【摘要】 目的探讨清热除湿、活血化瘀止痛的藤药巴布剂膏药外贴治疗慢性盆腔炎的临床效果。方法将60例患者随机分为两组,贴膏组30例,给予藤药贴膏剂(艾叶、当归、红花、乳香、没药、羌活、独活、五加皮、桑寄生、续断等)外贴,每片贴膏剂贴下腹部24 h,每天1次;对照组30例,给予藤药(包药:即药物同贴膏组,用布袋包装)外敷,把包药隔水蒸热半小时以上敷下腹部,每日1次,两组均配合口服"盆炎灵"汤剂(金银花20 g、蒲公英15 g、柴胡10 g、枳壳15 g、赤芍15 g、苍术12 g、黄柏12 g、薏苡仁24 g、川牛膝24 g、蒲黄20 g、五灵脂15 g、延胡索15 g、川楝子10 g、甘草5 g)治疗,疗程3周,观察患者下腹部疼痛或刺痛;腰骶酸痛、肛门坠胀;白带;盆腔包块或积液;四组病例临床积分变化。结果贴膏组患者痊愈22例(73.3%),显效5例(16.6%),有效2例(6.7%),无效1例(3.3%),总有效率为96.6%。对照组痊愈12例(40.0%),显效4例(13.3%),有效6例(20.3%),无效8例(26.6%),总有效率为73.3%,两组比较差异有统计学意义(P<0.05)。结论清热除湿、活血化瘀止痛的藤药巴布剂膏药治疗慢性盆腔炎效果显著,是治疗慢性盆腔炎的有效方药(方药来自于经验方),值得临床推广。更多还原

【Abstract】 Objective To explore the clinical curative effect of external application of Tengyao Cataplasm Plaster on chronic pelvic inflammatory disease.Methods 60 patients were randomized divided into two groups according to different therapies.30 patients of plaster group were treated with Tengyao Cataplasm Plaster(which was composed of Chinese mugwort leaf,Chinese angelica,safflower,myrrh,notopterygium root,angelica pubescence,Acanthopanax gracillus,loranthus,and Japanese teasel).Each plaster was applied externally to the lower abdomen in the areas of pain for 24 hours and altered each day.30 patients of control group were given Tengyao bag(Chinese herbal medicine bag,namely the above-mentioned Chinese herbal medicinal slices wrapped in a small cloth bag).Each bag was steamed for over half an hour and then applied externally to the lower abdomen in the areas of pain once a day.All patients were orally administered with herbal decoction "Pen Yan Ling" which was composed of honeysuckle(20 g),dandelion(15 g),bupleurum(10 g),bitter orange(15 g),paeony(15 g),Chinese atractylodes(12 g),phellodendron(12 g),coix seed(24 g),pollen typhae(20 g),faeces trogopterori(15 g),rhizoma corydalis(15 g),fructus toosendan(10 g),and glycyrrhiza(5 g).Both groups received a 3-week therapy.Hypogastric pain or prick,lumbosacral pain,anal downbearing distention,leucorrhoea,pelvic masses or pelvic effusion of all patients were observed,and the changes of the clinical scorings were compared between the two groups.Results Among the plaster group,22 cases(73.3%) were cured at the end of the 3rd week,5 cases(16.6%) had marked effect,2 cases(6.7%) had valid effect,and 1 case(3.3%) showed ineffective,with a total efficiency of 96.6%.The treatment was curative in 12 cases(40.0%) of control group,marked effect in 4 cases(13.3%),valid effect in 6 cases(20.3%) and 8 cases(26.6%) in ineffective,with a total efficiency of 73.3%.The therapeutic efficiency of the 2 modalities showed statistically significant differences(P < 0.05).Conclusion The results suggest that the Tengyao Plaster with the effect of clearing heat and dispelling dampness,activating blood,resolving stasis and relieving pain originated from ancient empirical formula is effective in treating pelvic inflammatory disease.It is valid to be recommended in the clinical application.更多还原