妇康口服液治疗盆腔炎160例临床研究.docVIP

妇康口服液治疗盆腔炎160例临床研究[摘要] 目的:探讨妇康口服液对盆腔炎的疗效。方法:妇康口服液连续服用,用药时间及剂量根据临床症状确定,服药过程中随时复查、随访。结果:该药用于盆腔炎治疗效果良好,尤以慢性盆腔炎疗效更好。结论:妇康口服液为治疗盆腔炎良药,值得临床推广应用。 [关键词] 妇康口服液;盆腔炎;临床分析 [中图分类号] R271.9[文献标识码]A [文章编号]1673-7210(2009)08(a)-086-02 Clinical analysis of Fukang Oral Liquid treatment of 160 cases with pelvic inflammatory disease LIU Xiaoling, LAO Haitao, CHENG Jian (Department of Gynecology and Obstetrics, Wuchuan Hospital ofHealth Care about Women and Children, Wuchuan 524500,China) [Abstract] Objective: To investigate the effect oral of Fukang Oral Liquid treatment of pelvic inflammatory disease. Methods: For continuous administration of Fukang Oral Liquid, administration time and dose determined based on clinical symptoms, medication at any time during the review, follow-up. Results: The drug was effective for the treatment of pelvic inflammatory disease, especially in better efficacy of chronic pelvic inflammatory disease. Conclusion: Fukang Oral Liquid is a good medicine for the treatment of pelvic inflammatory disease, it’s worthy of clinic application. [Key words] Fukang Oral Liquid; Pelvic inflammatory disease; Clinical analysis 盆腔炎(pelvic inflammatory disease,PID)即女性内生殖器(子宫体部、输卵管、卵巢)及其周围的结缔组织、盆腔腹膜发生炎症的总称。盆腔炎是妇科常见病,常见病因为产后或流产后感染、宫腔手术操作后感染、经期卫生不良、临近器官炎症蔓延、宫内节育器的应用等。炎症可局限于一个部位,也可几个部位同时发病,根据发病过程和临床表现有急慢性之分。急性者发病危急,症状严重,可因败血症危及生命,慢性者症状时好时坏,反复发作,影响患者的身心健康及工作。根据病原体的差异,盆腔炎又可分为两大类,一类为特异性盆腔炎,包括由淋球菌、结核杆菌等所致的炎症,另一类为非特异性盆腔炎[1]。我院采用妇康口服液治疗盆腔炎临床效果满意,现报道如下: 1 资料与方法 1.1 一般资料 收集2006年6月～2008年6月我院妇科门诊确诊并使用妇康口服液治疗的盆腔炎患者160例,其中,急性炎症65例,慢性炎症95例;所有患者均有下腹部坠胀、疼痛、腰骶部酸痛、阴道分泌物增多等症状;妇科检查:阴道宫颈充血,分泌物多,穹隆有明显触痛,子宫、附件有压痛、反跳痛,部分患者可扪及增厚的附件,子宫多呈后位,超声检查发现盆腔内炎性渗出或炎性包块。所有患者均未在经期、孕期。 1.2 治疗方法 全部患者均给予休息、加强营养、控制感染等对症支持治疗,同时急性盆腔炎患者应用妇康口服液10～20 ml,口服,3次/d,连续规律用药2周为1个疗程;慢性盆腔炎患者应用妇康口服液10～20 ml,3次/d,连续规律用药4周为1个疗程。服药过程中随时门诊随访复查并B超监测[2]。 2 结果 65例急性盆腔炎患者,其中,44例经治疗1周后门诊复查,盆腔包块缩小,自觉症状减轻,2周后复查,自觉症状消失,超声检查子宫、附件均无异常发现;12例因全腹膜炎伴发热、恶心、呕吐等症状,听诊肠鸣音减弱,妇科检查宫颈举痛,超声示盆腔包块,给予静滴头孢菌素、甲硝唑后改用口服妇康口服液,