中药热奄包联合保留灌肠在慢性盆腔炎患者中的应用效果分析

目的 探讨慢性盆腔炎患者应用中药热奄包联合保留灌肠的临床效果。方法 2020年1月至2022年12月选取中山陈星海中西医结合医院收治的慢性盆腔炎患者139例为研究对象，根据不同的治疗方法分为对照组（予以常规西药治疗，69例）与观察组（在常规西药治疗的基础上予以中药热奄包联合保留灌肠治疗，70例）。对比两组患者临床症状改善时间，治疗前后两组患者的中医症候积分、阴道pH值、盆腔疼痛程度、临床疗效和生活质量。结果 观察组患者下腹痛、腰骶酸痛、下腹坠胀、白带异常改善时间较对照组明显缩短（P＜0.05）；治疗后，两组患者下腹或腰骶冷痛、小腹坠胀、带下月经异常、神疲乏力、小便频数的积分均明显低于治疗前，且观察组较对照组更低（P＜0.05）；治疗后，两组患者的阴道pH值、盆腔疼痛评分均低于治疗前，且观察组均低于对照组（P＜0.05）；观察组治疗总有效率和生活质量各维度评分均高于对照组（均P＜0.05）。结论 慢性盆腔炎患者应用中药热奄包联合保留灌肠治疗，可取得确切疗效，缓解疼痛，显著改善患者症状，提高生活质量及预后。

Analysis of the application effect of Traditional Chinese Medicine Re-Yan Bao combined with retention enema in patients with chronic pelvic inflammation

Objective To explore the application effect of Traditional Chinese Medicine Re-Yan Bao combined with retention enema on patients with chronic pelvic inflammatory disease and its impact on quality of daily life. Methods From January 2020 to December 2022，a total of 139 patients with chronic pelvic inflammatory disease admitted to Zhongshan Chenxinghai Integrated Traditional Chinese and Western Medicine Hospital were selected. According to the different treatment methods，they were divided into a control group(69 cases were treated with conventional Western medicine)and an observation group(70 cases were treated with combination of traditional Chinese medicine and retention enema). The clinical efficacy，traditional Chinese medicine symptom scores, symptom improvement time, pelvic pain degree, vaginal pH value, and quality of life were compared. Results The improvement time of lower abdominal pain, lumbosacral pain, lower abdominal distension and abnormal leucorrhea in the observation group was significantly shorter than that in the control group (P<0.05). After treatment, the scores of lower abdomen pain and lumbosacral pain, abdominal distension, abnormal leucorrhea, mental fatigue and frequency of urination in the two groups were significantly lower than before, and the observation group was lower than that in the control group (P<0.05). After treatment, the vaginal pH value and pelvic pain (VAS) evaluation were decreased in both groups, especially in the observation group (P<0.05). The total effective rate in the observation group was significantly higher than that in the control group (P<0.05). After treatment, the score of SF-36 was higher in both groups than before, and it was more obvious in the observation group (P<0.05).Conclusions The application of Traditional Chinese Medicine Re-Yan Bao combined with retention enema in the treatment of chronic pelvic inflammatory disease patients can achieve definite therapeutic effects，alleviate pain，significantly improve patient symptoms，and ensure good quality of life and prognosis.