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[目的]观察红藤汤内服、灌肠联合西药治疗慢性盆腔炎疗效。[方法]使用随机平行对照方法,将74例住院及门诊患者按病志号抽签法简单随机分为两组。左氧氟沙星,0.3g/次,1次/d,静滴;甲硝唑,0.2g/次,3次/d,口服。对照组37例红藤汤(红花、苦参各10g,忍冬藤、丹参各12g,赤芍10g,败酱草、紫花地丁各15g,香附、紫草各12g,蒲公英30g,乳香5g,红藤30g),1剂/d,水煎400m L,早晚口服,200m L/次。治疗组37例红藤汤灌肠,平卧位,口服后药渣煎200m L,凉至温度适宜,导尿管与直肠距离<140mm,20min内完成灌注,经期停止;1次/d,睡前灌注;红藤汤内服同对照组。连续治疗10d为1疗程。观测临床症状、后盆腔包块体积、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效16例,有效20例,无效1例,总有效率97.30%。对照组显效11例,有效18例,无效8例,总有效率78.83%。治疗组疗效优于对照组(P<0.05)。[结论]红藤汤内服、灌肠联合西药治疗慢性盆腔炎疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of Red Teng decoction orally, enema and western medicine in treating chronic pelvic inflammatory disease. [Methods] Using randomized parallel control method, 74 inpatients and outpatients were randomly divided into two groups according to the random number drawing method. Levofloxacin, 0.3g / time, 1 / d, intravenous infusion; metronidazole, 0.2g / time, 3 times / d, orally. The control group of 37 cases of red vine soup (safflower, Sophora 10g, honeysuckle, Salvia the 12g, red peony 10g, Patrinia, Viola 15G each, Cyperus rotundus 12g, Dandelion 30g, frankincense 5g , Red cane 30g), 1 / d, decoction 400m L, morning and evening oral, 200m L / time. In the treatment group, 37 cases of Radix et Rhizoma enema, supine, oral dregs fried 200m L, cool to the appropriate temperature, catheter and rectal distance <140mm, perfusion within 20min to complete, menstruation stop; 1 / d, before going to bed Perfusion; Red Teng decoction with the control group. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, pelvic mass volume, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] The treatment group was markedly effective in 16 cases, effective in 20 cases, ineffective in 1 case, the total effective rate was 97.30%. In the control group, 11 cases were markedly effective, 18 cases were effective, 8 cases were ineffective and the total effective rate was 78.83%. The treatment group was better than the control group (P <0.05). [Conclusion] The decoction of Ertong Decoction combined with enema and western medicine has satisfactory curative effect on chronic pelvic inflammatory disease without serious adverse reactions and is worth popularizing.