红藤败酱汤加减治疗慢性盆腔炎的临床疗效  

Clinical efficacy of Hongteng Baijiang decoction plus or minus treatment of chronic pelvic inflammation

作　　者：孟君 刁丽娜 李燕 MENG Jun;DIAO Li'na;LI Yan(Department of Obstetrics and Gynecology,Longkou Chinese Medicine Hospital,Yantai,Shandong,265701,China;Department of Medical Affairs,Longkou Chinese Medicine Hospital,Yantai,Shandong,265701,China)

机构地区：[1]龙口市中医医院妇产科,山东烟台265701 [2]龙口市中医医院医务科,山东烟台265701

出　　处：《当代医学》2024年第17期21-25,共5页Contemporary Medicine

摘　　要：目的探讨红藤败酱汤加减治疗慢性盆腔炎(chronic pelvic inflammatory disease,CPID)患者的临床疗效。方法选取2020年7月至2022年7月龙口市中医医院收治的72例CPID患者作为研究对象,采用随机数字表法分为对照组与观察组,每组36例。对照组采用西医常规治疗,观察组采用红藤败酱汤加减治疗。比较两组中医证候积分、血清炎症因子[WBC、C反应蛋白(C-reactive protein,CRP)、白细胞介素-2(interleukin-2,IL-2)]、生命质量综合评定问卷(generic quality of life inventory 74,GQOLI-74)评分、T淋巴细胞亚群、症状改善时间、临床疗效。结果治疗后,观察组下腹疼痛、带下异常、神疲乏力积分均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组WBC、CRP、IL-2水平均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组心理功能、社会功能、躯体功能评分均高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组CD4^(+)、CD3^(+)水平均高于对照组,CD8+水平低于对照组,差异有统计学意义(P<0.05)。观察组白带恢复正常时间、下腹坠胀消失时间、盆腔肿块消失时间、腰骶疼痛消失时间均短于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论红藤败酱汤加减治疗CPID效果显著,能增强患者免疫功能,减轻炎症状况,尽快改善患者不适症状,提高其生命质量,值得临床推广应用。Objective To explore the clinical efficacy of Hongteng Baijiang decoction plus or minus treatment of chronic pelvic inflammatory disease(CPID).Methods A total of 72 CPID patients admitted to Longkou Hospital of Chinese Medicine from July 2020 to July 2022 were selected as the study subjects,and they were divided into the control group and the observation group by random number table method,with 36 cases in each group.The control group received conventional Western medicine treatment,and the observation group received Hongteng Baijiang decoction plus or minus treatment.Traditional Chinese Medicine(TCM)syndrome score,serum inflammatory factors(WBC,C-reactive protein[CRP],interleukin-2[IL-2]),generic quality of life inventory 74(GQOLI-74)scores,T lymphocyte subsets,symptom improvement time and clinical efficacy were compared between the two groups.Results After treatment,the scores of lower abdominal pain,subband abnormality and fatigue in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of WBC,CRP and IL-2 in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of psychological function,social function and physical function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of CD4^(+) and CD3^(+) in the observation group were higher than those in the control group,and CD8+was lower than those in the control group,the differences were statistically significant(P<0.05).The recovery time of leucorrhea tonormal,lower abdominal distention disappearance time,pelvic mass disappearance time and lumbosacral pain disappearance time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate in the observation group was higher than tha

关 键 词：红藤败酱汤加减治疗 慢性盆腔炎 中医证候积分 

分 类 号：R259[医药卫生—中西医结合]