自拟方红藤活血汤治疗湿热瘀结型盆腔炎的临床疗效(1)
摘要：目的 观察自拟方红藤活血汤治疗湿热瘀结型盆腔炎的临床疗效。方法 选择2017年3月～2018年10月我院收治的湿热瘀结型盆腔炎患者80例，随机分为对照组和治疗组，各40例。治疗组给予红藤活血汤治疗，对照组给予盐酸左氧氟沙星治疗，两组均在药物治疗基础上配合红外线治疗仪，疗程均为2周。比较治疗后两组临床综合疗效、中医症候疗效、创伤指标、免疫学指标及安全性。结果 患者综合临床疗效比较：治疗组总有效率(90.00%)及愈显率(77.50%)分别高于对照组的75.00%、60.00%，统计学意义显著(P<0.01);两组患者中医证候疗效比较：治疗组总有效率(85.00%)及愈显率(70.00%)均高于对照组的67.50%、37.50%，统计学意义显著(P<0.01);治疗后两组CRP和WBC的值均较治疗前下降，统计学意义显著(P<0.01);治疗后治疗组TNF-α水平高于对照组，统计学意义显著(P<0.01);两组治疗后C3水平相比，差异无统计学意义(P>0.05)。极少数病例的血常规、肝治疗前存在轻度异常，治疗后未明显加重，未出现新发异常病例，治疗组治疗前后血、尿常规，肝、肾功能等相比，差异无统计学意义(P>0.05)。结论 自拟方红藤活血汤治疗湿热瘀结型盆腔炎的临床疗效明显，且安全性好。
, 百拇医药
关键词：盆腔炎;湿热瘀结型;红藤活血汤;自拟方;创伤指标;免疫指标
中图分类号：R271.9 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2019.11.046
文章编号：1006-1959(2019)11-0162-03
Abstract：Objective To observe the clinical efficacy of self-made Fanghongteng Huoxue Decoction in the treatment of damp-heat phlegm and pelvic inflammatory disease. Methods 80 patients with damp-heat phlegm-type pelvic inflammatory disease admitted to our hospital from March 2017 to October 2018 were randomly divided into the control group and the treatment group， 40 cases each. The treatment group was treated with Fanghongteng Huoxue Decoction， and the control group was treated with levofloxacin hydrochloride. Both groups were treated with infrared therapy on the basis of drug treatment. The course of treatment was 2 weeks. The clinical comprehensive efficacy， TCM symptom efficacy， trauma index， immunological index and safety of the two groups were compared after treatment.Results The comprehensive clinical efficacy of the patients： the total effective rate (90.00%) and the cure rate (77.50%) of the treatment group were higher than 75.00% and 60.00% of the control group， respectively， statistically significant (P<0.01); Comparison of syndrome efficacy： The total effective rate (85.00%) and the cure rate (70.00%) in the treatment group were higher than those in the control group 67.50%， 37.50%， statistically significant (P<0.01); CRP and the values of WBC were lower than those before treatment，the statistical significance was significant (P<0.01). The level of TNF-α in the treatment group was higher than that in the control group after treatment，statistically significant (P<0.01); compared with the C3 level after treatment，the difference was not statistically significant (P>0.05). In a very small number of cases， there were mild abnormalities before blood routine and liver treatment. There was no obvious aggravation after treatment. No new abnormal cases occurred. The blood and urine routine， liver and kidney function before and after treatment in the treatment group were not statistically significant(P>0.05).Conclusion The self-made Fanghongteng Huoxue decoction is effective and safe in the treatment of pelvic inflammation of dampness-heat stasis type., 百拇医药(刘秀)
, 百拇医药
关键词：盆腔炎;湿热瘀结型;红藤活血汤;自拟方;创伤指标;免疫指标
中图分类号：R271.9 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2019.11.046
文章编号：1006-1959(2019)11-0162-03
Abstract：Objective To observe the clinical efficacy of self-made Fanghongteng Huoxue Decoction in the treatment of damp-heat phlegm and pelvic inflammatory disease. Methods 80 patients with damp-heat phlegm-type pelvic inflammatory disease admitted to our hospital from March 2017 to October 2018 were randomly divided into the control group and the treatment group， 40 cases each. The treatment group was treated with Fanghongteng Huoxue Decoction， and the control group was treated with levofloxacin hydrochloride. Both groups were treated with infrared therapy on the basis of drug treatment. The course of treatment was 2 weeks. The clinical comprehensive efficacy， TCM symptom efficacy， trauma index， immunological index and safety of the two groups were compared after treatment.Results The comprehensive clinical efficacy of the patients： the total effective rate (90.00%) and the cure rate (77.50%) of the treatment group were higher than 75.00% and 60.00% of the control group， respectively， statistically significant (P<0.01); Comparison of syndrome efficacy： The total effective rate (85.00%) and the cure rate (70.00%) in the treatment group were higher than those in the control group 67.50%， 37.50%， statistically significant (P<0.01); CRP and the values of WBC were lower than those before treatment，the statistical significance was significant (P<0.01). The level of TNF-α in the treatment group was higher than that in the control group after treatment，statistically significant (P<0.01); compared with the C3 level after treatment，the difference was not statistically significant (P>0.05). In a very small number of cases， there were mild abnormalities before blood routine and liver treatment. There was no obvious aggravation after treatment. No new abnormal cases occurred. The blood and urine routine， liver and kidney function before and after treatment in the treatment group were not statistically significant(P>0.05).Conclusion The self-made Fanghongteng Huoxue decoction is effective and safe in the treatment of pelvic inflammation of dampness-heat stasis type., 百拇医药(刘秀)