化湿清毒法联合宫颈环切术治疗脾虚湿毒型慢性宫颈炎临床观察  

Clinical Observation on Removing Dampness and Clearing Toxin Method Combined with Cervical Circumcision in the Treatment of Chronic Cervicitis of Spleen Deficiency and Dampness Toxin Type

作　　者：关慧玲 GUAN Huiling(Department of Gynecology and Obstetrics,Pingdingshan Hospital of Traditional Chinpse Medicine,Henan Province,Pingdingshan 467000,China)

机构地区：[1]平顶山市中医医院妇产科,河南平顶山467000

出　　处：《光明中医》2021年第7期1137-1139,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的研究化湿消毒法与宫颈环切术(LEEP)联合治疗脾虚湿毒型慢性宫颈炎的临床效果。方法此次研究的起始与结束时间分别为2018年8月和2019年8月,在此期间内随机选取100例患者作为观察对象。患者均于研究时间内就诊,确诊为脾虚湿毒型慢性宫颈炎后均接受治疗。将治疗方法作为分组依据,以随机数字表法对患者进行编号,单数患者纳入对照组,双数患者纳入观察组。对照组患者实施LEEP治疗,观察组患者在对照组患者基础上以化湿清毒法进行治疗,对比2组患者临床疗效,统计2组患者术后1个月的阴道平均出血量和阴道平均流液量。结果对照组显效、有效、无效例数及占比分别为25 (50.0%)、15(30.0%)、10(20.0%),总有效为80.0%,观察组显效、有效、无效例数及占比分别为29(58.0%)、18(36.0%)、3(6.0%),总有效为94.0%,差异有统计学意义(P <0.05);对照组患者术后1个月的阴道平均出血量和平均流液量分别为(9.74±3.57) ml、(15.88±5.37) ml,观察组患者分别为(6.71±3.21) ml、(11.83±4.36) ml,观察组显著低于对照组(P <0.05)。结论对于脾虚湿毒型慢性宫颈炎患者的临床治疗来说,化湿消毒法与宫颈环切术联合实施的方法有较好的效果,对于患者临床症状的改善有显著的积极效果,因此,值得应用并在临床上进行推广。Objective To study the clinical effect of dehumidification and sterilization combined with LEEP in the treatment of chronic cervicitis with spleen deficiency and dampness toxin. Methods The starting and ending time of the study were August 2018 and August 2019 respectively. During this period,100 patients were randomly selected as the observation objects. All the patients were treated in our hospital during the study period,and were diagnosed as chronic cervicitis of spleen deficiency and dampness type. They were all treated in our hospital. According to the treatment method,the patients were numbered by random number method,the odd patients were included in the control group,and the double patients were included in the observation group. The patients in the observation group were treated with the method of removing dampness and toxin on the basis of the patients in the control group. The clinical effect of the two groups was compared,and the amount of vaginal bleeding and the average amount of vaginal drainage were counted one month after the operation. Results In the control group,25( 50. 0%),15( 30. 0%) and 10( 20. 0%) cases were significant effective,ineffective,and the total effect was 80. 0%.In the observation group,29( 58. 0%),18( 36. 0%) and 3( 6. 0%) cases were significant effective,effective,ineffective,and the total effect was 94%,and the difference was significant( P < 0. 05). The average bleeding volume and drainage volume of vagina in the control group were( 9. 74 ± 3. 57) ml and( 15. 88 ± 5. 37) ml,respectively,and those in the observation group were( 6. 71 ± 3. 21) ml and( 11. 83 ± 4. 36) ml,respectively,those of the observation group was significantly lower than those in the control group( P < 0. 05).Conclusion For the clinical treatment of the patients with chronic cervicitis of spleen deficiency and dampness toxin type,removing dampness and clearing toxin method combined with cervical circumcision has a good effect,and has a significant positive effect on the improvement of the patients’

关 键 词：脾虚湿毒证 慢性宫颈炎 化湿消毒法 宫颈环切术 

分 类 号：R271.9[医药卫生—中西医结合]