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抗生素、中药联合黄芪、丹参注射液治疗急性盆腔炎临床分析

【作者】 魏智慧

【导师】 曾倩;

【作者基本信息】 成都中医药大学 , 中医妇科学, 2008, 硕士

【摘要】 目的:探讨抗生素、中药联合黄芪、丹参注射液与抗生素、中药对比治疗急性盆腔炎的临床疗效。方法:,整理收集2004年5月至2005年10月成都中医药大学附属医院妇科住院病例符合急性盆腔炎湿热蕴结证诊断辨证标准者共67例。其中治疗组31例,对照组36例,两组均采用二联抗生素(头孢类或喹诺酮类联合抗厌氧菌类药物)静滴及中药内服;治疗组加用黄芪、丹参注射液:疗前及疗后采集症状、体征与实验室检查资料,采用SPSS14.0统计软件进行卡方检验、秩和检验。结果1、治疗组与对照组综合疗效及中医证候比较P<0.05,有统计学差异;两组局部体征疗效比较P>0.05,无统计学差异,说明治疗组在综合疗效及中医证候疗效方面优于对照组;2、治疗组与对照组疗后实验室检测指标比较均P>0.05,无统计学差异,说明两组疗后实验室检测指标疗效相似。结论:黄芪、丹参注射液配合抗生素及中药在急性盆腔炎治疗中,可有效缓解中医症状,提高综合疗效。

【Abstract】 Objective: the investigate about the analysis of clinical curative effect of antibioticand traditional Chinese medicine、danshen injection、huangqi injection treatment ofacute pelvic inflammation.Methods: we collection and arrangement of 67cases patients based on acute pelvicinflammation diagnostic criteria,The patient from gynecology of teaching hospital ofchengdu university of TCM. Therapy group 31 cases: second generation cefa-typeantibiotics or quinolone antibiotics; sini powder and simiao powder, danshen injectionand huangqi injection. Control group 36 cases: second generation cefa-type antibioticsor quinolone antibiotics; sini powder and simiao powder. The course of treatment was7 days. We statistic effectiveness after one course of treatment.Results:1、Comprehensive therapeutic effect: control group was inferior to therapy group, (P<0.05) ; Tcm symptomseffec: control group was inferior to therapy group, (P<0.05) ; Locally physical sign effect: therapy group having no significantdifference with control group (P>0.05).2、Experimental detection indexes: therapy group having no significant differencewith control group (P>0.05).Conclusion: Ttherapy group was batter at Comprehensive therapeutic effect andTcm symptoms effect.

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