慢性盆腔炎的妇科门诊治疗分析(1)
摘要：目的 对慢性盆腔炎的妇科门诊的治疗过程和结果进行分析讨论。方法 选取106例慢性盆腔炎患者随机的分成甲组(n=53)和乙组(n=53)，其中乙组患者采用西医加护理干预的方式进行治疗，甲组患者则在乙组的基础上采用中药外敷和灌肠的治疗方法进行治疗，在治疗30 d后对甲乙两组的治疗效果进行比较。结果 甲组慢性盆腔炎患者治疗的总有效率明显高于乙组，差异具有统计学意义(P<0.05)。甲乙两组慢性盆腔炎患者在治疗后症状积分明显下降，并且甲组患者下降的程度明显高于乙组，差异存在统计学意义(P<0.05)。甲组患者和乙组患者用药后的不良反发生率比较，差异存在统计学意义(P<0.05)。结论 采用中西医结合治疗的方法能提高慢性盆腔炎的治疗效果，不良反应的发生率下降。
关键词：慢性盆腔炎；中西医结合；门诊
Abstract：Objective To analyze and discuss the treatment process and the result of the gynecology clinic of the chronic pelvic inflammation. Methods 106 cases of chronic pelvic inflammation were randomly divided into group A (n=53) and group B (n=53)， the second group was treated with western medicine plus nursing intervention for the treatment of the way， the patients in group B based on the traditional Chinese medicine treatment and enema treatment， compare the treatment effect in the treatment of 30 the days of the two groups A and B. Results The treatment group of patients with chronic pelvic inflammatory disease in the total efficiency was significantly higher than that in group B， the difference was statistically significant (P<0.05). A group of two patients with chronic pelvic inflammatory disease in the treatment of the symptom score decreased significantly， and the group of patients with loss was significantly higher than that in group B， there were statistically significant differences (P<0.05). Compare the occurrence of adverse reaction in group A and group B patients after treatment， there were statistically significant differences (P<0.05). Conclusion The combination of traditional Chinese and Western medicine treatment can improve the treatment effect of chronic pelvic inflammatory disease， the incidence of adverse reactions decreased.
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Key words：Chronic pelvic inflammatory disease；Integrated traditional Chinese and Western medicine；Clinic
慢性盆腔炎主要是指女性的生殖器官以及周邊组织和盆腔腹膜出现慢性炎症，一般情况为急性盆腔炎治疗不彻底导致反复发作，形成慢性盆腔炎，主要的临床症状为月经不调和白带异常、下腹部坠胀疼痛及腰骶部酸痛和不孕症等，大量临床资料证明，进行中西医的结合治疗慢性盆腔炎效果明显，可以使患者的临床症状治愈或显著改善[1]。本文选取106例慢性盆腔炎患者进行了治疗研究，结果如下。
1 资料与方法
1.1一般资料 从我院近几年的门诊盆腔炎患者中抽取106例进行治疗研究，随机的分成甲组和乙组，每组各53例患者。甲组患者年龄为27～46岁，平均年龄(37.7±2.8)岁；病程为1.3～6.8年，平均病程为3.22年。乙组患者年龄28～45岁，平均年龄为(37.9±2.7)岁；病程为1.2～6.7年，平均病程为3.21年。甲组和乙组患者的病程、年龄以及婚姻状况和病情等资料比较差异没有统计学意义(P>0.05)。入选标准：①患者出现下腹胀痛以及腰骶部疼痛，白带有异味，部分患者有尿频症状；②出现低热、疲乏以及浑身不适的症状；③进行妇科检查发现子宫活动受限或粘连固定，在其一侧或者双侧能触及到条索样物，有压痛感或包块；④B超检查有盆腔积液或是卵巢囊肿、混合型包块。
1.2方法 所有患者均进行门诊治疗，不住院治疗。西医治疗措施：以2 g的头孢西丁进行肌内注射，口服丙磺舒1 g和多西环素0.1 g，均2次/d，与早饭和晚饭后30 min服用，持续用药半个月，同时使用物理疗法。中医治疗措施：采用中药外敷加灌肠，以忍冬藤、土茯苓和红藤加入大颗粒盐炒热后装进布袋放置于患者的肚脐周围进行热敷，外敷30 min/次左右，外敷2次/d，早晚各1次，持续外敷7 d；然后用赤芍、川穹和云苓以及丹参和鸡血藤调制成灌肠药，使用导管插入患者的肛门，注入灌肠药物进行灌肠，灌肠30 min/次，分量为150 ml，持续灌肠30 d。, 百拇医药(巫元会)
关键词：慢性盆腔炎；中西医结合；门诊
Abstract：Objective To analyze and discuss the treatment process and the result of the gynecology clinic of the chronic pelvic inflammation. Methods 106 cases of chronic pelvic inflammation were randomly divided into group A (n=53) and group B (n=53)， the second group was treated with western medicine plus nursing intervention for the treatment of the way， the patients in group B based on the traditional Chinese medicine treatment and enema treatment， compare the treatment effect in the treatment of 30 the days of the two groups A and B. Results The treatment group of patients with chronic pelvic inflammatory disease in the total efficiency was significantly higher than that in group B， the difference was statistically significant (P<0.05). A group of two patients with chronic pelvic inflammatory disease in the treatment of the symptom score decreased significantly， and the group of patients with loss was significantly higher than that in group B， there were statistically significant differences (P<0.05). Compare the occurrence of adverse reaction in group A and group B patients after treatment， there were statistically significant differences (P<0.05). Conclusion The combination of traditional Chinese and Western medicine treatment can improve the treatment effect of chronic pelvic inflammatory disease， the incidence of adverse reactions decreased.
, http://www.100md.com
Key words：Chronic pelvic inflammatory disease；Integrated traditional Chinese and Western medicine；Clinic
慢性盆腔炎主要是指女性的生殖器官以及周邊组织和盆腔腹膜出现慢性炎症，一般情况为急性盆腔炎治疗不彻底导致反复发作，形成慢性盆腔炎，主要的临床症状为月经不调和白带异常、下腹部坠胀疼痛及腰骶部酸痛和不孕症等，大量临床资料证明，进行中西医的结合治疗慢性盆腔炎效果明显，可以使患者的临床症状治愈或显著改善[1]。本文选取106例慢性盆腔炎患者进行了治疗研究，结果如下。
1 资料与方法
1.1一般资料 从我院近几年的门诊盆腔炎患者中抽取106例进行治疗研究，随机的分成甲组和乙组，每组各53例患者。甲组患者年龄为27～46岁，平均年龄(37.7±2.8)岁；病程为1.3～6.8年，平均病程为3.22年。乙组患者年龄28～45岁，平均年龄为(37.9±2.7)岁；病程为1.2～6.7年，平均病程为3.21年。甲组和乙组患者的病程、年龄以及婚姻状况和病情等资料比较差异没有统计学意义(P>0.05)。入选标准：①患者出现下腹胀痛以及腰骶部疼痛，白带有异味，部分患者有尿频症状；②出现低热、疲乏以及浑身不适的症状；③进行妇科检查发现子宫活动受限或粘连固定，在其一侧或者双侧能触及到条索样物，有压痛感或包块；④B超检查有盆腔积液或是卵巢囊肿、混合型包块。
1.2方法 所有患者均进行门诊治疗，不住院治疗。西医治疗措施：以2 g的头孢西丁进行肌内注射，口服丙磺舒1 g和多西环素0.1 g，均2次/d，与早饭和晚饭后30 min服用，持续用药半个月，同时使用物理疗法。中医治疗措施：采用中药外敷加灌肠，以忍冬藤、土茯苓和红藤加入大颗粒盐炒热后装进布袋放置于患者的肚脐周围进行热敷，外敷30 min/次左右，外敷2次/d，早晚各1次，持续外敷7 d；然后用赤芍、川穹和云苓以及丹参和鸡血藤调制成灌肠药，使用导管插入患者的肛门，注入灌肠药物进行灌肠，灌肠30 min/次，分量为150 ml，持续灌肠30 d。, 百拇医药(巫元会)