论文部分内容阅读
目的探讨慢性盆腔炎引起盆腔痛的多学科治疗效果,为慢性盆腔炎的治疗提供依据。方法将160例慢性盆腔炎疼痛患者分为综合治疗组和对照组,86例综合治疗组患者接受抗生素、心理、腹腔镜、术后理疗、预防宣传等多学科治疗,74例对照组患者接受抗生素、中药灌肠加理疗,对两组临床疗效、复发率、治疗前后症状体征评分进行比较。结果综合治疗组痊愈率(65.1%)、显效率(29.1%)、总有效率(97.7%)均比对照组(分别为55.4%、20.3%、83.8%)高,两组总有效率的差异有统计学意义(χ2=9.612,P=0.002)。综合治疗组中复发率为4.7%,明显低于对照组(17.6%),差异有统计学意义(χ2=6.988,P<0.01)。治疗前两组症状体征评分无明显差异,治疗后,两组评分均有所下降,但综合治疗组症状体征评分(27.54±5.21)明显低于对照组(29.89±5.92),差异有统计学意义(t=-3.659,P<0.01)。结论抗生素、心理、腹腔镜、术后理疗、预防宣传等多学科治疗能有效改善慢性盆腔炎疼痛患者的临床症状,并降低复发率,是慢性盆腔炎疼痛有效的治疗方案。
Objective To investigate the multidisciplinary treatment of pelvic pain caused by chronic pelvic inflammatory disease and provide the basis for the treatment of chronic pelvic inflammatory disease. Methods A total of 160 patients with chronic pelvic inflammatory disease were divided into comprehensive treatment group and control group. 86 patients in the comprehensive treatment group received antibiotics, psychology, laparoscopy, postoperative physical therapy, prevention and other multidisciplinary treatment. 74 patients in the control group received antibiotics , Traditional Chinese medicine enema plus physical therapy, the two groups of clinical efficacy, recurrence rate, symptoms and signs before and after treatment were compared. Results The cure rate (65.1%), markedly effective rate (29.1%) and total effective rate (97.7%) in the comprehensive treatment group were higher than those in the control group (55.4%, 20.3%, 83.8% There was statistical significance (χ2 = 9.612, P = 0.002). The recurrence rate was 4.7% in the comprehensive treatment group, which was significantly lower than that in the control group (17.6%) (χ2 = 6.988, P <0.01). Before treatment, there was no significant difference between the two groups in symptoms and signs. After treatment, the scores of both groups declined, but the symptom and symptom scores of the comprehensive treatment group (27.54 ± 5.21) were significantly lower than those of the control group (29.89 ± 5.92), the difference was statistically significant (t = -3.659, P <0.01). Conclusions Multidisciplinary treatments such as antibiotics, psychology, laparoscopy, postoperative therapy, prevention and publicity can effectively improve the clinical symptoms and reduce the recurrence rate in patients with chronic pelvic inflammatory disease. It is an effective treatment for chronic pelvic inflammatory disease.