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目的:观察红藤汤灌肠辅助治疗慢性盆腔炎的临床疗效。方法:将慢性盆腔炎80例分为2组各40例,对照组采用头孢联合甲硝唑治疗,治疗组于对照组治疗基础上加用红藤汤保留灌肠治疗。观察2组治疗前、后疼痛、炎性包块及积液变化;观察2组血常规恢复时间、临床疗效及不良反应。随访2月,统计2组治愈后复发情况。结果:治疗后,2组患者VAS评分、炎性包块直径及盆腔积液深度均较治疗前下降(P<0.05),然治疗组下降程度较对照组显著(P<0.05)。治疗组白细胞及中性粒细胞恢复正常时间分别为(4.11±2.17)天、(4.36±2.26)天,短于对照组的(6.57±2.41)天、(7.28±2.33)天,2组比较,差异有统计学意义(t=4.80,5.69,P<0.05)。总有效率治疗组97.5%,对照组77.5%,2组比较,差异有统计学意义(P<0.05)。治疗组治愈后复发率5.7%(2/35),低于对照组28.6%(6/21),2组比较,差异有统计学意义(χ~2=5.60,P=0.02)。结论:红藤汤灌肠辅助治疗慢性盆腔炎疗效显著且安全。
Objective: To observe the clinical effect of adjuvant rhynchophylla enema on chronic pelvic inflammatory disease. Methods: Chronic pelvic inflammatory disease 80 cases were divided into two groups of 40 cases, the control group was treated with cefuroxime and metronidazole, the treatment group in the control group based on the treatment plus Red Teng retention enema treatment. The changes of pain, inflammatory mass and effusion in the two groups before and after treatment were observed. The recovery time, clinical efficacy and adverse reactions of the two groups were observed. Follow-up in February, statistics of two groups of recurrence after cure. Results: After treatment, the VAS score, the diameter of inflammatory mass and the depth of pelvic effusion in both groups were significantly lower than those before treatment (P <0.05). However, the reduction in treatment group was more significant than that in control group (P <0.05). The mean recovery time of leukocytes and neutrophils in the treatment group was (4.11 ± 2.17) days and (4.36 ± 2.26) days respectively, which was shorter than that in the control group (6.57 ± 2.41 days and (7.28 ± 2.33) days) The difference was statistically significant (t = 4.80,5.69, P <0.05). The total effective rate was 97.5% in the treatment group and 77.5% in the control group. There was significant difference between the two groups (P <0.05). The recurrence rate was 5.7% (2/35) in the treatment group, which was lower than that in the control group (28.6%, 6/21). There was significant difference between the two groups (χ ~ 2 = 5.60, P = 0.02). Conclusion: The treatment of chronic pelvic inflammatory disease with adjuvant rhynchophylla enema is significant and safe.