■观察妇炎清方对湿热瘀阻型盆腔炎后遗症的影响。
■12月起,保定市第一中心医院收治湿热瘀型盆腔炎后遗症患者80例,2018年4月,2020年,并根据随机数字表分为两组,每组40例。对照组患者采用常规西药治疗,观察组患者采用妇炎清方口服治疗。临床疗效,中医证候的变化,当地标志得分,疼痛的视觉模拟量表(VAS),盆腔肿块大小,观察比较两组患者治疗前后的盆腔液体积和子宫血流参数,并对两组的安全性进行评价。
■观察组治疗后总有效率为87.5%,显著高于对照组的67.5%(p<0.05)。中医证候积分,当地标志分数,疼痛评分,两组患者治疗后盆腔肿块大小和盆腔积液均明显减少(P<0.05),两组治疗后PSV指标均显著升高(P<0.05),这些变化在观察组中更为明显(p<0.05)。与治疗前相比,观察组患者治疗后PI、RI指标明显下降(p<0.05)。观察组出现不良反应的7.5%明显低于对照组的27.5%(p<0.05)。
■复炎清方是治疗湿热瘀阻型盆腔炎后遗症患者的一种安全可靠的治疗方法。值得在临床上推广。
UNASSIGNED: To investigate the effect of Fu Yan Qing prescription on sequelae of pelvic inflammatory disease of accumulation of dampness heat and blood stasis type.
UNASSIGNED: Total 80 patients with sequelae of sequelae of pelvic inflammatory disease of accumulation of dampness heat and blood stasis type were admitted to Baoding No.1 Central Hospital from December, 2018 to April, 2020 and divided into two groups according to the random number table, with 40 cases in each group. Patients in the control group were treated with conventional western medicine, while patients in the observation group were treated with Fu Yan Qing prescription orally. The clinical efficacy, the changes of traditional Chinese medicine (TCM) syndromes, local sign scores, visual analog scale (VAS) of pain, pelvic mass size, pelvic fluid volume and uterine blood flow parameters of the two groups before and after treatment were observed and compared, and the safety of the two groups was evaluated.
UNASSIGNED: The total efficacy after treatment in the observation group was 87.5%, which was significantly higher than that of 67.5% in the control group (p<0.05). The TCM syndrome scores, local signs scores, pain scores, size of pelvic mass and pelvic effusion in both groups decreased significantly after treatment (p<0.05), PSV indexes of the two groups were significantly increased after treatment (p<0.05), and these changes were even more pronounced in the observation group (p<0.05). Compared with before treatment, PI and RI indexes of the observation group were significantly decreased after treatment (p<0.05). The observation group experienced an adverse reaction in 7.5% cases considerably lower than the 27.5% of the control group (p<0.05).
UNASSIGNED: Fu Yan Qing prescription is a safe and reliable treatment for patients with sequelae of pelvic inflammatory disease of accumulation of dampness heat and blood stasis type. It is worth promotion in clinical practice.