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目的:观察膈下逐瘀汤联合微波治疗盆腔炎性疾病的临床疗效,以拓宽中医药治疗盆腔炎性疾病的方法。方法:选择符合气滞血瘀型盆腔炎性疾病诊断标准的患者共86例,随机分为治疗组与对照组各43例,治疗组采用膈下逐瘀汤联合微波治疗,对照组采用左氧氟沙星联合甲硝唑治疗,观察其临床疗效、治疗前后证候总积分、主要症状积分、次要症状积分。结果:治疗组治愈14例,有效27例,无效2例,总有效率95.35%;对照组治愈4例,有效30例,无效9例,总有效率79.07%;治疗组临床疗效明显优于对照组(P<0.05);治疗组与对照组在治疗前后证候总积分有显著差异(P<0.01),主要症状总积分有统计学差异(P<0.05),次要症状总积分有显著差异(P<0.01)。结论:膈下逐瘀汤联合微波治疗盆腔炎性疾病疗效满意,可作为治疗盆腔炎性疾病的标准方法之一,值得临床进一步研究和推广。
Objective: To observe the clinical efficacy of Gexiazhuyutang combined with microwave treatment of pelvic inflammatory disease in order to broaden the traditional Chinese medicine treatment of pelvic inflammatory disease. Methods: A total of 86 patients selected according to the criteria of diagnosis of pelvic inflammatory disease of qi stagnation and blood stasis type were randomly divided into treatment group (43 cases) and control group (43 cases). The treatment group received Gexiazhuyutang combined with microwave treatment and the control group received levofloxacin Metronidazole treatment, observation of its clinical efficacy, the total score before and after treatment, the main symptom score, minor symptom score. Results: In the treatment group, 14 cases were cured, 27 cases were effective, 2 cases were ineffective, and the total effective rate was 95.35%. In the control group, 4 cases were cured, 30 cases were effective and 9 cases were ineffective. The total effective rate was 79.07% (P <0.05). There were significant differences in the total score of the syndromes between the treatment group and the control group before and after treatment (P <0.01), the total scores of the main symptoms were statistically significant (P <0.05), the total scores of the minor symptoms were significantly different (P <0.01). Conclusion: Gexiazhuyutang combined with microwave treatment of pelvic inflammatory disease is satisfactory, which can be used as one of the standard methods for the treatment of pelvic inflammatory disease, it is worth further clinical study and promotion.