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目的探讨妇宝方汤剂口服联合离子导入治疗慢性盆腔炎的疗效。方法入选慢性盆腔炎患者94例,分为治疗组(n=47)和对照组(n=47),治疗组采用口服妇宝方汤剂联合离子导入治疗,连续治疗2个月经周期;对照组采用康妇消炎栓联合微波治疗,7 d为1个疗程,连续治疗8个疗程。观察治疗前后微循环形态,比较管袢形态、血液流态及袢周状态积分,并随访观察24个月,记录治疗结束后6、12和24个月疾病复发情况。结果与治疗前相比,治疗后两组管袢形态、血液流态和袢周状态积分均显著下降(P<0.05),但两组间比较差异无统计学意义(P>0.05);随访期间各时间点两组复发率比较差异显著,随访24个月时,治疗组复发率显著低于对照组(21.28%对40.43%,P<0.05)。结论口服妇宝方汤剂联合离子导入治疗慢性盆腔炎,可改善患者微循环状态,降低复发率。
Objective To investigate the efficacy of oral administration of Fu Bao decoction combined with iontophoresis in the treatment of chronic pelvic inflammatory disease. Methods Ninety-four patients with chronic pelvic inflammatory disease were divided into treatment group (n = 47) and control group (n = 47). The treatment group was treated with oral Fu Bao decoction combined with iontophoresis for 2 menstrual cycles. The control group Kang Fu anti-inflammatory suppository combined with microwave treatment, 7 d for a course of treatment, continuous treatment of 8 courses. The morphological changes of microcirculation before and after treatment were observed. The morphological changes of blood vessels, blood flow and perinatal state were compared. The patients were followed up for 24 months. The recurrence of the disease was recorded at 6, 12 and 24 months after treatment. Results Compared with those before treatment, the morphological, morphological and morphological changes of blood flow and perinatal state were significantly decreased in both groups (P <0.05), but there was no significant difference between the two groups (P> 0.05) The recurrence rates of the two groups were significantly different at all time points. The recurrence rate of the treatment group was significantly lower than that of the control group at 24 months (21.28% vs. 40.43%, P <0.05). Conclusion Oral Fufang decoction combined with iontophoresis in the treatment of chronic pelvic inflammatory disease can improve microcirculation and reduce the recurrence rate.