自拟舒盆汤口服联合保留灌肠治疗不孕症患者盆腔炎性疾病后遗症临床观察  

Clinical Observation of Using Shupeng Decoction for Oral Administration Combined with Retention Enema in the Treatment of Sequelae of Pelvic Inflammatory Disease in Infertility Patients

作　　者：周宜洁 王迪华[2] 冯玉蓉[1] 刘敏利[1] 黄绘[1] ZHOU Yijie;Wang Dihua;FENG Yurong(Department of Assisted Reproductive Technology,Maternaland Child Health Hospital of Guiyang City(Guiyang Guizhou 550001,China;Department of Traditional Chinese Mediciney,Maternal and Child Health Hospital of Guiyang City(Guiyang Guizhou 550001,China)

机构地区：[1]贵阳市妇幼保健院辅助生殖中心,贵州贵阳550001 [2]贵阳市妇幼保健院中医科,贵州贵阳550001

出　　处：《四川中医》2019年第11期163-165,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察舒盆汤口服联合保留灌肠治疗不孕症患者盆腔炎性疾病后遗症的临床疗效。方法:收集我科不孕症患者中有盆腔炎性疾病后遗症患者146例,随机分成对照组和治疗组,每组73例。对照组患者给予常规西药治疗;治疗组患者给予舒盆汤口服并保留灌肠治疗。连续治疗4周后,比较两组患者治疗前后血清IL-1β、IL-6及TNF-α水平的改变,并记录中医证候积分改善以评价疗效。结果:治疗后,两组患者IL-1β、IL-6、TNF-α水平及中医证候积分均有明显改善(P<0.05),且治疗组患者中医证候积分改善程度均优于对照组(P<0.05)。治疗组总有效率为94.52%,显著高于对照组的72.60%(P<0.05)。结论:舒盆汤口服联合保留灌肠治疗盆腔炎性疾病后遗症疗效确切,值得推广使用。Objective:To evaluate the clinical efficiency of using Shupeng Decoction for oral administration combined with retention enema in the treatment of sequelae of pelvic inflammatory disease(sequelae of PID) in infertility patients. Methods:146 infertility patients were with sequelae of PID randomly divided into controlled group and treatment group with 73 cases in each group. The patients in the controlled group were treated with conventional western medicine therapy, whereas the patients in the treatment group were given with Shupeng Decoction orally combined with retention enema for treatment. All the treatments were performed for four weeks in each group. The IL-1β, IL-6 and TNF-α level of patients were analyzed, and then symptom scores and theraputical efficiency were recorded and evaluated before and after the treatment. Results:The levels of IL-1β, IL-6, TNF-α and symptom scores were improved in both groups after the treatment(P<0.05). The improvements of symptom scores in the treatment group were better than those in the controlled group(P<0.05). Therapeutic efficiency of the treatment group were 94.52%, which was significantly higher than that of the controlled group(72.60%, P<0.05). Conclusion:Using Shupeng Decoction for oral administration combined with retention enema in the treatment of sequelae of PID has exhibited better efficiency, which can be considered to be applied to clinical treatment.

关 键 词：舒盆汤 保留灌肠 盆腔炎性疾病后遗症 临床观察 

分 类 号：R711.33[医药卫生—妇产科学]