少腹逐瘀汤治疗慢性盆腔炎临床观察.docVIP

少腹逐瘀汤治疗慢性盆腔炎临床观察【摘 要】 目的:观察少腹逐瘀汤治疗慢性盆腔炎的临床疗效。方法：纳入2009年1月~2010年12月的慢性盆腔炎患者120例，随机分为对照组和治疗组各60例，对照组给予妇炎康治疗，治疗组给予少腹逐瘀汤中药治疗，观察其治疗效果。结果：总有效率治疗组为95%，对照组为76.7%，两组比较差异有显著性意义（P0.05）。结论：少腹逐瘀汤治疗慢性盆腔炎有较好的临床疗效。 【关键词】 慢性盆腔炎； 中医疗法； 少腹逐瘀汤 Treatment on Chronic pelvic inflammatory disease with Shaofu Zhuyu recipe GU Yu, WANG Kejie Western Suburb Health Clinic in Da’an, Jilin 131300, China 【Abstract】 Objectives: To observe the clinical effects of Shaofu Zhuyu recipe in the treatment of chronic pelvic inflammatory disease. Methods: One hundred and twenty patients with chronic pelvic inflammatory diseases who were admitted into hospital between January 2009 and December 2010, were randomly divided into the treatment and control groups, each group including 60 cases. The treatment group was administered with Shaofu Zhuyu soup, and the control group was treated with Fuyankang. Results: The overall efficiency rate is 95% for the treatment group and 76.7% for the control group, the difference between the two groups being significant (P0.05). Conclusion: Shaofu Zhuru recipe proves to have satisfactory effects on chronic pelvic inflammatory disease. 【Key words】 Chronic pelvic inflammatory disease, traditional Chinese medical therapy, Shaofu Zhuyu recipe 慢性盆腔炎是指女性内生殖器官，如子宫、输卵管、卵巢、子宫旁结缔组织、盆腔腹膜等处发生慢性炎症，甚至形成冰冻骨盆。系由急性盆腔炎延误诊治或治疗不彻底所致，或患者体质虚弱，病程迁延演变所致。本病是妇科的常见病和多发病，病程长缠绵难愈，严重影响妇女身心健康。笔者采用少腹逐瘀汤治疗慢性盆腔炎疗效满意，现报告如下。 1 临床资料 1.1 一般资料本组观察病例为2009年1月~2010年12月门诊盆腔炎患者，共120例。年龄18~60岁，平均（32.5+12.5）岁；随机分为治疗组和对照组各60例。对照组年龄（32.5±12.5）岁；病程（5.2±3.1）年；治疗组年龄（31.6±12.5）岁；病程（5.1±3.9）年；两组年龄及病程、病情程度经统计学处理，差异均无显著性意义（P＞0.05），具有可比性。 1.2 诊断标准慢性盆腔炎诊断标准参照《妇产科学》[1]，中医辨证分型参照《中药新药临床研究指导原则》[2]。排除明确诊断为盆腔结核、子宫内膜异位、慢性阑尾炎、盆腔瘀血综合症等所致腹痛者。 2 治疗方法 2.1 对照组口服妇炎康片（吉林省中研药业有限公司生产），1次6片，1日3次。 2.2 治疗组口服少腹逐瘀汤加减。药物组成：茴香、炮姜、肉桂各10g，元胡、五灵脂、没药、川芎、当归、蒲黄、赤芍各15g。分型加减：偏热型去炮姜、肉桂加苦参、黄柏清热利湿；偏寒型重用茴香、炮姜以温经驱寒；胸胁乳房胀痛者加郁金、川楝子、柴胡疏肝理气药；小腹胀痛有包块加三棱、莪术软坚散结药；腰膝酸软加杜仲、寄生强肾腰脊药；身倦乏力去五灵脂、川芎加党参、黄芪、白术益气健脾药；带下量多质稀加苍术、薏苡仁健脾燥湿药；发热带下色黄加金银花、连翘、