通任种子汤联合中药灌肠方治疗慢性盆腔炎气滞血瘀证的临床探究.pdfVIP

提 要 目的:观察通任种子汤联合中药灌肠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 任种子汤并配合盆腔炎灌肠方保留灌肠治疗。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，外周血液流变学指标的变化。结果:治疗后患者中医临床症 状均有明显的改善, 中医症状疗效总有效率为100%,治疗前后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98.33%，说明通任种子汤配合 中药灌肠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100%，说明本治 疗方法有明显的临床疗效。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)。结论: 通任种子汤 配合中药灌肠方能够明显改善慢性盆腔炎气滞血瘀型患者的临床症状和局部体征，并 能有效降低其血液粘滞度，从而促进盆腔局部炎症吸收，是治疗气滞血瘀型慢性盆腔 炎的有效方法。 关键词 通任种子汤；中药灌肠；慢性盆腔炎；气滞血瘀 Clinical Research on Treating the Chronic Pelvic Inflammatory Disease with the Tong ren zhong zi Decoction and Chinese medicine Guan chang prescription Speciality:Gynecology of TCM Author :Lu Yan Tutor:Professor Liu Jingjun Abstract Objective: Observe the Tong ren zhong zi Decoction and Chinese medicine Guan chang prescription and joint treatment and blood stasis the chronic pelvic inflammation of the clinical curative effect, and discussed its mechanism.Methods: 60 cases randomly selected and blood stasis syndrome in patients with chronic pelvic inflammation, give the seed soup of oral and cooperate with pelvic inflammation enema party retention enema treatments. The before and after their contrast method observed before and after treatment the improvement of the clinical symptoms, signs, peripheral blood rheology index changes. Results: After the treatment of traditional Chinese medicine clinical symptoms were all patients have obvious improvement, TCM symptoms curative effect the total effective rate was 100%, the traditional Chinese medicine symptom scores before and after treatment with significant difference (p 0.01). After the treatment effect of local signs the total effective