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目的探讨丹芍消炎合剂联合静脉抗生素治疗湿热型亚急性盆腔炎的临床效果。方法 83 例确诊为亚急性盆腔炎患者随机分为2 组:对照组41 例,每12 h 静脉滴注头孢西丁2 g(头孢类过敏者改用克林霉素1 g),使用至临床症状、体征改善后的24 h,同时po 强力霉素100 mg,2 次/d,共2 周;治疗组42 例,在对照组基础上po 芍消炎合剂35 mL/次,3次/d,连续2 周,比较两组患者的临床疗效与不良反应。结果治疗组的总有效率为 97.6%、愈显率76.1%,静脉抗生素使用(3.52±0.94)d;对照组总有效率90.24%、愈显率29.2%,静脉抗生素使用(4.95±1.18)d,两组比较差异有统计学意义(P<0.01);且两组均未发生不良反应。结论丹芍消炎合剂联合静脉抗生素治疗亚急性盆腔炎疗效确切,能明显改善患者的临床症状、缩短静脉抗生素的使用时间,值得临床推广应用。
Objective To investigate the clinical effect of Danshao Xiaoyan Mixture combined with intravenous antibiotics in the treatment of damp - heat subacute pelvic inflammatory disease. Methods 83 patients diagnosed as subacute pelvic inflammatory disease were randomly divided into 2 groups: control group, 41 cases, every 12 h intravenous cefoxitin 2 g (cephalosporins switched to clindamycin 1 g), to the clinical Symptoms and signs of improvement 24 h, at the same time po doxycycline 100 mg, 2 times / d, a total of 2 weeks; the treatment group of 42 patients on the basis of the control group po Shaoyanyan mixture 35 mL / time, 3 times / d, For 2 consecutive weeks, the clinical efficacy and adverse reactions of the two groups were compared. Results The total effective rate of the treatment group was 97.6%, the effective rate was 76.1% and that of intravenous antibiotics was 3.52 ± 0.94 days. The total effective rate of the control group was 90.24%, the effective rate was 29.2% and the intravenous antibiotics was 4.95 ± 1.18 d , The difference between the two groups was statistically significant (P <0.01); and no adverse reactions occurred in both groups. Conclusion Danshao Xiaoyan Mixture combined with intravenous antibiotics in the treatment of subacute pelvic inflammation is effective and can significantly improve the clinical symptoms of patients and shorten the use of intravenous antibiotics, worthy of clinical promotion and application.