论文部分内容阅读
[目的]观察清宫汤联合西药治疗盆腔炎疗效。[方法]使用随机平行对照方法,将82例住院患者按随机数字表法分为两组。对照组41例避免体力劳动,补充营养,增强机体抵抗力;急性感染,左氧氯沙星,0.3g/次,3次/d;甲硝唑,15mg/kg,2次/d,静注;2mL胎盘组织液,2mL/次,隔天肌注。治疗组41例清宫汤(白芷、黄柏各10g,茯苓、赤芍各15g,丹皮、丹参各12g,红藤、金银花、蒲公英30g;湿热重加苍术10g;疼痛严重加元胡、川芎各6g;腰膝酸软加杜仲10g,牛膝12g;淤血重加桃仁、红花各6g);1剂/d,水煎200mL,早晚口服;西药治疗同对照组。连续治疗28d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]治疗组痊愈26例,有效14例,无效1例,总有效率97.56%。对照组痊愈17例,有效12例,无效12例,总有效率70.73%。治疗组疗效优于对照组(P<0.05)。[结论]清宫汤联合西药治疗盆腔炎效果显著,值得推广。
[Objective] To observe the therapeutic effect of Qing Gong Tang combined with Western medicine on pelvic inflammatory disease. [Methods] Using randomized parallel method, 82 inpatients were divided into two groups according to random number table. In the control group, 41 cases were treated with metronidazole, 15mg / kg, 2 times / d intravenously to avoid manual labor, supplement nutrition and enhance the body’s resistance; acute infection, levofloxacin, 0.3g / ; 2mL placental tissue fluid, 2mL / time, intramuscular injection the next day. The treatment group, 41 cases of Qing Gong Tang (Angelica, Treats 10g, Poria, red peony 15g, Dan, Salvia 12g, red cane, honeysuckle, dandelion 30g; dampness plus Atractylodes 10g; severe pain plus yuanhu, Chuanxiong the 6g ; Yaoxisuanruan plus Eucommia 10g, Achyranthes 12g; congestion heavy peach, saffron 6g); 1 / d, decoction 200mL, sooner or later oral; Western medicine treatment with the control group. Continuous treatment 28d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 26 cases, effective in 14 cases, 1 case of ineffective, the total effective rate was 97.56%. In the control group, 17 cases were cured, 12 cases were effective and 12 cases were ineffective. The total effective rate was 70.73%. The treatment group was better than the control group (P <0.05). [Conclusion] Qing Gong Tang combined with western medicine has significant effect on pelvic inflammatory disease and is worth popularizing.