丹莪妇康煎膏联合抗生素治疗盆腔炎性包块的临床观察

目的：观察丹莪妇康煎膏联合抗生素治疗女性盆腔炎性包块的效果。方法选取2011年3月-2012年7月收治的100例盆腔炎性包块患者，并根据患者意愿将其均分为观察组和对照组。观察组采用丹莪妇康煎膏联合抗生素进行治疗，对照组单用抗生素进行治疗。治疗后3个月观察两组患者的临床效果。结果观察组患者腰痛、下腹痛以及白带增多的现象明显少于对照组，观察组患者治疗后的总有效率为96%，对照组患者治疗后的总有效率为78%，两组比较具有差异性，P〈0.05。结论丹莪妇康煎膏进行联合抗生素治疗盆腔炎性包块有效。     

丹莪妇康煎膏联合抗生素治疗盆腔炎性包块疗效分析

目的：观察抗生素联合丹莪妇康煎膏治疗盆腔炎性包块的疗效。方法：选择80例盆腔炎性包块患者,将其随机分为治疗组和对照组,治疗组在抗生素治疗的基础上采用口服丹莪妇康煎膏辅助治疗,对照组仅用抗生素单一治疗,观察停药3个月后的临床疗效。结果：治疗组腰痛、下腹痛、痛经、白带增多症状改善情况较对照组,差异有统计学意义（P〈0.05）;抗生素联合丹莪妇康煎膏治疗组总有效率为87.50%,对照组总有效率为77.50%,两组比较,差异有统计学意义（P〈0.05）。结论：抗生素联合口服丹莪妇康煎膏可改善炎症局部血液循环,提高药物在病灶局部的浓度,从而有效提高抗生素的治疗效果,提高治愈率。     

抗生素联合丹莪妇康煎膏、红花注射液治疗慢性盆腔炎的临床疗效观察

目的：观察“中西医结合疗法”抗生素加丹莪妇康煎膏、红花注射液治疗慢性盆腔炎的临床疗效。方法：将我院门诊收集的110例慢性盆腔炎患者采用数字表法随机分为两组,每组各55例,其中对照组采取红花注射液治疗,观察组在此基础上加用丹莪妇康煎膏治疗,比较两组临床治疗效果。结果：观察组总有效率94.55%,显著高于对照组的74.55%,两组比较差异均具有统计学意义（P〈0.05）。结论：抗生素加丹莪妇康煎膏、红花注射液治疗慢性盆腔炎疗效显著,可明显改善患者临床症状,具有较好的临床应用和推广价值。     

米非司酮配伍丹莪妇康煎膏治疗子宫肌瘤的疗效观察

目的：探讨米非司酮配伍丹莪妇康煎膏治疗子宫肌瘤的疗效。方法选取本院收治的162例子宫肌瘤患者采用米非司酮配伍丹莪妇康煎膏保守治疗。结果治疗3个月后,37例患者肌瘤完全消失,92例患者肌瘤体积缩小,33例患者治疗无明显变化,治疗总有效率为79.63%,无效率为20.37%。且服药期间患者均无明显不良反应。结论米非司酮配伍丹莪妇康煎膏治疗子宫肌瘤临床疗效显著,可值得临床推广。     

丹莪妇康煎膏治疗子宫内膜异位症56例

目的研究丹莪妇康煎膏治疗子宫内膜异位症的临床疗效。方法选择2011年6月至2012年6月医院收治的子宫内膜异位症患者112例,随机分成两组,各56例。对照组给予口服丹那唑,200 mg/次,每日3次;治疗组于月经前10 d给予开水兑服丹莪妇康煎膏,15 g/次,每日2次。均以10 d为1个疗程,连续治疗3个月经周期,月经期可不停药,若治疗期间受孕则停药。观察两组患者临床疗效及不良反应。结果对照组总有效率为92.86%,治疗组为96.43%,两组比较差异无统计学意义（P〉0.05）;两组患者临床症状、体征差异无统计学意义（P〉0.05）;对照组用药后可造成闭经,并出现体重增加、水肿、痤疮、肝功能异常等不良反应,停药后可自行恢复。治疗组用药后未影响月经周期,且未发生明显不良反应。结论丹莪妇康煎膏治疗子宫内膜异位症安全、有效,对月经周期无影响,不良反应少,值得临床推广。     

丹莪妇康煎膏用于人工流产术后的临床观察

目的探讨丹莪妇康膏用于人工流产术后的临床效果。方法人工流产者120例,随机分为观察组60例:术后给予丹莪妇康膏15g,每天两次,服用10d;对照组60例:术后口服益母草10g,每天两次,服用10d。观察术后出血量、出血时间、腹痛时间、腹痛程度、术后2周子宫内膜厚度、月经转归时间、盆腔感染情况。结果研究组出血少于既往月经量的患者显著多于对照组,研究组出血时间和腹痛时间明显少于对照组,腹痛程度比对照组轻,术后2周子宫内膜的平均厚度变化两组无显著性差异,两组恢复月经的时间差异无显著性,两组血红蛋白和白细胞的均值手术前后变化差异无显著性意义。提示丹莪妇康膏是人工流产术后辅助治疗的理想药物。     

丹莪妇康煎膏治疗未婚痛经的临床疗效

目的观察丹莪妇康煎膏治疗未婚痛经的临床疗效。方法选择未婚痛经患者54例,年龄15～22岁,平均18.5岁;其中轻度痛经19例,中度痛经22例,重度痛经13例。将患者随机分为治疗组30例,对照组24例;两组患者构成经χ2检验差异无显著性（P〉0.05）,具有可比性。治疗组用丹莪妇康煎膏治疗,对照组用消炎痛治疗。结果治疗组总有效率93.3%,对照组总有效率83.3%,P〈0.05。结论丹莪妇康煎膏治疗痛经有较好的临床疗效。     

丹莪妇康煎膏在药物流产术中的效果观察

米非司酮配伍米索前列腺醇终止早期妊娠,由于其安全、有效、方便、痛苦小、不需手术,临床上已被广泛采用,但存在药物流产后阴道出血时间及腹痛时间长、月经复潮时间久等不良反应.为了更好地解决这一问题,我科2010年3月至2011年1月采用丹莪妇康煎膏配合药物流产,效果满意,报告如下.     

丹莪妇康煎膏治疗子宫内膜异位症疗效分析

目的总结并探讨丹莪妇康煎膏治疗子宫内膜异位症临床疗效及安全性。方法选取本院2008年9月～2010年2月收治的子宫内膜异位症患者193例,随机分为两组,其中对照组97例,采用孕三烯酮口服治疗,2.5mg/次,每周2次;实验组96例,采用丹莪妇康煎膏口服治疗,10g/次,每天2次;疗程均为6个月经周期,疗程结束后评价临床疗效及安全性。结果对照组患者治疗总有效率为81.4%,实验组患者治疗总有效率为94.8%,实验组患者治疗总有效率明显高于对照组,组间比较差异有统计学意义（P〈0.05）;两组患者治疗前血清CA125水平比较差异无统计学意义（P〉0.05）,治疗后血清CA125水平较治疗前均明显减少,组间比较差异有统计学意义（P〈0.05）;且实验组患者血清CA125水平明显优于对照组,组间比较差异亦有统计学意义（P〈0.05）;同时实验组患者不良反应发生率明显低于对照组,组间比较差异有统计学意义（P〈0.05）。结论丹莪妇康煎膏治疗子宫内膜异位症疗效确切,能够明显改善临床症状及体征,且不良反应较少,具有临床推广价值。     

丹莪妇康煎膏联合中药灌肠治疗子宫内膜异位症

目的评价丹莪妇康煎膏联合中药灌肠治疗子宫内膜异位症（EMT）的临床疗效。方法将64例确诊子宫内膜异位症患者随机分成治疗组（丹莪妇康煎膏配合中药灌肠）32例与对照组（口服米非司酮）32例。评价其近、远期疗效。结果近期总有效率治疗组与照组组分别为84．4％、81．2％,差异无统计学意义（χ2=0．010,P〉0．05）;远期总有效率治疗组与照组组分别为71．9％、40．6％,差异有统计学意义（χ2=6．349．P〈0．05）。结论丹莪妇科煎膏联合中药灌肠治疗子宫内膜异位症远期治疗效果优于传统方法。     

中药外治法用于盆腔炎性疾病后遗症的疗效探讨

Objective To explore the curative effect of treating sequelae of pelvic inflammatory disease with chinese medicine external therapy.Metbods 178 cases that diagnosed as sequelae of pelvic inflammatory disease were randomly divided into control group,test Group 1,and test Group 2.Control group were treated by with broad-spectrum antibioticos for three cycles cycles intravenously;and applying Chinese medicine retention enema and Chinese medicine abdominal hot compress on test Group 1 for three cycles;test Group 2 was used the same methods as group 1 for six cycles.Comparing the comprehensive effect,cure rate and the recurrence rate within the six-month after the treatment.Results Comparing the integrated effect of the three groups;test groups 2 was the optimal(P＜0.01).The cure rates of control group,test Group 1,and test Group 2 were19%34%61%respective;and the recurrence rates were 55%,35%,12%respectively.There were statistically significant differences among these three groups(P＜0.01);test group 2 had the highest cure rate and the lowest recurrence rate;and control group had the opposite results.Conchusion Applying Chinese medicine retention enema and abdominal Chinese medicine hot compress on sequelae of pelvic inflammatory disease for 6 cycles has remarkable treatment effect.     

中药外治法用于盆腔炎性疾病后遗症的疗效探讨

Objective To explore the curative effect of treating sequelae of pelvic inflammatory disease with chinese medicine external therapy.Metbods 178 cases that diagnosed as sequelae of pelvic inflammatory disease were randomly divided into control group,test Group 1,and test Group 2.Control group were treated by with broad-spectrum antibioticos for three cycles cycles intravenously;and applying Chinese medicine retention enema and Chinese medicine abdominal hot compress on test Group 1 for three cycles;test Group 2 was used the same methods as group 1 for six cycles.Comparing the comprehensive effect,cure rate and the recurrence rate within the six-month after the treatment.Results Comparing the integrated effect of the three groups;test groups 2 was the optimal(P＜0.01).The cure rates of control group,test Group 1,and test Group 2 were19%34%61%respective;and the recurrence rates were 55%,35%,12%respectively.There were statistically significant differences among these three groups(P＜0.01);test group 2 had the highest cure rate and the lowest recurrence rate;and control group had the opposite results.Conchusion Applying Chinese medicine retention enema and abdominal Chinese medicine hot compress on sequelae of pelvic inflammatory disease for 6 cycles has remarkable treatment effect.     

中药外治法用于盆腔炎性疾病后遗症的疗效探讨

Objective To explore the curative effect of treating sequelae of pelvic inflammatory disease with chinese medicine external therapy.Metbods 178 cases that diagnosed as sequelae of pelvic inflammatory disease were randomly divided into control group,test Group 1,and test Group 2.Control group were treated by with broad-spectrum antibioticos for three cycles cycles intravenously;and applying Chinese medicine retention enema and Chinese medicine abdominal hot compress on test Group 1 for three cycles;test Group 2 was used the same methods as group 1 for six cycles.Comparing the comprehensive effect,cure rate and the recurrence rate within the six-month after the treatment.Results Comparing the integrated effect of the three groups;test groups 2 was the optimal(P＜0.01).The cure rates of control group,test Group 1,and test Group 2 were19%34%61%respective;and the recurrence rates were 55%,35%,12%respectively.There were statistically significant differences among these three groups(P＜0.01);test group 2 had the highest cure rate and the lowest recurrence rate;and control group had the opposite results.Conchusion Applying Chinese medicine retention enema and abdominal Chinese medicine hot compress on sequelae of pelvic inflammatory disease for 6 cycles has remarkable treatment effect.     

中药外治法用于盆腔炎性疾病后遗症的疗效探讨

目的 探讨中药外治法治疗湿热瘀阻型盆腔炎性疾病后遗症的临床疗效.方法 选择178例确诊为湿热瘀阻型盆腔炎性疾病后遗症的女性,随机分为对照组、试验1组和试验2组.对照组采用广谱抗生素静脉滴注3个疗程,试验1组采取中药保留灌肠加中药腹部外敷治疗3个疗程.试验2组与试验1组同法治疗6个疗程.比较三组的综合疗效.治愈率及停药后...     

中西医结合治疗盆腔炎性疾病的临床研究

目的探讨中药二丹红藤败酱汤联合通络灌肠颗粒基础上加用抗生素治疗盆腔炎性疾病（pelvic inflammatory disease,PID）的疗效。方法选择安徽中医药大学第一附属医院妇科78例PID患者,依据症状、体征和病程进行病情严重程度评分,随机分为3组,分别为中西医结合治疗组（A组）、中药治疗组（B组）和西药治疗组（C组）,比较3组患者的治疗效果。结果A组总有效率为96.2%,B组为80.8%,C组为69.2%,A组疗效明显优于B组及C组（P〈0.05）。A组在改善下腹痛、腰骶胀痛、带下增多等症状及子宫活动受限或压痛体征方面,明显优于B组及C组（P〈0.05）。B组在改善下腹痛症状及缓解子宫活动受限或压痛体征方面明显优于C组（P〈0.05）。A组和B组患者在治疗后C反应蛋白均下降明显（P〈0.05）,其中A组的下降幅度最大。结论中药二丹红藤败酱汤联合通络灌肠颗粒配合抗生素对于治疗PID具有一定优势。     

盆腔炎的治疗与预防

盆腔炎被认为是妇产科的常见疾病,也是外科手术最大的并发症。由于盆腔炎可导致多种后遗症,因此,对盆腔炎的治疗和预防应引起高度重视。本文从盆腔炎发生的危险因素、临床诊断、治疗及预防措施等几个方面对盆腔炎的治疗和预防进行全面的概述,其中重点介绍了盆腔炎的临床治疗,包括常规的抗生素治疗及中西医结合治疗、放射介入治疗和手术治疗等辅助治疗。     

Treatment strategies for pelvic inflammatory disease

Background: Pelvic inflammatory disease (PID) is one of the most common infections seen in nonpregnant reproductive-age women. It is a major public health problem associated with substantial medical complications (e.g., infertility, ectopic pregnancy, and chronic pelvic pain) and healthcare costs. Prevention of these long-term sequelae requires treatment strategies that are based on the microbiologic etiology of acute PID. Objective: To determine appropriate antimicrobial regimens for the treatment of acute PID based on published literature. Methods: Clinical trials published since 2002 were assessed conducting a systematic search of the literature on the treatment of acute PID using PubMed (National Library of Congress). The search was limited to articles written in English and published from 1 January 2002 to 30 June 2008. Results: Acute PID is a polymicrobic infection caused by both sexually transmitted organisms (primarily Neisseria gonorrhoeae and Chlamydia trachomatis) and microorganisms found in the endogenous flora of the vagina and cervix. The latter include anaerobic bacteria and facultative bacteria, many of which are associated with bacterial vaginosis. Genital tract mycoplasmas, most importantly Mycoplasma genitalium, may also be implicated in the etiology of acute PID. Because of this polymicrobial nature, currently available evidence, as well as recommendations by the CDC, support the use of broad-spectrum regimens (oral or parenteral) that provide adequate coverage against these microorganisms.     

妇炎康治疗慢性盆腔炎的实验研究

目的观察妇炎康对混合菌液致大鼠慢性盆腔炎的治疗作用。方法采用混合菌液注入大鼠子宫造成大鼠慢性盆腔炎,比较各组动物血液流变学指标,并对子宫组织进行病理组织学检查。结果造模后灌胃给药20d,模型组大鼠子宫黏膜上皮坏死变性,纤维结缔组织增生,形成粘连、包块为主。全血黏度、血浆黏度等血液流变学指标异常升高;妇炎康可不同程度改善子宫病理改变,并使血液流变学指标显著改善。结论采用混合菌液注入大鼠子宫可造成大鼠慢性盆腔炎模型。妇炎康对混合菌液致大鼠慢性盆腔炎有显著的治疗作用。     

三种方案治疗慢性盆腔炎的成本-效果分析

目的探讨暖宫贴配合甲硝唑等方法灌肠治疗慢性盆腔炎的经济效果。方法选取慢性盆腔炎患者204例,随机分为3组,第一组68例采用暖宫贴配合甲硝唑、地塞米松等灌肠治疗（方案A）;第二组68例采用微波配合甲硝唑、地塞米松等灌肠治疗（方案B）;第三组68例采用氨苄青霉素及甲硝唑静脉滴注（方案C）。运用药物经济学中成本-效果分析并进行评价。结果三组成本分别是400元,365元和169元;有效率分别是81.8%,60%和30.8%;成本-效果比分别是4.89,6.08和5.48;敏感性分析的成本-效果比分别是4.89,6.14和5.10。结论采用暖宫贴配合甲硝唑、地塞米松等灌肠治疗慢性盆腔炎有明显的经济优势。     

中医药辅助治疗慢性盆腔炎的临床分析

目的探讨自拟中药汤辅助治疗慢性盆腔炎的临床价值。方法 2010年1月-2011年12月本院诊治的80例慢性盆腔炎患者随机分成2组：①对照组40例,口服左氧氟沙星＋甲硝唑治疗;②实验组40例,口服左氧氟沙星＋甲硝唑＋自拟中药汤治疗。观察比较两组的临床疗效、症状体征以及免疫功能改善情况。结果实验组的总有效率显著高于对照组（P〈0.05）;实验组患者治疗后子宫或附件压痛、白带增多、腹痛、附件包块、盆腔积液等症状体征的发生率显著低于对照组（P〈0.05）;实验组患者治疗后白细胞介素-2（IL-2）、白细胞介素-10（IL-10）等免疫功能指标水平显著高于对照组（P〈0.05）。结论临床应用自拟中药汤辅助治疗慢性盆腔炎有助于减轻症状体征、提高临床疗效和改善患者的免疫功能。