王明环

【摘要】 目的：探讨中西医结合治疗慢性盆腔炎的效果。方法：选取笔者所在医院门诊于2013年2月-2016年2月收治的120例慢性盆腔炎患者为研究对象，随机分为治疗组62例与对照组58例，对照组采用应用抗生素治疗，7～10 d为一疗程；治疗组在对照组治疗的基础上，给予中西药保留灌肠，7～10 d为一疗程。灌肠结束后音频理疗20～30 min。结果：经中西医结合治疗慢性盆腔炎2个疗程后，治疗组治愈29例，显效21例，好转9例，无效3例，总有效率为95.16%。对照组痊愈18例，显效17例，好转12例，无效11例，总有效率为81.03%。两组比较差异有统计学意义（P<0.05）。结论：中西医结合治疗慢性盆腔炎简便易行、疗效好，有临床推广应用价值。

【关键词】 中西医结合； 慢性盆腔炎； 抗生素； 保留灌肠； 疗效

中图分类号 R271.1 文献标识码 B 文章编号 1674-6805（2016）24-0108-03

【Abstract】 Objective：To explore the curative effect of treating chronic pelvic inflammatory disease with traditional Chinese medicine and Western medicine.Method：120 cases of chronic pelvic inflammation patients admitted to our hospital from February 2013 to February 2016 were randomly divided to the treatment group（62 cases） and the control group （58 cases）.Patients in the control group were treated with antibiotic treatment，7 to 10 days for a course of treatment；the treatment group was given retention enema with traditional Chinese medicine and Western medicine based on the therapy of the control group，and audio physiotherapy for 20 to 30 minutes after the enema，7 to 10 days for a course of treatment.Result：After the combination of traditional Chinese and Western medicine treatment for 2 courses，29 cases were cured，21 cases were markedly effective，9 cases were improved，and 3 cases were ineffective in the treatment group，the total effective rate of which was 95.16%.In the control group，18 cases were cured，17 cases were markedly effective，12 cases were improved，11 cases were ineffective，the total effective rate was 81.03%.The difference between the two groups was statistically significant（P<0.05）.Conclusion：The combination of traditional Chinese and Western medicine in the treatment of chronic pelvic inflammatory disease is simple，effective，it has a clinical application value.

【Key words】 Traditional Chinese and Western medicine； Chronic pelvic inflammatory disease； Antibiotic； Retention enema； Curative effect

First-authors address：Chinese Medicine Hospital of Cao County ，Cao County 274400，China

doi：10.14033/j.cnki.cfmr.2016.24.061

慢性盆腔炎是妇科常见病，具有病程长、治愈率低、复发率高的特点，严重危害妇女的身心健康。笔者所在医院自2013年2月开始应用中西医结合治疗慢性盆腔炎62例，取得了满意的临床效果，现报告如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院门诊于2013年2月-2016年3月收治的120例患者为研究对象，年龄32～56岁，平均（37.2±1.6）岁，病程3～7年，平均（3.2±2.1）年，临床症状以患者主诉、妇科检查及B超检查相结合，全部病例诊断符合《中药新药临床研究指导原则》关于慢性盆腔炎治疗诊断标准[1]。随机将患者分为治疗组62例与对照组58例。治疗组患者年龄33～52岁，平均（38.1±1.8）岁，病程4～6年，平均（3.1±2.0）年，有腰骶酸楚、下肢挛痛者62例；白带多色黄者62例；有月经不调及痛经者43例；有不孕及继发不育者18例；妇科检查子宫活动受制伴压痛者58例；附件增厚成索条状增粗及盆腔包块者（经B超证实者）28例。……