四逆散加味联合中药保留灌肠治疗气滞血瘀型盆腔炎后遗症的临床观察  

Clinical observation of the treatment efficacy on sequelae of pelvic inflammatory disease of Qi stagnation and blood stasis syndrome with modified Sini San combined with traditional Chinese medicine retention enema

作　　者：王乾平[1] WANG Qian-ping(Department of TCM,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院中医妇科,北京100029

出　　处：《中日友好医院学报》2024年第5期268-271,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的:比较四逆散加味及四逆散加味联合中药保留灌肠治疗气滞血瘀型盆腔炎后遗症的临床疗效。方法:将60例气滞血瘀型盆腔炎后遗症患者随机分为对照组和观察组,每组30例,对照组给予四逆散加味口服治疗,观察组在口服四逆散加味基础上增加中药保留灌肠治疗。每月用药3周,经期停药1周,连续治疗3个月。比较2组患者治疗有效率,以及治疗前后的局部体征积分、中医证候总积分。结果:对照组治疗有效率80%,观察组有效率90%。2组患者治疗后局部体征积分均较治疗前改善,差异有统计学意义(P<0.05);组间比较,治疗后局部体征积分差异无统计学意义(P=0.61)。2组患者治疗后中医证候总积分较治疗前均有改善,差异有统计学意义(P<0.05);观察组治疗后中医证候总积分改善优于对照组,差异有统计学意义(P<0.05)。结论:四逆散加味治疗气滞血瘀型盆腔炎后遗症有良好的治疗效果,配合中药保留灌肠可进一步改善中医证候总积分。Objective:To compare the clinical efficacy of modified Sini San and modified Sini San combined with traditional Chinese medicine(TCM)retention enema in the treatment of sequelae of pelvic inflammatory disease(SPID)with Qi stagnation and blood stasis syndrome.Methods:Sixty patients were randomly divided into control group and observation group,with 30 patients in each group.The control group was treated with modified Sini San orally,and the observation group was treated with TCM retention enema in addition to the modified Sini San orally.Treatment was conducted for 3 weeks per month,and stopped for 1 week during menstruation.The effective rate,local sign score and total TCM syndrome score before and after treatment were compared after continuously 3 months.Results:The effective rate of the control group was 80%,while the effective rate of the observation group was 90%.The local physical sign scores improved after treatment in both groups(P<0.05).While there was no significant difference in local sign scores between the two groups after treatment(P=0.61).The total score of TCM syndrome improved in both groups after treatment(P<0.05).The improvement of TCM syndrome scores in the observation group after treatment was better than that in the control group(P<0.05).Conclusion:The modified Sini San has a good therapeutic effect on SPID with Qi stagnation and blood stasis syndrome,and the combined treatment with TCM retention enema can improve the TCM syndrome score.

关 键 词：盆腔炎后遗症 四逆散 保留灌肠 气滞血瘀 

分 类 号：R711.33[医药卫生—妇产科学]