张合民+魏静+欧晓欣

[摘要] 目的 研究中西结合方法治疗慢性盆腔炎的疗效。 方法 选择2012年1月～2015年1月我妇产科收治的258例慢性盆腔炎患者，按照入院的顺序依次随机分为试验组和对照组，每组各129例；试验组给予医院自制中药配方内服，结合盆腔注射庆大霉素、α-糜蛋白酶、氟美松治疗，对照组仅予盆腔注射庆大霉素、α-糜蛋白酶、氟美松治疗。观察两组患者的治愈率和不良反应发生率。 结果 试验组治愈率为83.72%，对照组治愈率为69.77%，两组比较差异有统计学意义（P<0.05）；试验组总有效率为96.12%，对照组总有效率为86.05%，两组比较差异有统计学意义（P<0.05）。两组患者不良反应发生率差异无统计学意义（P>0.05）。 结论 中西医结合治疗慢性盆腔炎临床效果显著，成本低，值得在基层医院推广应用。

[关键词] 中西医结合；慢性盆腔炎；经皮盆腔注射；抗生素；治愈率

[中图分类号] R711.33 [文献标识码] B [文章编号] 1673-9701（2015）25-0112-03

The clinical efficacy of integrated Chinese and Western medicine in treatment of 129 cases with chronic pelvic inflammatory disease

ZHANG Hemin WEI Jing OU Xiaoxin

Department of Obstetrics and Gynecology， Nanle County People's Hspital in He'nan Province， Nanle 457400， China

[Abstract] Objective To study the curative effect of chronic pelvic inflammatory disease treated by combination of chinese and western. Methods A total of 258 cases of chronic pelvic inflammatory disease in our hospital from January 2012 to January 2015 were selected as the research objects， which were randomly divided into experimental group and control group according admission order， there were 129 cases in each group. Experimental group was received traditional Chinese medicine hospital homemade recipes orally， combined with pelvic injection of gentamicin， α-chymotrypsin， dexamethasone， the control group was received pelvic injection of gentamicin， α-chymotrypsin， dexamethasone. The cure rate and the incidence of adverse reactions were observed in two groups. Results The cure rate of experimental group was 83.72%， the cure rate of control group was 69.77%， the difference was statistically significant（P<0.05）； The total effective rate of experimental group was 96.12%， control group was 86.05%， the difference was statistically significant（P<0.05）. There was no obvious difference in incidence of adverse reactions between two groups（P>0.05）. Conclusion The clinical effect of combination of traditional Chinese and Western medicine in treatment of chronic pelvic inflammatory disease is significantly， with low cosat， is worthy of promotion in primary hospitals.

[Key words] Combination of traditional Chinese and Western medicine； Chronic pelvic inflammatory disease； Percutaneous pelvic injection； Antibiotic； Effective rate

慢性盆腔炎是指女性内生殖器及其周围结缔组织、盆腔腹膜发生的炎症病变，在临床妇科育龄妇女中属于常见病、多发病，据相关报道[1]其发病率较高，在各妇科炎症性疾病中排第3位，近年来仍呈上升趋势，而在农村妇女中，发病率相对更高。慢性盆腔炎久治不愈、反复发作，目前尚无特效、规范或统一的治疗方法。单采用西医治疗难以根治，笔者经过长期临床实践，采用自配中药内服，配合庆大霉素、α-糜蛋白酶、氟美松（又称“三神针”）经皮直接盆腔注射治疗慢性盆腔炎取得了满意疗效，现将结果报道如下。

1 资料与方法

1.1 临床资料

选择河南省某县人民医院2012年1月～2015年1月收治的258例慢性盆腔炎患者为研究对象，考虑患者年龄、病程以及婚姻状况等指标，将患者按照入院顺序依次随机分为试验组和对照组[2，3]，两组各129例。……