摘要
目的探究全国名中医张良英教授验方内服联合灌肠治疗湿热瘀结型盆腔炎性疾病后遗症的有效性及安全性。方法选取符合盆腔炎性疾病后遗症湿热瘀结证的患者70例,随机分为对照组及治疗组,每组各35例。治疗组采用张良英教授经验方消炎方口服配合灌肠方保留灌肠,对照组口服妇科千金胶囊。2组均连续治疗2个疗程,观察2组的临床疗效及疗程长短,比较2组的治疗后评分的变化情况。结果治疗组总有效率为91.43%,明显高于对照组的80%(P<0.05),且治疗组在改善患者的临床症状、体征及综合疗效方面,均优于对照组(P<0.05),2组患者治疗期间未出现不良反应。2组组间病情与疗效比较,轻度P=0.16,中度P=0.01,重度P=0.04。结论张良英教授消炎方口服配合灌肠方保留灌肠内外合治与妇科千金胶囊治疗湿热瘀结型盆腔炎性疾病后遗症均有效,但张老验方消炎方口服配合灌肠方灌肠内外合治法在改善中医症状、体征及综合疗效方面均优于妇科千金胶囊,并且治疗组在治疗中度及重度病情的疗效上均优于对照组。
Objective To explore the efficacy and safety of the traditional Chinese medicine professor Zhang Liangying’s prescription orally combined with enema in the treatment of sequelae of pelvic inflammatory disease with accumulation of damp-heat.Methods A total of 70 patients with pelvic inflammatory disease sequelae of damp-heat stasis syndrome were selected and randomly divided into a control group and a treatment group,35 cases in each group.The treatment group was given Professor Zhang Liangying’s experience prescription of Xiaoyan Formula orally combined with Enema Formula for retention enema,while the control group was given Fuke Qianjin Capsule orally.The two groups were treated for 2 consecutive courses,the clinical efficacy and the length of the course of treatment were observed in the two groups,and the changes in the scores after treatment were compared between the two groups.Results The total effective rate of the treatment group was 91.43%,which was significantly higher than 80%of the control group(P<0.05),and the treatment group was better than the control group in improving the clinical symptoms,signs and comprehensive efficacy of the patients(P<0.05),there were no adverse reactions in the two groups of patients during treatment.The comparison between the two groups of disease and curative effect,mild P=0.16,moderate P=0.01,severe P=0.04.Conclusion Prof.Zhang Liangying’s oral administration of Xiaoyan Prescription combined with Enema Prescription combined internal and external therapy with retention enema and Fuke Qianjin Capsule are both effective in treating the sequelae of pelvic inflammatory disease of damp-heat stasis type,but Zhang Laoyan Prescription of Xiaoyan Prescription combined with Enema Prescription and combined internal and external enema can improve traditional Chinese medicine.Symptoms,signs and comprehensive curative effects are better than Fuke Qianjin Capsules,and the curative effect of the treatment group in treating moderate and severe disease is better than that of the control group.
作者
伍希
张艳如
沈宗兰
孙苏奕
卜德艳
WU Xi;ZHNAG Yanru;SHEN Zonglan;SUN Suyi;BU Deyan(Hongxing Community Health Service Center of Shenzhen Bao'an Songgang People's Hospital,Shenzhen 518125,China;Yunnan University of Chinese Medicine,Kunming 650500,China;The First Affiliated Hospital Yunnan University of Chinese Medicine,Kunming 650021,China)
出处
《云南中医学院学报》
2022年第3期20-24,共5页
Journal of Yunnan University of Traditional Chinese Medicine
基金
国家中医药管理局张良英全国名中医传承工作室建设项目。
关键词
张良英
消炎方
灌肠方
湿热瘀结证
盆腔炎性疾病后遗症
Zhang Liangying
Xiaoyan prescription
enema prescription
damp-heat stasis syndrome
sequelae of pelvic inflammatory disease
作者简介
第一作者:伍希(1992-),女,住院医师,研究方向:妇科疾病的中医防治与研究;通信作者:卜德艳,E-mail:2507988189@qq.com。
