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目的:探讨红藤解毒汤灌肠联合西药治疗慢性盆腔炎的临床疗效。方法:将270例慢性盆腔炎患者随机分为三组(各90例),A组单用甲硝唑、氧氟沙星等常规西药进行治疗,B组单用红藤解毒汤加减方进行灌肠治疗,C组联合应用红藤解毒汤灌肠和西药进行治疗,对比三组患者的治疗效果。结果:治疗后,三组包块直径均较治疗前明显减小,A、B两组治疗后包块直径比较无明显差异(P>0.05),C组治疗后包块直径明显小于A、B两组(P<0.05)。A组与B组治疗总有效率比较无明显差异(P>0.05),C组治疗总有效率显著高于A、B两组(P<0.05)。随访期间,A组的复发率为48.89%,B组为50.00%,C组为13.33%,C组的复发率明显低于A、B两组(P<0.05)。结论:红藤解毒汤灌肠联合西药治疗慢性盆腔炎的临床疗效优于单用中药灌肠和西药治疗,且不会增加不良反应,临床应用优势显著,值得推广。
Objective: To investigate the clinical efficacy of “Red Detox Jiedu Decoction” combined with Western medicine in treating chronic pelvic inflammatory disease. Methods: 270 patients with chronic pelvic inflammatory disease were randomly divided into three groups (90 cases each). Group A was treated with routine western medicine such as metronidazole and ofloxacin alone. Group B was given enema alone Treatment, C combined with the use of red vine detox soup enema and western medicine for treatment, the treatment effect of three groups of patients. Results: After treatment, the diameters of the three groups were significantly decreased compared with those before treatment. There was no significant difference in the diameters of the masses between groups A and B (P> 0.05). After treatment, the diameters of the masses in group C were significantly less than those of A and B Two groups (P <0.05). There was no significant difference in the total effective rate between group A and group B (P> 0.05). The total effective rate of group C was significantly higher than that of group A and B (P <0.05). During follow-up, the recurrence rate was 48.89% in group A, 50.00% in group B and 13.33% in group C, respectively. The recurrence rate in group C was significantly lower than that in group A and B (P <0.05). Conclusion: The clinical efficacy of “RED Teng Jie Du Decoction” combined with Western medicine in treating chronic pelvic inflammatory disease is superior to that of single enema and western medicine alone. It does not increase adverse reactions and has obvious clinical application advantages. It is worthy of promotion.