中医药防治盆腔炎性疾病优势和证据研究进展.docVIP

中医药防治盆腔炎性疾病优势和证据研究进展 　　[摘要] 盆腔炎性疾病属于感染性疾病，目前西医以抗生素治疗为主，然而抗生素滥用形势严峻，随之带来的菌群失调、菌群耐药性、超级细菌产生以及不良反应增加等潜在危险日益突出，因此亟待寻找能补充或替代抗生素治疗本病的方法手段。中医药治疗该病疗效确切，有其独特优势。该文主要论述盆腔炎性疾病中医药诊疗的优势与证据，旨在进一步证明中医药治疗该病的有效性和安全性，同时为减少抗生素的使用提供医学证据。 　　[关键词] 盆腔炎性疾病；抗生素；中医药；优势与证据 　　Advantages and evidences research on Chinese medicine for 　　treatment of pelvic inflammatory disease 　　MA Kun1，LUO Song-ping2，LI Min1，ZHANG Hui-xian1，XU Li-mian2，ZHAO Rui-hua1，WEI Shao-bin3 　　（1. China Academy of Chinese Medicine Sciences，Beijing 100700，China； 　　2. The First Affiliated Hospital，Guangzhou University of Chinese Medicine，Guangzhou 510405，China； 　　3. The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine，Chengdu 610072，China） 　　[Abstract] Pelvic inflammatory disease is an infectious disease. At present，Western medicine is mainly treated with antibiotics. However，the situation of antibiotics abuse is so grim that the potential risks such as the imbalance of bacteria，the resistance of bacteria，the production of super bacteria and the increase of adverse reactions are becoming more and more serious. Therefore，it is urgent to find a way to supplement or substitute antibiotics for the treatment of this disease. Traditional Chinese medicine treatment of the disease is effective and has its unique advantages. This paper mainly discusses the advantages and evidences of traditional Chinese medicine （TCM） treatment of pelvic inflammatory disease，to further prove the effectiveness and safety of TCM treatment and to provide medical evidence of reducing antibiotics use. 　　[Key words] pelvic inflammatory disease；antibiotics；traditional Chinese medicine；advantages and evidences 　　盆腔炎性疾病（pelvic inflammatory disease，PID）是?D科常见病、多发病，主要由女性上生殖道炎症引起，包括子宫内膜炎、输卵管炎等，具有病程长、病情缠绵、复发率高等特点。若未得到及时、积极、正确治疗，则可引起PID后遗症，分为近期和远期后遗症2种，近期后遗症包括输卵管卵巢囊肿、肝周围炎以及罕见的死亡，远期后遗症包括不孕症、异位妊娠、慢性盆腔痛及PID反复发作[1-4]，严重影响妇女健康，降低生活质量，增加家庭和社会的经济负担。 　　1 流行病学资料 　　由于许多PID患者症状轻微、不典型甚至无症状，且发病率受地理位置、社会经济状况、婚姻家庭道德观念、性文化、性行为影响，流行病学数据较难统计，国内