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[摘要]
目的 观察妇科千金片联合桂枝茯苓丸治疗慢性盆腔炎的临床疗效。方法 选取2016年8月-2017年4月于十堰市中西医结合医院进行治疗的108例盆腔炎患者为研究对象,将所有患者依据治疗方式的不同分为对照组和治疗组,每组各54例。对照组口服桂枝茯苓丸,1丸/次,2次/d。治疗组在对照组治疗的基础上口服妇科千金片,6片/次,3次/d。所有患者均持续治疗2周。观察两组患者的临床疗效,同时比较两组患者的临床症状恢复时间和免疫功能指标。结果 治疗后,对照组和治疗组的总有效率分别为81.5%、92.6%,两组比较差异具有统计学意义(P<0.05)。治疗后,治疗组患者的盆腔肿块消失时间、白带复常时间、腹痛缓解时间和下腹坠胀缓解时间均短于对照组,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者的CD4+和CD4+/CD8+显著升高,CD8+显著下降,同组治疗前后比较差异具有统计学意义(P<0.05);治疗后,治疗组免疫功能指标水平显著优于对照组,两组比较差异具有统计学意义(P<0.05)。结论 妇科千金片联合桂枝茯苓丸治疗慢性盆腔炎疗效显著,能明显缩短患者临床症状消失时间,改善免疫功能,具有一定的临床推广应用价值。
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[Abstract]
Objective To observe the clinical efficacy of Fuke Qianjin Tablets combined with Guizhi Fuling Pills in treatment of chronic pelvic inflammatory disease. Methods Patients (108 cases) with chronic pelvic inflammatory disease in Shiyan Hospital of Integrated Traditional and Western Medicine from August 2016 to April 2017 were divided into control group and treatment group, according to different treatment methods, and each group had 54 cases. Patients in the control group were po administered with Guizhi Fuling Pills, 1 pill/time, twice daily. Patients in the treatment group were po administered with Fuke Qianjin Tablets on the basis of the control group, 6 tablets/time, three times daily. Patients in two groups were treated for 2 weeks. After treatment, the clinical efficacy was evaluated, and the recovery time of clinical symptoms, and immune function indexes in two groups were compared. Results After treatment, the clinical efficacy in the control and treatment groups was 81.5% and 92.6%, respectively, and there were differences between two groups (P<0.05). After treatment, the pelvic mass disappearance time, leucorrhea recurrence time, abdominal pain relief time and distension relief time of hypogastrium in the treatment group were significantly shorter than those in the control group, and there were differences between two groups (P<0.05). After treatment, CD4+ and CD4+/CD8+ were significantly increased in two groups, but CD8+ were significantly decreased, and there were differences in the same group (P<0.05). After treatment, the immune function indexes in the treatment group were significantly better than those in the control group, and there were differences between two groups (P<0.05). Conclusion Fuke Qianjin Tablets combined with Guizhi Fuling Pills has significant efficacy in treatment of chronic pelvic inflammatory disease, can significantly shorten the time for clinical symptoms to disappear, and improve the immune function, which has a certain clinical application value.
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