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目的 研究蒲药灌肠液辅助血府逐瘀胶囊综合治疗气滞血瘀型慢性盆腔炎的临床疗效,为其临床应用提供科学依据.方法 气滞血瘀型慢性盆腔炎患者122例,随机分为对照组和试验组.对照组口服血府逐瘀胶囊,试验组口服血府逐瘀胶囊同时辅助蒲药灌肠液治疗,2个疗程后比较2组治疗效果.结果 试验组愈显率为69.4％,总有效率为93.6％;对照组愈显率为43.3％,总有效率为81.6％;两组比较差异有统计学意义(P＜0.05).试验组在改善中医证候和局部体征方面,降低高切全血黏度、血浆黏度和红细胞积压方面优于对照组,差异有统计学意义(P＜0.05).结论 蒲药灌肠液辅助血府逐瘀胶囊综合治疗气滞血瘀型慢性盆腔炎,可以明显提高治疗效果,且能改善患者血液流变性,值得临床推广.“,”OBJECTIVE To corroborate the therapeutic effects for Qi stagnation and blood stasis type of chronic pelvic inflammation under the treatment of Xuefuzhuyu capsules plus Puyao rectal solution,and provide scientific basis for its clinical application.METHODS The 122 patients of Qi stagnation and blood stasis type of chronic pelvic inflammation were randomly assigned into two groups named control and experimental group,respectively.The control group were orally administrated with Xuefuzhuyu capsules only.The experimental group were treated with Xuefuzhuyu capsules together with Puyao rectal solution.The therapeutic effects between groups were compared at the end of two courses of treatment.RESULTS In the experimental group,the remarkably effective rate was 69.4％ and the total efficiency was 93.6％;in the control group,the remarkably effective rate was 43.3％ and the total efficiency was 81.6％,the differences were statistically significant with P＜0.05.The experimental group were better than the control group in the improvement of TCM syndromes and the local signs,in reducing the high shear whole blood viscosity,plasma viscosity and hematocrit,the differences were statistically significant with P＜0.05.CONCLUSION The therapeutic effect for Qi stagnation and blood stasis type of chronic pelvic inflammation under the treatment of Xuefuzhuyu capsules can be significantly enhanced with Puyao rectal solution.The drug combination can strengthen the effect,improve the blood rheology,is worth further promotion.