五味消毒饮合大黄牡丹皮汤加减联合西药治疗急性盆腔炎的临床疗效观察

发布时间：2018-03-06 13:41

本文选题：五味消毒饮　切入点：大黄牡丹皮汤　出处：《中国中医基础医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:研究五味消毒饮合大黄牡丹皮汤加减联合西药治疗急性盆腔炎(湿毒壅盛兼血瘀证)的临床疗效。方法:将105例急性盆腔炎(湿毒壅盛兼血瘀证)患者按随机数字表法分为对照组52例和联用组53例,对照组给予头孢西丁钠+盐酸多西环素静脉滴注治疗,联用组在此基础上加用五味消毒饮合大黄牡丹皮汤加减治疗,比较2组患者治疗前后的中医症状分级量化积分、盆腔超声检查、血常规、血液流变学指标、炎症因子水平及各临床症状消失时间及住院时间差异,并比较2组的临床疗效、不良反应发生及复发情况。结果:联用组治疗后中医症状(除头痛外)分级量化积分、盆腔超声检查、血常规、血液流变学指标、炎症因子水平及各临床症状消失时间及住院时间均显著优于对照组。联用组临床疗效的总有效率显著高于对照组。2组在治疗期间的不良反应发生率比较差异无统计学意义,且联用组的复发情况显著低于对照组。结论:五味消毒饮合大黄牡丹皮汤加减联合西药治疗急性盆腔炎能够显著提高临床疗效并降低疾病复发,适合在临床推广应用。
[Abstract]:Objective: to study the clinical efficacy of Wuwei Disinfection Yin combined with Dahuang Mudanpi decoction combined with western medicine in the treatment of acute pelvic inflammatory disease (dampness and toxin accumulation and blood stasis syndrome). The method of random digital table was divided into control group (52 cases) and combined group (53 cases). The control group was treated with cefoxitin sodium doxycycline hydrochloride intravenously, and the combined group was treated with Wuwei Disinfection decoction and Dahuang Mudanpi decoction. The scores of TCM symptoms before and after treatment were compared between the two groups. Pelvic ultrasound examination, blood routine examination, hemorheology index, inflammatory factor level, time of disappearance of clinical symptoms and hospitalization time were compared between the two groups. Results: after treatment, the TCM symptoms (except headache) were graded and quantified, pelvic ultrasound examination, blood routine, hemorheology index, and so on. The levels of inflammatory factors, the time of disappearance of clinical symptoms and the duration of hospitalization were significantly better than those of the control group, and the total effective rate of clinical efficacy of the combined group was significantly higher than that of the control group (.2). There was no significant difference in the incidence of adverse reactions during the treatment. Conclusion: the combination of Wuwei Xixiao Yin and Dahuang Mudanpi decoction combined with western medicine can significantly improve the clinical efficacy and reduce the recurrence of disease, which is suitable for clinical application.
【作者单位】：海南医学院附属医院中医科;广东省科学院幼儿园医务室;
【分类号】：R711.33

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