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目的:探讨异位妊娠术后盆腔炎Ⅰ号方保留灌肠再次异位妊娠的风险。方法:研究组:于术后1个月月经干净后3天,给予盆腔炎Ⅰ号方,煎汤,煎成浓汁100 ml,温度40℃,睡前给予保留灌肠1次,每日1剂,10天为1个疗程,共3个疗程。对照组:术后常规给予抗生素静脉滴注1周,腹部切口愈合良好,生命体征平稳出院。两组均未采取避孕措施,于6、12、18、24个月观察患者受孕情况。结果:研究组550例,于术后6、12、18、24个月复查或随访,其中8例(1.45%)述轻微下腹痛,因生命体征平稳,未做特殊处理,再次异位妊娠共10例(1.82%),自然受孕共376例(68.36%)。对照组550例,于术后6、12、18、24个月复查或随访,其中27例(4.91%)述下腹痛,给予抗炎等处理,再次异位妊娠共53例(9.64%),自然受孕共201例(36.55%)。研究组再次异位妊娠发生率明显低于对照组(P<0.05)。结论:异位妊娠术后盆腔炎Ⅰ号方保留灌肠,可降低再次异位妊娠发生率,并取得较好的临床效果。
Objective: To investigate the risk of recurrent ectopic pregnancy with retention enema in pelvic inflammatory disease after ectopic pregnancy. Methods: Study group: 1 month after menstruation was clean after 3 days, giving pelvic inflammatory disease Ⅰ decoction, decoction into a thick juice 100 ml, temperature 40 ℃, reserved enema before going to bed one time a day , 10 days for a course of treatment, a total of 3 courses. Control group: routinely given intravenous antibiotics 1 week after surgery, abdominal incision healed well, the vital signs of a stable discharge. No contraceptive measures were taken in both groups, and the pregnancy status was observed at 6, 12, 18 and 24 months. Results: In the study group, 550 cases were reviewed or followed up at 6, 12, 18, 24 months after operation. Among them, 8 cases (1.45%) had slight lower abdominal pain. Because of the stable vital signs, no special treatment was performed. 10 cases (1.82%), a total of 376 cases of natural conception (68.36%). Control group of 550 patients were reviewed or followed up at 6, 12, 18 and 24 months after surgery. Among them, 27 cases (4.91%) reported abdominal pain and given anti-inflammatory treatment. A total of 53 ectopic pregnancies (9.64% A total of 201 cases of natural conception (36.55%). The incidence of ectopic pregnancy in the study group was significantly lower than that in the control group (P <0.05). Conclusion: Ectopic pregnancy postoperative pelvic inflammatory disease I retention enema, can reduce the incidence of ectopic pregnancy again, and achieved good clinical results.