中药治疗慢性盆腔炎33例疗效分析  

Clinical observation among women chronic pelvic inflammatory disease treated with the traditional Chinese medicine

作　　者：刘娜[1] 闫宏宇[1] 

机构地区：[1]新疆医科大学附属中医医院妇科,新疆乌鲁木齐830000

出　　处：《新疆医科大学学报》2006年第5期442-444,共3页Journal of Xinjiang Medical University

摘　　要：目的:探讨中药治疗慢性盆腔炎(CPID)的临床疗效及中药治疗后患者生活质量的变化。方法:64例CPID患者随机分为治疗组和对照组,治疗组33例予以中药汤剂口服,其组成为夏枯草、黄柏、柴胡、当归、赤芍、藿香、茯苓、牛膝、黄芪;对照组31例予以金刚藤胶囊口服,治疗4周后,观察并比较2组中医症状缓解情况、体征及世界卫生组织生活质量简表(WHOQOL-BREF)评分。结果:治疗组和对照组总有效率分别为87.88%、83.87%,差异无统计学意义(P>0.05),中医症状缓解有效率分别为96.97%、87.10%,差异有统计学意义(P<0.05);2组治疗前、后体征积分差值分别为(5.94±2.45)和(5.10±2.23)分,差异无统计学意义(P>0.05);治疗组WHO-QOL-BREF评分生理领域、心理领域、社会关系领域、环境领域得分及总分分别为(23.70±2.13)、(20.82±1.84)、(11.33±1.19)(、26.03±2.43)、(88.7±4.73)分,除环境领域得分外,其它各领域及总分均明显高于对照组(P<0.05)。结论:中药治疗CPID疗效良好,在改善患者中医症状及生活质量方面具有明显的优势。Objective： To observe clinical efficiency and the improvement of quality of life on the traditional Chinese medicine treating chronic pelvic inflammatory disease （CPID）. Methods： 64 cases of CPID were divided into two groups randomly; the treatment group and control group, which contained 33 cases and 31cases respectively. The treatment group was treated with the decoction which was contain with Spica Prunellae,Cortex Phellodendri and etc. The control group was treated with JIN GANG TENG capsule. After treated by four weeks, clinical efficiency, clinical symptoms, physical signs and the score of World Health Organization Quality of Life Scale Brief Form Questionnaire（WHOQOL-BREF） were observed. Results： The total effective rates of the treatment group and control group were 87.88% and 83.87% respectively,there was no statistical difference between two groups （P〉0.05） ; the effective rates of clinical symptoms with two groups were 96. 97% and 87. 10% respectively, there was statistically significant difference between two groups （P 〈0.05） ; the difference of the physical sign scores before and after the treatment were 5. 94±2.45 and 5.10±2.23 respectively, there was no statistical difference between two groups （P 〉0.05）. The mean physical health composite scores, mental health composite scores, social relationship composite scores, environment composite scores from WHOQOL-BREF in the treatment group were 23.70±2.13, 20.82±1.84, 11.33±1.19, 26.03±2.43 and 88.7±4.73 respectively. All composite scores beside environment composite scores have statistically higher than the control group （P 〈0.05）. Conclusion： The clinical efficiency of traditional Chinese medicine treating with CPID is so well. and can improve the quality of life and symptoms of CPID.

关 键 词：慢性盆腔炎 生活质量 世界卫生组织生活质量简表 

分 类 号：R28[医药卫生—中药学] R711.33[医药卫生—中医学]