李雅莉++殷小云

[摘要] 目的 观察内外结合清热利湿法治疗盆腔炎性疾病的临床效果。 方法 选取2013年1月～2016年3月在迁安市中医医院接受治疗的100例盆腔炎性疾病患者作为研究对象，按照随机数字表法将其分为观察组和对照组，各50例。对照组应用乳酸左氧氟沙星联合甲硝唑进行治疗，观察组在对照组治疗的基础上运用内外结合清热利湿法，15 d为1个疗程。 结果 观察组治疗后总有效率显著高于对照组（P < 0.05）；观察组治疗后CD4+和CD4+/CD8+水平高于对照组，CD8+水平明显低于对照组，差异均有统计学意义（均P < 0.05）；观察组治疗后C-反应蛋白和白细胞计数均显著低于对照组，差异均有统计学意义（均P < 0.05）；治疗后，观察组欧洲五维健康量表评分明显高于对照组，下腹疼痛视觉模拟评分明显低于对照组，差异均有统计学意义（均P < 0.05）。 结论 内外结合清热利湿法治疗盆腔炎性疾病具有显著的临床效果和重要的临床研究价值，值得推广。

[关键词] 清热利湿法；盆腔炎性疾病；临床疗效

[中图分类号] R271.913.3 [文献标识码] A [文章编号] 1673-7210（2016）10（a）-0076-04

Clinical efficacy of internal and external integration of clearing heat and promoting diuresis method in the treatment of pelvic inflammatory disease

LI Yali YIN Xiaoyun

Department of Geriatrics， Qian'an Hospital of Chinese Medicine， Hebei Province， Qian'an 064400， China

[Abstract] Objective To observe the clinical efficacy of internal and external integration of clearing heat and promoting diuresis method in the treatment of pelvic inflammatory disease. Methods One hundred cases of patients with pelvic inflammatory disease treated in Qian'an Hospital of Chinese Medicine from January 2013 to March 2016 were selected as research objects， and they were divided into observation group and control group according to random number table， with 50 cases in each group. The control group was given Lactic Acid Levofloxacin combined with Metronidazole， on basis of control group， the observation group was added with internal and external integration of clearing heat and promoting diuresis method， 15 d was as a course. Results After treatment， the total effective rate of observation group was significantly higher than that of control group （P < 005）. The levels of CD4+， CD4+/CD8+ in observation group after treatment were significantly higher than those of control group， the level of CD8+ was significantly lower than that of control group， the differences were all statistically significant （all P < 0.05）； the C-reactive protein and white blood cell counts in observation group after treatment were significantly lower than those of control group （P < 005）； after treatment， the scores of European quality of life-five dimension scale in observation group were significantly higher than those of control group， the scores of visual analogue scale of lower abdominal pain were significantly lower than those of control group， the differences were all statistically significant （all P < 0.05）. Conclusion Internal and external integration of clearing heat and promoting diuresis method in the treatment of pelvic inflammatory disease has significant clinical efficacy and important clinical research value， which is worthy of promotion.

[Key words] Clearing heat and promoting diuresis method； Pelvic inflammatory disease； Clinical efficacy

盆腔炎性疾病（pelvic inflammatory disease）是女性上生殖道的一组感染性疾病，好发于生育期妇女，是妇科常见病、多发病，常引起患者下腹胀痛不适、腰骶部酸痛、月经失调等症状，反复发作，久治不愈，形成慢性盆腔炎性疾病[1-2]。该病如果失治误治，往往会出现慢性盆腔痛、输卵管阻塞等严重疾病。目前，尚无十分有效的治疗方法。本研究拟采用内外结合清热利湿法治疗盆腔炎性疾病，为临床推广应用提供循证学依据，现将研究结果论述如下：

1 资料与方法

1.1 一般资料

选取2013年1月～2016年3月在迁安市中医医院接受治疗的100例盆腔炎性疾病患者，所有病例按照随机数字表法进行分组，观察组和对照组各50例。观察组年龄22～52岁，平均（33.38±11.31）岁；病程3个月～8.5年，平均（2.83±1.38）年；其中附件压痛39例，盆腔积液15例，盆腔包块8例。对照组年龄21～53岁，平均（34.67±10.86）岁；病程2.5个月～9年，平均（3.14±0.85）年；其中附件压痛38例，盆腔积液14例，盆腔包块9例。两组年龄、病程、并发症等方面比较差异无统计学意义（P > 0.05），具有可比性。……