慢性盆腔炎中药治疗前后盆腔血流动力学分析

目的探讨盆腔血流动力学作为慢性盆腔炎中药疗效分析的客观指标。方法60例慢性盆腔炎患者，采用自拟方盆炎平治疗30天，治疗前后在月经干净3～7天后用彩色多普勒超声诊断仪观察血流动力学变化。结果治疗后卵巢左侧动脉搏动指数及阻力指数，右侧阻力指数，子宫左侧动脉最大流速和时间流速积分改善，与治疗前比较，差异有显著性（P〈0．05）。结论盆腔血流动力学可为中药活血化瘀、清热解毒法治疗慢性盆腔炎的疗效评定提供一个客观指标。

Analysis on the Significance of Pelvic Hemodynamics in Efficacy Evaluation of TCM Treatment for Chronic Pelvic Inflammation

Objective To explore the significance of pelvic hemodynamics as an index in evaluating efficacy of TCM treatment for chronic pelvic inflammation (CPI). Methods Sixty patients with CPI received treatment with Penyanping, a self-formulated TCM recipe, for 30 days, and the changes of pelvic hemodynamic indexes in them were measured before and after treatment within the 3-7 days after menstruation using color Doppler. Results Improvement of pelvic hemodynamics indexes were shown after treatment in ovarian left arteriopalmus index, bilateral resistance index, maximal speed of left arterial blood flow and score of time-velocity, as compared with those before treatment, the difference was significant respectively (P<0.05). Conclusion Pelvic hemodynamic indexes could be taken as one of the objective parameters for evaluating efficacy of TCM treatment of CPI according to principle of activating blood circulation to remove stasis, clearing heat and detoxifying.