中药保留灌肠配合微波治疗慢性盆腔炎30例临床护理.docVIP

中药保留灌肠配合微波治疗慢性盆腔炎30例临床护理摘 要 目的:探讨中药保留灌肠配合微波治疗慢性盆腔炎的效果及护理方法。方法:将60例慢性盆腔炎患者随机分为治疗组和对照组各30例，对照组采用常规抗感染治疗，治疗组在此基础上辅用中药保留灌肠配合微波治疗，观察、比较两组疗效。结果：治疗组、对照组总有效率分别为93.3%、70.0%，复发率分别为3.6%、28.6%，两组有效率、复发率比较差异有统计学意义（P＜0.05）。结论：中药保留灌肠配合微波治疗慢性盆腔炎具有治愈率高、疗程短、复发率低等优点，严密观察与精心护理能有效提高患者有效率、复发率。 关键词 中药保留灌肠；微波；慢性盆腔炎；护理 中图分类号：R473.5 文献标识码：A 文章编号：1006-7256（2011)15-0011-02 Clinical nursing care in the treatment of 30 patients with chronic pelvic inflammatory disease by applying retention enema with TCM combined with microwave therapy Mai Mei-dong (Maternal and Child Health Hospital of Maoming Municipality, Maoming Guangdong 525000, China) Abstract Objective: To explore the effect of retention enema with traditional Chinese medicine (TCM) combined with microwave therapy and nursing methods in the treatment of chronic pelvic inflammatory disease. Methods: 60 patients with chronic pelvic inflammatory disease were randomly divided into treatment and control groups (30 patients for each group). The conventional anti-infective therapy was given to the patients in the control group and the supplementary retention enema with TCM combined with microwave therapy was applied to the patients in the observation group.The curative effect was observed and compared between the two groups. Results: The total effective rates were 93.3% and 70.0% respectively in the treatment group and the control group, the recurrence rate was 3.6% in the treatment group and 28.6% in the control group (P0.05)。 1.2 方法 对两组患者宫颈管分泌物或后穹隆穿刺液进行细菌培养及药敏试验。对照组给予抗感染(首选敏感抗菌药，同种抗菌药的用药剂量、用法相同)等常规治疗。治疗组在此基础上辅予中药保留灌肠配合微波治疗。自拟中药方(蒲公英30 g、紫花地丁30 g、败酱草30 g、红藤20 g、桃仁15 g、丹皮20 g、延胡索12 g等)，1剂/d，水煎取汁100~150 ml，冷却至38~40 ℃备用灌肠，每晚1次，10 d为1个疗程。灌肠后即行微波治疗，微波治疗采用天津市顺博医疗设备有限公司生产的SW-61A型微波治疗机进行理疗。方法：患者取平卧位，辐射器放于下腹盆腔三角区一侧(包块侧)或正中，照射距离为3~5 cm，微波输出功率为40~60 W，以患者有温热感为宜，时间为30 min，每晚1次，10 d为1个疗程。第1个疗程未治愈者续行第2个疗程。两组病例治疗前、后均行血常规、血生化、分泌液或穿刺液培养及药敏、妇科等检查，B超检查由专人测量治疗前、后盆腔包块大小。中药保留灌肠和微波治疗由护理人员实施。 1.3 评价标准 临床治愈：临床症状和体征完全消失，各项辅助检查均正常；显效：症状消失，实验室检查