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目的:评估自拟中药克炎灵水煎剂保留灌肠治疗湿瘀型慢性盆腔炎的有效性及安全性。方法:将76例湿瘀型慢性盆腔炎患者随机分为两组。其中治疗组40例给予克炎灵水煎剂保留灌肠,对照组36例采用康妇消炎栓直肠给药的方法治疗;14 d为1个疗程,2个疗程结束后,观察两组临床疗效和两组间治疗前后中医症状的改变及临床体征的改善。结果:总有效率:治疗组为95%,对照组为72.22%,治疗组明显高于对照组,两组比较,差异有统计学意义(P<0.05);两组间治疗后中医症状及临床局部体征指标均比治疗前改善(P<0.05),治疗组改善率明显优于对照组。结论:中药克炎灵水煎剂保留灌肠治疗湿热瘀结型慢性盆腔炎有很好的临床疗效,容易被广大患者所接受,值得临床广泛应用。
Objective: To evaluate the effectiveness and safety of self-made traditional Chinese medicine Ke Yanling Decoction for preserving enema for treating chronic pelvic inflammatory disease of damp-stasis type. Methods: Sixty-six patients with chronic pelvic inflammatory disease of damp-stasis type were randomly divided into two groups. The treatment group, 40 cases given Ke Yanling decoction retention enema, the control group, 36 cases were treated with Kangfu anti-inflammatory suppository rectal administration; 14 d for a course of treatment, after two courses of treatment, the two groups were observed and the clinical efficacy and Changes in TCM symptoms and clinical signs between the two groups before and after treatment. Results: The total effective rate was 95% in the treatment group and 72.22% in the control group, the treatment group was significantly higher than the control group, the difference was statistically significant (P <0.05); after treatment, the TCM symptoms and clinical The local signs were improved than before treatment (P <0.05), and the improvement rate of the treatment group was obviously better than that of the control group. Conclusion: The traditional Chinese medicine Ke Yanling decoction retention enema treatment of damp-heat stasis type pelvic inflammatory disease has a good clinical effect, easy to be accepted by the majority of patients, it is widely used in clinical.