通任种子汤治疗慢性盆腔炎气滞血瘀证的临床探究.pdfVIP

提 要 目的:观察通任种子汤治疗气滞血瘀型慢性盆腔炎的临床疗效，并初步探讨其作 用机理。方法:随机选取60例气滞血瘀型慢性盆腔炎患者给予口服通任种子汤治疗。 采用自身前后对照法观察治疗前后临床症状、体征的改善情况，外周血T细胞亚群、 血液流变学指标的变化。结果:治疗后患者下腹胀痛或刺痛、腰骶胀痛、经行腰腹疼 痛加重、带下量多、月经失调等中医临床症状均有明显的改善, 中医症状疗效总有效 率为95.00%,治疗前后的中医症状积分比较有显著性差异（p0.01）。治疗后局部体征 疗效总有效率为91.67%，治疗前后局部体征积分比较有显著差异（p0.01），说明本 方药对改善患者子宫粘连固定、压痛，附件增厚或条索状增粗、压痛，宫骶韧带增粗、 触痛等阳性体征方面有明显疗效。治疗后综合疗效总有效率为93.33%，说明本方药有 明显的临床疗效。治疗后的高切全血粘度、低切全血粘度、血浆粘度、红细胞压积及 血沉方面均较治疗前明显降低，差异有显著性(P0.05)。治疗后辅助性T细胞CD 较治 4 疗前上升，细胞毒性T细胞CD 较治疗前下降，CD /CD 较治疗前上升，与治疗前相比 8 4 8 具有显著性差异(P0.05 )。结论: 通任种子汤能够明显改善气滞血瘀型慢性盆腔炎 患者的临床症状和局部体征，并能有效降低其血液粘滞度，调节机体免疫功能，促进 受损组织的修复及细胞功能的恢复，从而促进盆腔局部炎症吸收，是治疗气滞血瘀型 慢性盆腔炎的有效方药。 关键词 通任种子汤；慢性盆腔炎；气滞血瘀 Clinical Research on Treating the Chronic Pelvic Inflammatory Disease with the Tongren zhongzi Decoction Speciality:Gynecology of TCM Author :Zhang Qian Tutor:Professor Liu Jingjun Abstract Objective:To obsearve the effect of treating the Chronic Pelvic Inflammatory Disease(CPID)with the Tongren Zhongzi Decoction and to explore the mechanism of it.Methods: 60 cases randomly selected and blood stasis syndrome patients with chronic pelvic inflammation to oral tong as Tongren Zhongzi Decoction treatment. Before using their observed before and after treatment contrast method of improving the clinical symptoms, signs, peripheral T lymphocyte subsets and hemorheology indices of change. Results: After treatment, patients abdominal pain or tingling, lumbar di flatulence, the line waist and abdomen pain worse, leukorrhagia capacity is much, menstrual disorders