中西医结合治疗妇科慢性盆腔炎的临床观察  

Clinical Observation on the Treatment of Chronic Pelvic Inflammation in Gynecology by Combination of Traditional Chinese Medicine and Western Medicine

作　　者：马媛媛[1] 霍军 MA Yuanyuan;HUO Jun(Department of Obstetrics and Gynecology,313 Hospital of the People's Liberation Army,Huludao 125001,China)

机构地区：[1]中国人民解放军第三一三医院妇产科,辽宁葫芦岛125001

出　　处：《中国医药指南》2020年第26期123-124,共2页Guide of China Medicine

摘　　要：目的探究妇科慢性盆腔炎患者采用中西医结合治疗的临床效果。方法于2016年3月至2018年7月抽取本院妇科收治的116例慢性盆腔炎患者,并按照双盲法将患者分为对比组与试验组。其中,对比组患者单独采用西医治疗,试验组患者在对比组的治疗基础上加用中医治疗,对比两组患者的治疗总有效率、治疗起效时间、用药时间、肿瘤坏死因子、IL-2水平、不良反应发生率以及复发率。结果试验组患者治疗后总有效率81.03%,比对比组患者的50%高(P <0.05);试验组患者的治疗起效时间与用药时间均比对比组患者短(P <0.05);治疗后两组患者肿瘤坏死因子水平低于治疗前,IL-2水平高于治疗前,且试验组患者的降低程度或提高程度均优于对比组(P <0.05);试验组患者不良反应发生率3.45%,比对比组患者的13.79%低(P <0.05);试验组患者复发率1.72%,比对比组患者的12.07%低(P <0.05)。结论妇科慢性盆腔炎患者采用中西医结合治疗的临床效果较好,可缩短患者的起效时间与用药时间,减少不良反应与复发情况。Objective To explore the clinical eff ect of integrated traditional Chinese and Western medicine in the treatment of gynecological chronic pelvic infl ammatory disease.Methods From March 2016 to July 2018,116 patients with chronic pelvic infl ammatory disease in our hospital were selected and divided into control group and experimental group according to double-blind method.Among them,patients in the control group were treated with western medicine alone,while patients in the experimental group were treated with traditional Chinese medicine on the basis of the treatment of the control group.The total eff ective rate,treatment onset time,medication time,tumor necrosis factor,IL-2 level,incidence of adverse reactions and recurrence rate were compared between the two groups.Result After treatment,the total eff ective rate of the experimental group was 81.03%,which was higher than 50%of the control group(P<0.05);the onset time and medication time of the experimental group were shorter than those of the control group(P<0.05);the level of tumor necrosis factor in the two groups after treatment was lower than that before treatment,and the level of IL-2 in the experimental group was higher than that in the control group(P<0.05).The incidence of adverse reactions in the experimental group was 3.45%,which was lower than 13.79%of the control group(P<0.05);the recurrence rate of the experimental group was 1.72%,which was lower than 12.07%of the control group(P<0.05).Conclusion The clinical eff ect of integrated traditional Chinese and Western medicine in the treatment of gynecological chronic pelvic infl ammatory disease is better,which can shorten the onset time and medication time of patients,reduce adverse reactions and recurrence.

关 键 词：慢性盆腔炎 中西医结合治疗 治疗有效率 用药时间 肿瘤坏死因子 

分 类 号：R711.33[医药卫生—妇产科学]