清热利湿化瘀法保留灌肠治疗慢性盆腔炎65例临床观察

2017-09-28邱慧敏

中国药业 2017年18期

关键词：症状疗效

邱慧敏

（河南省驻马店市中医院，河南驻马店 463000）

清热利湿化瘀法保留灌肠治疗慢性盆腔炎65例临床观察

邱慧敏

（河南省驻马店市中医院，河南驻马店 463000）

目的探讨清热利湿化瘀法保留灌肠治疗慢性盆腔炎的临床效果。方法选择医院2013年5月至2015年5月收治的慢性盆腔炎患者130例，随机分为两组，各65例。对照组采用清热利湿化瘀汤剂治疗，观察组在对照组基础上采用保留灌肠治疗。结果观察组总有效率为93．85%，明显高于对照组的86．15%（P＜0．05）；观察组各项中医积分均明显低于对照组（P＜0．05）。结论清热利湿化瘀法联合保留灌肠治疗慢性盆腔炎，效果优于单用清热利湿化瘀汤剂治疗，且能在规范操作下提升疗效，临床可优先选用。

慢性盆腔炎；清热利湿化瘀法；保留灌肠；临床疗效

Abstract：Ob jective To investigate the clinical effect of clearing away heat and promoting diuresis and clearing stasis method combined with retention enema for treating chronic pelvic inflammatory disease．M ethods Totally 130 patients with chronic pelvic inflammatory disease in our hospital from May 2013 to May 2015 were random ly divided into 2 groups，65 cases in each group．The control group was given clearing away heat and promoting diuresis and clearing－stasis detection，on this basis，the observation group was given retention enema．Results The total effective rate of the observation group was 93．85%，which was significantly higher than 86．15% of the control group（P＜0．05）．The scores of TCM integration in the observation group were significantly lower than those in the control group（P＜0．05）．Conclusion Clearing away heat and promoting diuresis and clearing－stasis method combined with retention enema for treating chronic pelvic inflammatory disease has better effect than clearing away heat and promoting diuresis and clearing stasis method alone，and can promote the curative effect under the standardized operation，which can be the first to be selected in the clinical．

Key words：chronic pelvic inflammatory disease；clearing away heat and promoting diuresis and clearing stasis method；retention enema；clinical effect

盆腔炎为临床常见妇科疾病，并发症较多，慢性盆腔痛是其中一种，主要临床症状有小腹坠胀感、疼痛，伴有腰骶酸痛，劳累过度、性交以及月经前后会加重。目前，其临床治疗药物主要为抗生素，容易发生耐药性，效果不佳，不仅会影响患者的工作与学习，也会进一步增加盆腔淤血，使月经量增大、损坏卵巢功能、导致月经失调；同时慢性盆腔炎长期病变会形成瘢痕黏连以及盆腔充血，严重者可导致输卵管阻塞，继而引发不孕症[1]。为探讨更有效的治疗方法及药物，笔者选取130例患者进行分组比较，探讨清热利湿化瘀法保留灌肠治疗慢性盆腔炎的效果。现报道如下。