中药复方妍婷水煎剂两种给药途径治疗慢性盆腔炎93例疗效比较

Comparison of Clinical Efficacies for Treatment of 93 Patients with Chronic Pelvic Inflammation by Chinese Composite Yanting Decoction Medicated via Two Different Paths

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中文关键词: 中药复方慢性盆腔炎气滞血瘀保留灌肠口服

英文关键词:Yanting Decoction chronic pelvic inflammation qi-stagnancy and blood stasis retention enema oral medication

基金项目:黑龙江省科技攻关计划项目(No.GC01C142-02)

作者	单位
侯丽辉	黑龙江中医药大学第一附属医院妇产科
吴丽丽	厦门市妇幼保健院
匡洪影	黑龙江中医药大学第一附属医院妇产科
李玉舸	黑龙江中医药大学第一附属医院妇产科
吴效科	黑龙江中医药大学第一附属医院妇产科

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中文摘要:

目的比较中药复方妍婷水煎剂两种给药途径(保留灌肠和口服)治疗慢性盆腔炎的疗效优势。方法采用多中心随机平行对照原则,将93例慢性盆腔炎气滞血瘀型患者随机分为灌肠组(47例)和口服组(46例),分别采用中药复方妍婷水煎剂保留灌肠和口服给药两种途径治疗,疗程均为10天,观察两组疗效及治疗前后中医证候(气滞血瘀)及局部体征改善情况。结果灌肠组47例,痊愈3例,显效20例,有效22例,无效2例,总有效率95.7%(45/47);口服组46例,痊愈1例,显效8例,有效30例,无效7例,总有效率84.8%(39/46);两组总有效率比较差异有统计学意义(P<0.05)。灌肠组中医证候总有效率95.7%(45/47),口服组为82.6%(38/46);灌肠组局部体征总有效率97.9%(46/47),口服组为84.8%(39/46);以上各项灌肠组改善均优于口服组(P<0.05)。结论中药复方妍婷水煎剂治疗慢性盆腔炎(气滞血瘀型)有较好的临床效果,且灌肠组的疗效优于口服组。

英文摘要:

Objective To compare the clinical efficacies of Chinese composite Yanting Decoction medicated via two different paths(via oral and via retention enema)in treating chronic pelvic inflammation.Methods Adopting the randomized multicentered parallel contrast principle,93 patients were assigned to the retention enema(RE)group(47 cases)and the oral medicated(OM)group(46 cases)at random,Yanting Decoction was administered via respective paths for 10 days as one course.The changes of syndromes(qi-stagnance and blood stasis)and local signs were observed before and after treatment.Results In the 47 patients of the RE group,3 were cured,the treatment was markedly effective in 20,effective in 22 and ineffective in 2,the total effective rate being 95.7%;while in the 46 patients of the OM group,the corresponding number were 1,8,30,7 and 84.8%,respectively,the difference of the tolal effective rate between groups was statistically significant(P<0.05).The total effective rate for TCM syndromes in the RE and the OM group was 95.7%(45/47)and 82.6%(38/46)respectively,and that for local signs,97.9%(46/47)and 84.8%(39/46)respectively,the improvements in the RE group were better than those in the OM group(P<0.05).Conclusion Chinese preparation Yanting Decoction shows good clinical efficacy in treating chronic pelvic inflammation of qi-stagnant blood-stasis type,the effect could be enhanced by medicating via retention enema than that via oral.

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