蒋丽

[摘要]目的 探讨妇炎康复胶囊和多功能盆腔炎治疗仪联合治疗方案用于盆腔炎慢性疼痛的临床疗效。方法 选择2015年10月～2016年10月来我院就诊的86例盆腔炎患者作为研究对象，按照随机分组法将患者均分为A、B两组，每组43例。A组患者仅使用妇炎康复胶囊进行治疗。B组患者应用妇炎康复胶囊与盆腔炎治疗仪联合治疗。进行为期3个疗程的治疗后，比较两组患者的有效率、复发率，随访观察6个月不良反应的发生率。结果 经过治疗后，B组患者的有效率（93.0%）高于A组（79.1%），B组复发率（2.3%）低于A组（4.7%），差异有统计学意义（P<0.05）。A组不良反应发生率为9.3%，B组为4.7%，两组比较差异无统计学意义（P>0.05）。结论 妇炎康复胶囊与盆腔炎治疗仪联合应用对治疗盆腔炎所致的慢性疼痛具有更好的效果，是临床上应广泛推荐的治疗方案。

[关键词]盆腔炎治疗仪；盆腔炎慢性疼痛；临床疗效；联合治疗

[中图分类号] R711.33 [文献标识码] A [文章编号] 1674-4721（2017）08（a）-0114-03

[Abstract]Objective To explore the clinical efficacy of the combined therapy of Fuyan Kangfu Capsules and multi-functional pelvic inflammatory therapeutic apparatus in the treatment of chronic pain caused by pelvic inflammatory disease （PID）.Methods From October 2015 to October 2016，86 PID patients visited our hospital for treatment were selected as research objects.They were evenly and randomly divided into two groups：group A and group B，43 cases in each group.Patients in group A were treated with only Fuyan Kangfu Capsules.In group B，patients were treated with Fuyan Kangfu Capsules combined with pelvic inflammatory therapeutic apparatus.After 3-course of treatment，effective rate，recurrence rate，and incidence of adverse reactions in 6-month follow up visits were compared in the two groups.Results After treatment，the effective rate in group B was 93.0%，higher than that in group A （79.1%），the difference was statistically significant （P<0.05）.The recurrence rate was 2.3% in group B，less than that in the group A （4.7%），the difference was statistically significant （P<0.05）.However，the incidence of adverse reactions in group A was 9.3%，and 4.7% in group B，had no statistically significant difference（P>0.05）.Conclusion Joint application of Fuyan Kangfu Capsules and pelvic inflammatory therapeutic apparatus in the treatment of chronic pain caused by PID obtains a favorable effect，and is worth widely recommending in clinic.

[Key words]Pelvic inflammatory therapeutic apparatus；Chronic pain due to pelvic inflammatory disease；Clinical efficacy；Joint treatment

盆腔炎（pelvic inflammatory diseade，PID）指女性上生殖道及上生殖道周圍组织发生的炎症，包括盆腔腹膜炎（peritonitis）、输卵管卵巢脓肿（tubo-ovarian abscess，TOA）、输卵管炎、子宫内膜炎[1]。盆腔炎是一种以白带增多、月经紊乱为主要症状的妇科常见疾病，分为急性盆腔炎和慢性盆腔炎[2]。盆腔炎急性发作的表现为腹痛患者呈急性痛苦面容，妇科触诊腹部有压痛或反跳痛，患者偶见呕吐、尿频尿急等临床症状。它会影响到妇女的正常工作和生活，严重时甚至会导致不孕，患者往往会自觉疼痛[3-4]。临床上治疗盆腔炎的方法有很多，如抗生素治疗，使用药效持久和缓慢的妇炎康复胶囊栓剂等[5-7]。为了探讨妇炎康复胶囊与多功能盆腔炎治疗仪联合使用对盆腔炎慢性疼痛的治疗效果，本研究选择我院收治的86例盆腔炎患者作为研究对象，结果报道如下。……