中药保留灌肠联合膈下逐瘀汤治疗气滞血瘀型慢性盆腔炎的效果观察

文章信息/Info

• Title:中药保留灌肠联合膈下逐瘀汤治疗气滞血瘀型慢性盆腔炎的效果观察

• 卷期:2024年22卷15期

• 作者:程丽

• 广东省河源市中医院妇科，广东河源517000

• Author(s):Cheng Li

• Gynaecology Department of the Traditional Chinese Medicine Hospital in Heyuan City, Guangdong Province, 517000

• 关键词慢性盆腔炎；气滞血瘀型；膈下逐瘀汤；保留灌肠；中药

• Keywords: chronic pelvic inflammatory disease; Qi-stagnation and blood stasis syndrome; Gexia Zhuyu Decoction; retention enema; Chinese herbs

• 摘要::目的 分析慢性盆腔炎（气滞血瘀型）病患开展膈下逐瘀汤以及中药保留灌肠治疗的作用。方法 选择本院就诊的慢性盆腔炎（气滞血瘀型）病患，共计60例，研究开启于2021年1月，完结在2022年3月。分组方式选择随机摸红蓝球方式，其中常规组（30例）摸蓝球，试验组（30例）摸红球，将膈下逐瘀汤应用于常规组病患中，将膈下逐瘀汤以及中药保留灌肠应用于试验组病患中。针对每组病患各时期中医证候得分、盆腔积液深度以及治疗效果进行比较。结果 治疗后试验组病患下腹疼痛、腰骶胀痛以及经行腹痛加重得分相较低于常规组（P<0.05）。同组组内治疗后盆腔积液深度相较低于治疗前，治疗后试验组病患盆腔积液深度相较低于常规组（P<0.05）。结论 慢性盆腔炎气滞血瘀型病患开展膈下逐瘀汤以及中药保留灌肠治疗，能够改善临床症状，促进盆腔积液吸收，提高治疗效果，发挥重要作用。                                                                                                                                                                                

• AbstractTo analyze the clinical effects of Chinese herbal retention enema and Gexia Zhuyu Decoction in treating the Qi-stagnation and blood stasis syndrome of chronic pelvic inflammatory disease. Methods: 60 patients with  Qi-stagnation and blood stasis syndrome of chronic pelvic inflammatory disease treated from January 2021 to March 2022 in our hospital were selected. According to the ball-touching method, patients were divided into routine group (n=30, blue ball) and experimental group (n=30, red ball). Gexia Zhuyu Decoction was applied in the routine group; Gexia Zhuyu Decoction and Chinese herbal retention enema were applied in the experimental group. TCM syndrome scores, pelvic effusion depth and treatment effects were compared. Results: After treatment, related symptom scores in the experimental group were even lower than routine group (P<0.05); after treatment, the pelvic effusion depth for two groups was lower than before; after treatment, the pelvic effusion depth in the experimental group was even lower than routine group (P<0.05). Conclusion: Gexia Zhuyu Decoction and Chinese herbal retention enema can reduce the clinical symptoms and pelvic effusion, increase the treatment effects for  Qi-stagnation and blood stasis syndrome of chronic pelvic inflammatory disease patients.  

  盆腔炎主要是指上生殖道的一组感染性疾病，若盆腔炎性疾病未能及时获得根治，极易使得炎症反复发作，或是形成慢性盆腔痛，临床将其称之为慢性盆腔炎[1-2]。患病后病患可有持续性下腹部疼痛，阴道分泌物增加，下腹部可出现坠胀感以及疼痛感，尤其是在月经前后、性交后、活动后，上述不适症状会明显加重，对病患正常工作以及生活造成不利影响[3]。我国传统医学在慢性盆腔炎方面也有一定研究，其将该疾病划分成虚实夹杂型、气滞血瘀型以及湿热挟瘀型，尤以气滞血瘀型最为常见[4]。中医治疗慢性盆腔炎气滞血瘀型病患，通常选择汤药口服治疗，虽然能够一定程度上控制疾病进展，但是治疗效果缓慢，病患满意度不高。中药保留灌肠是中医常用治疗方式，但是对于其在治疗慢性盆腔炎气滞血瘀型效果方面，临床尚未得出统一结论，需要以此为切入点实施深入分析。