逍遥理坤汤治疗气滞血瘀型慢性盆腔炎的临床探究.pdfVIP

提 要 目的：观察逍遥理坤汤治疗气滞血瘀型慢性盆腔炎的临床疗效，分析其对患者血 液流变学、免疫功能指标的影响。 方法：将60例慢性盆腔炎患者随机分为治疗组（服用逍遥理坤汤）和对照组（服 用妇可靖胶囊）各 30 例。观察两组患者综合疗效、中医证候疗效、治疗前后临床症 状、体征的改变情况；治疗前后两组患者血液流变学指标、白细胞介素-2、B超附件 包块大小等的变化情况。 结果：治疗组综合疗效为 93.3%，对照组为 86.7%，二者比较差异有统计学意义 (P0.01)。在中医证候疗效方面，治疗组总有效率为 96.7%，对照组为 90.0%，二者 比较差异有统计学意义 (P0.01)。治疗组在改变血液流变学高切全血粘度、血浆粘 度、红细胞聚集指数及纤维蛋白原指标、 白细胞介素-2 等方面均明显优于对照组 (P0.01)；在改变血液流变学低切全血粘度、红细胞压积及血沉指标及B超附件包块 大小等方面优于对照组(P0.05)。治疗过程中均未发现明显不良反应。 结论：逍遥理坤汤治疗气滞血瘀型慢性盆腔炎疗效确切，能改善患者的临床症状， 改变血液流变学指标，调节免疫功能。 关键词 逍遥理坤汤；慢性盆腔炎；气滞血瘀；临床研究 The Clinical study of Treating Chronic Pelvic Inflammatory Disease(CPID) With XiaoYaoLiKun Decoction Specialty：Gynecology of TCM Tutor：Pro. Liu Jinxing Author ：Liu Hai yang Abstract Objective: To investigate the treatment and clinical effect of XiaoYaoLiKun Decoction on Chronic Pelvic Inflammatory Disease (CPID) of qi stagnation and blood stasis, analyze its effect of hemorheology and immune function indicators in patients . Methods: We selected 60 patients with CPID and devided them randomly into treatment group (30cases, treated with XiaoYaoLiKun Decoction) and control group (30cases, treated with FuKeJing capsule).Synthetic effect 、TCM Syndrome、Symptoms and signs of each group were observed before and after the treatment ．Meanwhile the levels of of the blood rheology、IL-2 and the size of the accessory inflammatory mass were measured and compared. Results: The total effective rate is 93.3% in the treatment group, while it is 86.7% in the control group, there is significant difference between them(p0.01).In the aspect of improving symptoms and signs, the curative rate i