盆腔炎2号方口服加外敷治疗气滞血瘀型慢性盆腔炎的临床研究

发布时间：2018-02-15 20:45

本文关键词： 盆腔炎2号方气滞血瘀型慢性盆腔炎临床研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过观察盆腔炎2号方口服加外敷治疗气滞血瘀型慢性盆腔炎的临床疗效,研究盆腔炎2号方的作用机理,为慢性盆腔炎患者的中医药治疗探寻更有效的途径。方法:选取符合诊断标准的60例患者,随机分为两组,即治疗组30例和对照组30例。治疗组口服经验方盆腔炎2号方配合药渣外敷,对照组服用血府逐瘀口服液,以4周为一疗程,经期停药,治疗三个疗程后比较两组患者治疗前后的中医症状疗效、局部体征疗效、临床综合疗效、炎性包块、积液及阴道分泌物清洁度的变化情况。结果:1.治疗后两组患者中医症状积分、局部体征积分均较治疗前改善,差异有统计学意义(P0.05),中医症状积分方面,治疗组优于对照组(P0.05),局部体征积分方面,治疗组明显优于对照组(P0.01);2.治疗后中医症状疗效、局部体征疗效及综合疗效相比,治疗组均优于对照组,差异有统计学意义(P0.05);3.在盆腔包块及盆腔积液方面,两组患者较治疗前均有改善(P0.05),治疗组优于对照组(P0.05);4.在阴道分泌物方面,两组均有改善,治疗组优于对照组(P0.05)。结论:盆腔炎2号方对气滞血瘀型慢性盆腔炎有明显的临床疗效,可有效改善患者的中医症状及局部体征,在减少炎性渗出,消散包块,改善阴道分泌物清洁度上有积极的作用,口服联合药渣外敷的综合治法安全有效,值得进一步临床研究和推广。
[Abstract]:Objective: To observe the clinical effect of pelvic inflammation by No. 2 oral and topical treatment of qi stagnation and blood stasis of chronic pelvic inflammation, pelvic inflammatory mechanism of No. 2, explore the effective way for the treatment of patients with chronic pelvic inflammatory disease by traditional Chinese medicine. Methods: a total of 60 patients were randomly divided into two groups. That is, the treatment group of 30 cases and 30 cases in the control group. The treatment group oral experience pelvic inflammation No. 2 decoction combined with external application of dregs, the control group taking Xuefuzhuyu Oral Liquid for 4 weeks for a course of treatment, menstrual withdrawal, curative effect of TCM symptoms before and after treatment were compared between the two groups after three courses of treatment. Local signs of efficacy, clinical efficacy, inflammatory mass, ascites and vaginal secretions cleanliness changes. Results: 1. of the two groups after the treatment, TCM symptoms, local signs integral were improved compared with before treatment, the difference was statistically significant (P0.05), TCM symptom score , the treatment group than the control group (P0.05), local signs integral, the treatment group was significantly better than the control group (P0.01); TCM symptoms in 2. after treatment, and compared the comprehensive curative effect of local signs of efficacy, the treatment group was better than the control group, the difference was statistically significant (P0.05); 3. in pelvic mass and pelvic effusion, two groups of patients before treatment were improved (P0.05), the treatment group than the control group (P0.05); 4. in vaginal secretions, two groups were improved in the treatment group than the control group (P0.05). Conclusion: pelvic inflammatory disease No. 2 has obvious clinical curative effect of qi stagnation and blood stasis type of chronic pelvic inflammatory disease, can effectively improve the TCM symptoms and local signs, reduce inflammatory exudation, dissipating mass, improve vaginal secretions have a positive effect on the degree of oral, topical therapy combined with drug residue comprehensive safe and effective, worthy of further clinical study and promotion.

【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.9

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