【作者】 王小惠；

【导师】 吴新华；

【作者基本信息】 山东中医药大学 ， 中医妇科学， 2010， 硕士

【摘要】 目的：观察清利化瘀方治疗湿热瘀结型慢性盆腔炎的临床疗效。方法：将50例慢性盆腔炎患者随机分为两组,治疗组30例,口服清利化瘀方,对照组20例,口服妇科千金片,观察两组治疗前后的综合疗效、中医证候疗效、局部体征疗效、妇科B超改善情况及血液流变学指标的变化。结果：治疗组与对照组的综合有效率、中医证候总有效率及局部体征总有效率比较,差异有显著性(P<0.05)。治疗后两组患者中医证候积分和局部体征积分组内比较,差异有统计学意义(P<0.01)；组间比较及疗前疗后积分差值比较,差异均具有统计学意义(P<0.05)。两组患者治疗后的血液粘滞状态均有明显改善,与治疗前比较,差异具有统计学意义(P<0.05)；组间比较,治疗组在降低低切全血粘度、血浆粘度方面优于对照组,差异具有统计学意义(P<0.05)。在本试验过程中未发现明显不良反应。结论：清利化瘀方对慢性盆腔炎有较好治疗作用,能有效缓解小腹疼痛、腰骶疼痛、带下色黄、大便溏秘等慢性盆腔炎的症状,且能改善患者血液流变性,降低其血液粘度,是临床治疗湿热瘀结型慢性盆腔炎的有效途径。更多还原

【Abstract】 Objective:Observed clearing damp heat and remove blood stasis junction clinical efficacy of chronic pelvic inflammatory disease. Methods:50 patients with chronic pelvic inflammatory disease were randomly divided into two groups, treatment group,30 cases of oral Qing Li Hua Fang, control group 20 cases, oral Qianjinpian to observe the integrated effect of the two groups before and after treatment, traditional Chinese medicine syndromes, local signs of efficacy, gynecology B-improvement and changes in blood rheology. Results:The treatment group and control group overall efficiency, TCM total effective rate and total effective rate of local signs, the difference was significant (P<0.05). The two groups after treatment in patients with TCM signs of integration points and the local group, the difference was statistically significant (P<0.01); between the two groups and the difference before treatment after treatment points of comparison, the differences were statistically significant (P<0.05). Two groups of blood viscosity state after treatment were significantly improved compared with those before treatment, the difference was statistically significant (P<0.05); group comparison between the treatment group in reducing the low-shear whole blood viscosity, plasma viscosity in better than the control group, the difference was statistically significant (P<0.05). During the course of the experiment no obvious adverse reactions.Conclusion:Qing Li Hua Fang a better treatment of chronic pelvic inflammatory effect, can effectively relieve abdominal pain, lumbosacral pain, vaginal discharge, yellow, loose stools Secretary symptoms such as chronic pelvic inflammatory disease, could improve the hemorheology of patients, reduce blood viscosity, is the clinical treatment of chronic pelvic inflammatory heat blood stasis effective way.更多还原