中医综合治疗慢性盆腔炎的临床疗效评价研究

目的：评价中医综合治疗慢性盆腔炎的临床综合疗效，探讨基于症状变化的中医证候疗效评价方法。方法：将慢性盆腔炎患者121例随机分成中医综合治疗组、西药组，比较各组的综合疗效及证候疗效情况。结果：中医综合治疗组总有效率95．8％，西药组总有效率86％，2组差异无统计学意义（P〉0．05）。症状等级分组资料的H检验结果表明气滞血瘀型中医综合治疗组（中医组）显著优于西药组（P〈0．05）。湿热瘀结型中医组与西药组的差异无统计学意义。结论：中医综合治疗慢性盆腔炎的临床疗效确切，采用症状等级分组资料H检验可能为一种更好的疗效评价方法。

Study on Evaluation of Clinical Efficacy of Integrated Traditional Chinese Medicine Treatment of Chronic Pelvic Inflammation

Objective： To evaluate clinical efficacy of integrated TCM Treatment for Chronic pelvic inflammation, and explore efficacy e-valuation methodology. Methods ：121 patients of chronic pelvic inflammation were randomly divided into integrated traditional Chinese medicine treatment group, western medicine group. Overall efficacy and symptoms were evaluated and compared. Results：Total effective rate of TCM group was 95.8% , compared to 86% of western medicine group （P 〉0. 05）. H test showed the subtype of qi stagnation and blood stasis in TCM group was better than western medicine group at relieving symptoms （ P 〈 0.05 ） , the type of damp heat and blood stasis in TCM group was not significantly better than the Western medicine group in relieving symptoms . Conclusion：Integrated traditional Chinese medicine treatment is effective for treatment of chronic pelvic inflammation, H test with symptoms rating and categori-zation is a recommendable methodology for efficacy evlauation.