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目的观察抗生素联合中药保留灌肠治疗慢性盆腔炎的治疗效果。方法将慢性盆腔炎患者74例随机分为观察组和对照组各37例。对照组给予头孢唑肟钠联合奥硝唑注射液治疗,对头孢药物过敏者改用乳酸左氧氟沙星注射液;观察组在对照组治疗的基础上加用中药保留灌肠。比较2组临床疗效、不良反应及复发率。结果观察组总有效率为94.59%高于对照组的75.68%(P<0.05)。治疗过程中2组均无恶心、呕吐、腹泻等不良反应发生。随访1年,观察组无复发病例,对照组复发2例(5.41%),2组复发率比较差异有统计学意义(P<0.05)。结论抗生素联合中药保留灌肠治疗慢性盆腔炎患者疗效显著,无明显不良反应,可防止复发,改善远期预后。
Objective To observe the effect of antibiotics combined with traditional Chinese medicine retention enema in the treatment of chronic pelvic inflammatory disease. Methods 74 patients with chronic pelvic inflammatory disease were randomly divided into observation group and control group of 37 cases. The control group was given ceftizoxime combined with ornidazole injection treatment, the cephalosporin drug allergy to levofloxacin lactate injection; observation group in the control group based on the treatment of traditional Chinese medicine retention enema. The clinical efficacy, adverse reactions and relapse rate in two groups were compared. Results The total effective rate in the observation group was 94.59% higher than that in the control group (75.68%, P <0.05). No nausea, vomiting, diarrhea and other adverse reactions occurred in the two groups in the course of treatment. Followed up for 1 year, there was no recurrence in the observation group and 2 cases (5.41%) in the control group. There was significant difference in recurrence rate between the two groups (P <0.05). Conclusion Antibiotics combined with traditional Chinese medicine retention enema in patients with chronic pelvic inflammatory disease significant effect, no significant adverse reactions, to prevent recurrence and improve long-term prognosis.