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[目的]观察消炎汤联合西药治疗慢性盆腔炎疗效。[方法]使用随机平行对照方法,将100例住院患者按掷骰子法简单随机分为两组。对照组50例3g头孢他啶+100m L替硝唑+250m L 0.4%生理盐水,1次/d,静滴。治疗组50例消炎汤(当归30g,桃仁12g,丹参15g,延胡索20g,蒲公英30g,连翘、黄柏、车前子各15g;气虚加黄芪、党参;腰膝酸痛加熟地黄、桑寄生、枸杞子;盆腔包块加三棱、莪术;盆腔积液加薏苡仁、茯苓、泽泻),1剂/d,水煎250m L,早晚分服;西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、月经周期、经量、经期、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈29例,显效15例,有效4例,无效2例,总有效率96.00%。对照组痊愈20例,显效9例,有效11例,无效10例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]消炎汤联合西药治疗慢性盆腔炎疗效满意,无严重不良反应,值得推广。
[Objective] To observe the efficacy of anti-inflammatory soup combined with Western medicine in treating chronic pelvic inflammatory disease. [Methods] Using randomized parallel control method, 100 inpatients were randomly divided into two groups according to the method of dice rolling. Control group, 50 patients 3g ceftazidime + 100m L tinidazole + 250m L 0.4% saline, 1 / d, intravenous infusion. The treatment group 50 cases of anti-inflammatory soup (Angelica 30g, peach kernel 12g, Salvia 15g, Corydalis 20g, Dandelion 30g, forsythia, Treats, Plantago 15g; Qi and Astragalus, Codonopsis; Child; pelvic mass plus Trilateral, Curcuma; pelvic fluid plus Coix Seed, Poria, Alisma), 1 / d, decoction 250m L, morning and evening service; western medicine treatment with the control group. Continuous treatment of 30d for a course of treatment. Observation of clinical symptoms, menstrual cycle, menstrual flow, menstrual period, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 29 cases, markedly effective in 15 cases, effective in 4 cases, ineffective in 2 cases, the total effective rate was 96.00%. Control group recovered 20 cases, 9 cases markedly effective in 11 cases, ineffective in 10 cases, the total effective rate was 80.00%. The treatment group was better than the control group (P <0.05). [Conclusion] Xiaoyan Decoction combined with Western medicine in the treatment of chronic pelvic inflammatory disease with satisfactory results, no serious adverse reactions, it is worth promoting.