibiotics,the effect can be strengthened,which is worthy of clinical application.
出处
《中国药师》
CAS
2016年第5期942-944,共3页
China Pharmacist
关键词
中药灌肠液
辨证分型
慢性盆腔炎
疗效
Chinese medicine enteroelysis
Syndrome differentiation typing
Chronic pelvic inflammation
Curative effect
作者简介
通讯作者：张伟Tel：（0315）7326720E-mail：zhangwei_314@126．com
