止痛化癥汤治疗盆腔炎性包块湿热瘀结证50例临床观察  

Clinical Observation on Zhitong Huazheng Tang for 50 Cases of Pelvic Inflammatory Mass with Damp-heat and Blood Stasis Syndrome

作　　者：刘娟 汪绍富 LIU Juan;WANG Shaofu

机构地区：[1]金华市婺城区第一人民医院,浙江金华321075

出　　处：《新中医》2018年第11期138-140,共3页New Chinese Medicine

摘　　要：目的:探讨止痛化癥汤治疗盆腔炎性包块湿热瘀结证的临床疗效。方法:将盆腔炎性包块湿热瘀结证患者100例按数字表法随机分为2组各50例,对照组采用注射用头孢噻肟钠、替硝唑注射液治疗。治疗组在对照组基础上给予止痛化癥汤治疗。2组连续治疗3周后比较患者的湿热瘀结证证候积分、临床疗效。采取B超检测治疗前后包块大小。结果:治疗组总有效率为94.00%,高于对照组的77.55%(P <0.05)。与治疗前比较,2组治疗后湿热瘀结证证候积分明显减少(P <0.01)。与对照组比较,治疗组治疗后湿热瘀结证证候积分明显少于对照组(P <0.01)。与治疗前比较,2组治疗后包块大小显著减少(P <0.01)。治疗后1周和3周,治疗组治疗后包块大小均低于对照组(P <0.01)。结论:止痛化癥汤联合常规西药干预盆腔炎性包块湿热瘀结证可改善患者中医症状、消退包块,疗效优于单纯西药抗感染治疗。Objective. To explore the clinical effect of Zhitong Huazheng tang for 50 cases of pelvic inflammatory mass with damp-heat and blood stasis syndrome. Methods： Divided 100 cases of patients with pelvic inflammatory mass with damp-heat and blood stasis syndrome into two groups according to random number table method, 50 cases in each group. The control group received injection of cefotaxime sodium and tinidazole injection for treatment, while the treatment group additionally received Zhitong Huazheng tang based on the treatment of the control group. After continuous treatment of three weeks in the two groups, compared the symptom scores of damp-heat and blood stasis syndrome and the clinical effect of patients. Detected the size of masses before and after treatment by ultrasonography. Results- The total effective rate was 94.00% in the treatment group, higher than that of 77.55% in the control group （P 〈 0.05）. Compared with those before treatment, the symptom scores of damp-heat and blood stasis syndrome in the two groups after treatment were significantly decreased （P 〈 0.01）. Compared with that in the control group, the symptom score of damp-heat and blood stasis syndrome in the treatment group after treatment was obviously lower （P 〈 0.01）. Compared with those before treatment, the size of masses in the two groups after treatment was significantly decreased （P 〈 0.01）. After treatment of one and three weeks, the size of masses in the treatment group was smaller than that in the control group （P 〈 0.01）. Conclusion. The therapy of Zhitong Huazheng tang combined with routine western medicine for pelvic inflammatory mass with damp-heat and blood stasis syndrome can improve the Chinese medicine symptoms and reduce the size of masses of patients, whose therapeutic effect is superior to that of simple anti-infection treatment of western medicine.

关 键 词：盆腔炎性包块 湿热瘀结证 止痛化癥汤 抗感染治疗 中西医结合疗法 

分 类 号：R711.33[医药卫生—妇产科学]