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[摘要] 目的 分析改進法中药方保留灌肠配合静脉用药治疗慢性盆腔炎的临床效果。方法 在2017年2月—2018年8月间入院接受治疗的慢性盆腔炎患者中便利选择60例进行分组治疗，并对治疗效果进行比较分析。依据患者入院顺序分组，对照组静脉滴注左氧氟沙星+传统中药保留灌肠疗法进行治疗，观察组则采取静脉滴注左氧氟沙星+改进法中药方保留灌肠治疗，各30例。结果 比较疗效，观察组总有效率为93.3%，对照组为73.3%，差异有统计学意义（χ2=4.320，P<0.05）。比较生活质量评分，观察组为（90.3±1.5）分、对照组为（83.3±2.7）分，差异有统计学意义（t=12.413，P<0.05）。统计比较两组治疗后6个月内疾病复发率，观察组为0.0%、对照组为20.0%，差异有统计学意义（χ2=6.667，P<0.05）。比较治疗前中性粒细胞、白细胞数值，差异无统计学意义（t白细胞总数=0.308，t中性粒细胞=0.116，P>0.05）。治疗后对比结果则均提示观察组更佳（t白细胞总数=15.571，t中性粒细胞=34.295，P<0.05）。结论 改进法中药方保留灌肠配合静脉用药治疗慢性盆腔炎可得到良好的治疗效果，有助于炎症消退，促进患者康复，降低疾病复发率，提高患者的生活质量，应用效果良好。

[关键词] 改进法中药方保留灌肠;口服药;慢性盆腔炎;临床效果

[中图分类号] R271          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0098-03

Therapeutic Effect of Modified Traditional Chinese Medicine Prescription Retention Enema Combined with Intravenous Medication for Chronic Pelvic Inflammatory Disease

XIONG Yuan-xiang

Department of Obstetrics and Gynecology， Jiangning District Hospital of Traditional Chinese Medicine， Nanjing， Jiangsu Province， 211100 China

[Abstract] Objective To analyze the clinical effect of improved Chinese herbal medicine retention enema with intravenous medication for chronic pelvic inflammatory disease. Methods Sixty patients with chronic pelvic inflammatory disease who were admitted to hospital from February 2017 to August 2018 were Conveniently selected for group therapy and the treatment effects were compared. According to the order of patients admitted to the hospital， the control group received intravenous levofloxacin + traditional Chinese medicine retention enema therapy， and the observation group received intravenous levofloxacin + modified Chinese medicine prescription retention enema treatment， 30 cases each. Results The total effective rate was 93.3% in the observation group and 73.3% in the control group.The difference was statistically significant （χ2=4.320，P<0.05）. The quality of life scores were （90.3±1.5）points in the observation group and （83.3±2.7） points in the control group， and The difference was statistically significant（t=12.413，P<0.05）. The disease recurrence rate was statistically compared within 6 months after treatment. The observation group was 0.0% and the control group was 20.0%. The difference was statistically significant（χ2=6.667，P<0.05）. The neutrophil and leukocyte values were not significantly different before treatment （ttotal white blood cell coun =0.308，tneutrophil=0.116，P>0.05）. The results of the comparison after treatment showed that the observation group was better （t=15.571，tneutrophils=34.295，P<0.05）. Conclusion Improved traditional Chinese medicine prescription retention enema combined with intravenous medication for chronic pelvic inflammatory disease can obtain good therapeutic effect， help inflammation to resolve， promote patient recovery， reduce disease recurrence rate， improve patient's quality of life， and apply good effect.

[Key words] Improved traditional Chinese medicine prescription retention enema; Oral medication; Chronic pelvic inflammatory disease; Clinical effect

慢性盆腔炎是一种较为常见的妇科疾病，其会导致患者出现白带量增加、月经量多、不孕等不良症状。该疾病较易反复发作，不仅影响患者身体健康，而且也会为患者带来一定痛苦。临床若单纯使用抗生素效果并不十分显著，使用中药治疗虽具有一定疗效，但需要较长时间用药，患者依从性不佳[1-2]。近年来临床为提高慢性盆腔炎的治疗效果，中医药联合抗生素的治疗方案得以在临床推广应用。为探析改进法中药方保留灌肠配合静脉用药治疗慢性盆腔炎的临床效果，此次研究在2017年2月—2018年8月间入院接受治疗的慢性盆腔炎患者中便利选择60例进行分组治疗，现报道如下。

1  资料与方法

1.1  一般资料

在入院接受治疗的慢性盆腔炎患者便利中选择60例进行分组治疗， 依据患者入院顺序分组，各30例。……