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[目的]观察中药保留灌肠和药渣外敷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126例住院患者按随机数字表法分为两组。对照组63例左氧氟沙星500mg+替硝唑800mg,1次/d,静滴。治疗组63例灌肠及药渣外敷,蒲公英、红藤各30g,蛇舌草、甘草、三棱各15g,黄柏、败酱草各25g,水煎100mL,滤过药渣后保留灌肠;灌肠液温度比体温略高2℃左右,左侧卧位灌肠,灌肠时间为睡前,灌肠后呈仰卧位30min,延长排便间隔以保证中药作用时间,1次/d。煎药后药渣外敷下腹部,包括关元、神阙等穴位,覆盖纱布后固定,可配合中药离子导入仪使用。西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效36例,有效21例,无效6例,总有效率90.48%。对照组显效15例,有效29例,无效19例,总有效率69.84%。治疗组疗效优于对照组(P<0.05)。[结论]中药保留灌肠和药渣外敷联合西药治疗慢性盆腔炎效果显著,值得推广。
[Objective] To observe the efficacy of traditional Chinese medicine retention enema and drug residue combined with Western medicine in the treatment of chronic pelvic inflammatory disease. [Methods] Using randomized parallel control method, 126 inpatients were divided into two groups according to random number table method. Control group, 63 cases of levofloxacin 500mg + tinidazole 800mg, 1 times / d, intravenous infusion. 63 cases of treatment group enema and dregs topical, dandelion, red cane each 30g, diffusa, licorice, triangular each 15g, Phellodendron, Patrinia each 25g, decoction 100mL, filtered residue after retention enema; enema Temperature slightly higher than body temperature around 2 ℃, left lying enema, enema time before going to bed, enema was supine position 30min, extended defecation interval to ensure the role of traditional Chinese medicine time, 1 / d. Decoction medicine dregs under the abdomen, including Guanyuan, God Que and other points, covered gauze fixed, with the use of Chinese medicine iontophoresis instrument. Western medicine treatment with the control group. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] In the treatment group, 36 cases were markedly effective, 21 cases were effective, 6 cases were ineffective, and the total effective rate was 90.48%. Control group markedly effective in 15 cases, effective in 29 cases, ineffective in 19 cases, the total effective rate was 69.84%. The treatment group was better than the control group (P <0.05). [Conclusion] The traditional Chinese medicine retention enema and drug residue combined with Western medicine in the treatment of chronic pelvic inflammatory disease has a significant effect and is worth promoting.