朱姝 李淑萍 黄素英

[摘要]目的观察桂枝茯苓丸合小柴胡汤化裁治疗盆腔炎性疾病后遗症的临床疗效。方法选取2017年1月至2021年1月于常州市妇幼保健院就诊的盆腔炎性疾病后遗症患者70例为研究对象，随机分为两组（治疗组和对照组）。治疗组采用桂枝茯苓丸合小柴胡汤化裁口服治疗，对照组采用头孢地尼分散片联合金刚藤颗粒口服治疗。观察患者临床症状改善情况、局部体征变化情况，评价综合疗效。结果治疗组明显改善患者的临床症状、体征，临床痊愈率为77.50%，好转率为17.50%，总有效率为95.00%，均优于对照组（ P <0.05）。结论桂枝茯苓丸合小柴胡汤化裁治疗本病，临床疗效显著，为临床辨证治疗盆腔炎性疾病后遗症提供思路，值得进一步研究推广应用。

[关键词]盆腔炎性疾病后遗症;桂枝茯苓丸;小柴胡汤;中医药

[中图分类号] R271.9  [文献标识码] A   [文章编号]2095-0616（2021）23-0009-05

Observation on the clinical efficacy of modified GuizhiFuling Pill combined with Xiaochaihu Decoction in the treatment of sequelae of pelvic inflammatory disease

ZHU1ShuLIShuping2HUANGSuying3

1. Changzhou Maternal and Child Health Care Hospital， Jiangsu， Changzhou 213003， China;2. Changzhou Hospital of Traditional Chinese Medicine， Jiangsu， Changzhou 213002， China;3. Shanghai Literature Institute of Traditional Chinese Medicine， Shanghai 200020， China

[Abstract] Objective To observe the clinical efficacy of modified GuizhiFuling Pill combined with Xiaochaihu Decoction in the treatment of sequelae of pelvic inflammatory disease. Methods A total of 70 patients with sequelae of pelvic inflammatory disease treated in Changzhou Maternal and Child Health Care Hospital from January 2017 to January 2021 were selected as the research objects， and they were randomly divided into the treatment group and the control group. The treatment group was treated with GuizhiFuling Pill combined with Xiaochaihu Decoction， while the control group was treated with cefdini dispersible tablets combined with Jingangteng Granules. The improvement of clinical symptoms and changes of topical signs in patients were observed， and the comprehensive therapeutic efficacy was evaluated. Results The clinical symptoms and signs of patients in the treatment group were obviously improved and the clinical cure rate was 77.50%， the improvement rate was 17.50%， and the total effective rate was 95.00%， which are all superior to those of the control group （P <0.05）. Conclusion Modified GuizhiFuling Pill combined with Xiaochaihu Decoction is effective in the treatment of this disease， which provides ideas for clinical syndrome treatment of sequelae of pelvic inflammatory disease based on syndrome differentiation， and is worthy of further research， promotion and application.

[Key words] Sequelae of pelvic inflammatory disease; GuizhiFuling Pill; Xiaochaihu Decoction; Traditional Chinese medicine

盆腔炎性疾病后遺症是妇科常见病、多发病，既往称为慢性盆腔炎，常由急性盆腔炎未能及时、有效治疗所致。慢性盆腔痛、盆腔炎性疾病反复发作，导致输卵管阻塞、输卵管积水、盆腔粘连、输卵管卵巢囊肿，甚至不孕、异位妊娠的发生。本病病程长、缠绵难愈、反复发作，患者常痛苦不堪，严重影响患者的日常生活与工作[1]。目前西医治疗本病多以抗生素抗炎治疗为主，单独使用或联合应用抗生素，或抗生素配合中成药治疗，但作用较为局限，临床疗效不满意，且长期、反复使用抗生素会引起菌群失调，机体耐药性增加，出现胃肠道副反应。中医通过辨证论治、整体调节，在提高患者免疫力、改善临床症状、预防复发方面具有优势，且方法多样[2-3]。本研究采用桂枝茯苓丸合小柴胡汤化裁治疗本病取得较好的临床疗效，现报道如下。……