中药灌肠-离子导入法治疗盆腔炎性疾病后遗症的临床研究

Clinical research on treatment of pelvic inflammatory disease sequelae with retention enema-iontophoresis of traditional Chinese medicine

关键词:  盆腔炎性疾病后遗症  湿热瘀结  中药灌肠  离子导入

Key words:  sequela of pelvic inflammatory disease  damp-heat accumulated syndrome  Chinese herbs enema  iontophoresis

摘要:

[目的] 探讨自拟盆炎灌肠方灌肠-离子导入法治疗湿热瘀结型盆腔炎性疾病后遗症的临床疗效。[方法] 将96例湿热瘀结型盆腔炎性疾病后遗症患者随机分成两组,每组48例,治疗组予中药灌肠-离子导入法治疗。对照组予妇科千金胶囊口服治疗,治疗3个疗程,观察治疗前后两组患者症状、体征的改善情况。[结果] 治疗1个疗程后两组患者在主症评分(疼痛评分、带下评分)、次症评分、局部体征评分方面均有改善,但两组治疗前后的评分改善无统计学差异。治疗3个疗程后两组患者在疼痛评分、带下评分、次症评分、局部体征评分均有明显改善。两组在疼痛评分、局部体征评分改善方面差异有统计学意义,治疗组高于对照组,而在带下评分、次症评分的改善上无统计学差异。[结论] 自拟盆炎灌肠方灌肠-离子导入治疗湿热瘀结型盆腔炎性疾病后遗症3个疗程,能够显着改善患者疼痛症状及局部体征,且安全无不良反应,值得临床推广。

Abstract:

[Objective] To observe the clinic effect of pelvic inflammatory disease's sequela of damp-heat accumulated syndrome with Chinese herbs enema-iontophoresis method. [Methods] To divide 96 patients of pelvic inflammatory disease's sequela of damp-heat accumulated syndrome into two groups randomly, 48 patients of treatment group was used Chinese herbs enema-iontophoresis method, and the control group was given Fuke Qianjin capsules. Three course of the treatment were used, and the improvement of fore-and-aft symptoms, syndromes were observed. [Results] After one course of treatment, the scores of primary symptoms(pain, leucorrhea), minor symptoms, and Local signs had improved, but there were no significant differences between fore-and-aft interpolation scores. After three courses of treatment, the scores of pain, leucorrhea, minor symptoms, and local signs had improved. There were significant differences between fore-and-aft interpolation scores of pain and syndromes. The treatment group was better than the control group. There were no significant differences in the scores of leucorrhea and minor symptoms. [Conclusion] Treatment with Chinese herbs enema-iontophoresis method has satisfying effect, which can obviously improve pain and syndromes of pelvic inflammatory disease's sequela, safe without side effects. Because of its clinical value, it is deserved for clinic promotion and further study.