多途径治疗慢性盆腔炎临床观察.docVIP

多途径治疗慢性盆腔炎临床观察 　　[摘要] 目的 进行多途径治疗慢性盆腔炎的临床疗效研究。方法 60例患者随机分为两组,治疗组予以经期静滴抗生素、经后保留灌肠的治疗方法,对照组予以经期静滴抗生素治疗,3个疗程后进行疗效评价,同时随访1年观察两组复发率。结果治疗组有效率96.67%,对照组有效率80.00%,治疗组有效率高于对照组两组,比较差异具有显著性(P0.05)。治疗组复发率4.2%,对照组复发率12.00%,以对照组复发率高,两组复发率比较差异具有显著性(P0.05)。结论 多途径治疗慢性盆腔炎具有良好的临床疗效。 　　[关键词] 慢性盆腔炎;经期治疗;保留灌肠 　　[中图分类号] R711.33 [文献标识码] A [文章编号] 1673-9701(2010)12-159-02 　　 　　Clinical Observation on Multi-channel Treatment of Chronic Pelvic Inflammatory Disease 　　TIAN Aiping 　　The Peoples Hospital in Longshan County,Longshan 416800,China 　　 　　[Abstract] Objective To carry out the clinical study on curative effect of multi-channel treatment of chronic pelvic inflammatory disease. Methods Sixty patients were randomly divided into two groups: treatment group and control group. Treatment group was given antibiotics at menstrual period intravenously and retention enema after period. Control group was given antibiotics only at menstrual period intravenously. Efficacy evaluation was performed after three courses of treatment,and a follow-up of one-year was carried out to observe the relapse rates of two groups. Results The effective rate was 96.67% in treatment group and 80.00% in control group. The rate of treatment group was higher than that of control group,and difference between the two groups was significant(P0.05). Relapse rate was 4.2% in treatment group and 12.00% in control group,so the relapse rate was higher in control group and the difference between the two groups was also significant(P0.05). Conclusion The multi-channel treatment of chronic pelvic inflammatory disease has a good clinical effect. 　　[Key words]Chronic pelvic inflammatory disease;Menstrual treatment;Retention enema 　　慢性盆腔炎(chronic pelvic inflammatory disease CPID)是妇科的常见病和多发病之一,由于其缠绵难愈,且劳累后易复发,是造成慢性盆腔疼痛、异位妊娠和不孕的重要原因,给病人身心带来极大的痛苦。目前对本病的治疗多采用单一途径尚难取得满意疗效,我院自2004年起对慢性盆腔炎展开经期滴注抗生素、经后甲硝唑灌肠的多途径治疗,取得满意疗效。现报道如下。 　　1资料与方法 　　1.1一般资料 　　60例患者均来自我院妇科门诊及住院部2004年6月~2008年6月就诊患者。采用随机数字表分为两组,其中治疗组30例,年龄21~47岁,平均(31.48±7.93)岁