穴位敷贴联合银甲丸、抗生素口服治疗湿热瘀结型慢性盆腔炎的临床效果

陈丽君 唐琛

[摘要]目的 探讨中药穴位敷贴配合银甲丸、抗生素口服治疗湿热瘀结型慢性盆腔炎的临床效果。方法 选取2016年1月～2018年2月在本院妇科门诊就诊的80例湿热瘀结型慢性盆腔炎患者，按简单随机数字表法分为观察组和对照组各40例。对照组仅予银甲丸、抗生素口服治疗，观察组在对照组基础上配合中药穴位敷贴治疗。观察两组治疗后的视觉模拟评分（VAS）、中医症候积分、总有效率、复发率。结果 观察组治疗1、2周的VAS评分显著低于对照组（P<0.05），两组治疗4周的VAS评分比较，差异无统计学意义（P>0.05）。治疗后，观察组的中医症候积分显著低于对照组（P<0.05）。治疗后，观察组的总有效率显著高于对照组（P<0.05）。观察组治疗后6个月的复发率低于对照组（P<0.05）。结论 中药穴位敷贴联合治疗湿热瘀结型慢性盆腔炎的临床效果显著，可迅速缓解疼痛，降低复发率。

[关键词]穴位敷贴；银甲丸；湿热瘀结型；慢性盆腔炎

[中图分类号] R711.33 [文献标识码] A [文章编号] 1674-4721（2019）4（b）-0164-04

[Abstract] Objective To explore the clinical effect of acupoint application combined with oral Yinjia Pills and antibiotics treating chronic pelvic inflammation of damp-heat stasis type. Methods From January 2016 to February 2018， 80 patients with chronic pelvic inflammation of damp-heat stasis type treated in gynecological clinic of our hospital were selected. They were divided into the observation group and control group according to simple random number table method， 40 cases in each group. The control group was only treated with oral Yinjia Pills and antibiotics， while the observation group was treated with acupoint application of traditional Chinese medicine on the basis of the control group. Visual analogue score （VAS）， TCM symptom score， total effective rate and recurrence rate were observed after treatment in the two groups. Results The VAS score of the observation group was significantly lower than that of the control group at 1 and 2 weeks of treatment （P<0.05）. There was no significant difference in the VAS score between the two groups at 4 weeks of treatment （P>0.05）. After treatment， the scores of TCM symptoms in the observation group were significantly lower than those in the control group （P<0.05）. After treatment， the total effective rate of the observation group was significantly higher than that of the control group （P<0.05）. The recurrence rate in the observation group was lower than that in the control group after 6 months treatment （P<0.05）. Conclusion The clinical effect of combined treatment of acupoint application of traditional Chinese medicine treating chronic pelvic inflammatory disease of damp-heat stagnation type is remarkable， which can quickly relieve pain and reduce the recurrence rate.

[Key words] Acupoint application； Yinjia Pills； Damp-heat stasis type； Chronic pelvic inflammation

慢性盆腔炎即盆腔炎后遗症（sequelae of pelvic inflammation disease，SPID），系盆腔因上生殖道感染从而引发的慢性炎症性疾病，为妇科常见病。有研究显示，15～50岁女性的发病率为4%～20%[1]，SPID的特点是常治久病，迁延不愈，因此严重影响了妇女的身心健康，目前尚无确切有效的治疗方法，药物治疗主要包括抗生素、糖皮质激素、生物制剂糜蛋水解酶类等，但均具有一定的局限性[2]，故临床以综合治疗为主。近年来，我科以中药穴位贴敷配合抗生素、中藥内服治疗SPID，取得较好的效果，现报道如下。