妇科养荣胶囊联合抗生素治疗盆腔包块的临床观察.docVIP

妇科养荣胶囊联合抗生素治疗盆腔包块的临床观察 　　doi：10.3969/j.issn.1007-614x.2014.16.61 　　摘 要 目的：探讨妇科养荣胶囊联合抗生素治疗盆腔炎性包块的临床疗效。方法：收治盆腔炎性包块患者100例，随机分为治疗组和对照组，各50例。对照组单用头孢曲松钠治疗，治疗组采用头孢曲松钠联合妇科养荣胶囊治疗，半个月为1疗程，3个疗程后随访观察炎性包块治疗情况。结果：治疗组显效率94%，对照组显效率76%，差异有统计学意义（P0.05）。结论：妇科养荣胶囊联合抗生素治疗盆腔炎性包块优于单用抗生素治疗，是一种安全有效的方法。 　　关键词 盆腔炎性包块 抗生素 妇科养荣胶囊 　　Clinical observation of Fu Ke Yang Rong capsules combined with antibiotics in the treatment of pelvic mass 　　Gao Yahui 　　The Peoples Hospital of Qilihe District，Lanzhou City，Gansu 730050 　　Abstract Objective：To explore the clinical curative effect of Fu Ke Yang Rong capsules combined with antibiotics in the treatment of pelvic mass.Methods：100 cases with pelvic inflammation mass were selected.They were randomly divided into the treatment group and the control group with 50 cases in each group.The control group were treated with ceftriaxone，while the treatment group were treated with ceftriaxone and Fu Ke Yang Rong capsules.The 1 course was half a month.After three courses of treatment，we observed the improvement of inflammatory mass.Results：In the treatment group，the effective rate was 94%.In the control group，the effective rate was 76%.The difference was statistically significant（P0.05）.Conclusion：The effect of Fu Ke Yang Rong capsules combined with antibiotics in the treatment of pelvic mass is better than that of treatment with single antibiotics，and it is a safe and effective method. 　　Key words Pelvic inflammation mass；Antibiotics；Fu Ke Yang Rong capsules 　　盆腔炎性包块是盆腔炎性疾病未得到及时有效治疗而形成的后遗症，顽固难治，经常反复发作，是生殖系统较严重的病证。临床表现为下腹疼痛、腹部胀痛、女性不孕、腹部包块等，严重影响日常生活。本研究应用妇科养荣胶囊联合抗生素对100例患者进行治疗，现报告如下。 　　资料与方法 　　2013年3-9月收治盆腔炎性包块患者100例，经过查尿HCG排除宫外孕，查AFP等排除卵巢癌，结合病史、体征、妇科检查、超声检查及中医诊断为“炎性包块”，年龄22～48岁，平均37岁。均有性生活史，已婚未产2例，病程3个月～2年。100例患者随机分为治疗组和对照组，各50例。 　　诊断依据：病史、症状、体征符合盆腔炎诊断标准（参照《妇产科学》）及中医证候诊断标准[1]。超声检查提示：盆腔炎性包块，直径2.8～7.5cm。 　　治疗方法：①对照组给予头孢曲松钠3g+0.9%氯化钠注射液250ml，静滴，替硝唑0.4g静滴，1次/日。半个月1疗程，连用3个疗程。②治疗组在对照组的基础上加服妇科养荣胶囊，4粒/次，3次/日，口服，连用3个疗程，用药期间禁饮酒及食用辛辣食物。 　　疗效判定标准：①痊愈：症状体征消失，查子