首页|中药保留灌肠联合氟罗沙星治疗气滞血瘀型慢性盆腔炎的临床效果及对患者血液流变学的影响

中药保留灌肠联合氟罗沙星治疗气滞血瘀型慢性盆腔炎的临床效果及对患者血液流变学的影响

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目的 探究中药保留灌肠联合氟罗沙星治疗气滞血瘀型慢性盆腔炎的临床效果及对患者血液流变学的影响.方法 选择 2022 年4 月—2023 年8 月广饶县中医院收治的 80 例气滞血瘀型慢性盆腔炎患者为研究对象,按随机数字表法将其分为对照组和观察组.对照组(n=40)采用氟罗沙星片治疗,观察组(n=40)采用氟罗沙星片联合中药保留灌肠治疗.对比两组患者的血液流变学、临床疗效、血清炎症因子水平及中医证候评分.结果 观察组的治疗总有效率为95.00%,高于对照组的 75.00%,差异有统计学意义(P<0.05).治疗后,观察组的全血低切黏度、全血高切黏度水平均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的白带色黄、腰部疼痛、腹部疼痛评分均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的白细胞介素-8、肿瘤坏死因子-α、白细胞介素-1β水平均低于对照组,组间差异有统计学意义(P<0.05).结论 采用中药保留灌肠联合氟罗沙星治疗气滞血瘀型慢性盆腔炎,有助于改善患者的血液流变学指标,降低其血清炎症因子水平,降低中医证候评分,临床疗效显著,值得临床推广使用.
Clinical Effect of Traditional Chinese Medicine Retention Enema Combined with Fleroxacin in the Treatment of Chronic Pelvic Inflammatory Disease with Qi Stagnation and Blood Stasis Syndrome and Its Influence on Patient's Hemorheology
Objective To explore the clinical effect of traditional Chinese medicine retention enema combined with fleroxacin in the treatment of chronic pelvic inflammation disease with Qi stagnation and blood stasis syndrome and its influence on patients'hemorheology.Methods A total of 80 patients with chronic pelvic inflammatory disease admitted to Guangrao County Hospital of Traditional Chinese Medicine from April 2022 to August 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method.The control group(n=40)was treated with fleroxacin tablets,and the observation group(n=40)was treated with fleroxacin tablets combined with traditional Chinese medicine retention enema.The hemorheology,clinical efficacy,serum inflammatory factor levels and TCM syndrome scores were compared between the two groups.Results The total effective rate of the observation group was 95.00%,which was higher than 75.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of whole blood low tangential viscosity and whole blood high tangential viscosity in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the scores of leucorrhea yellow,lumbar pain and abdominal pain in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the levels of interleukin-8,tumor necrosis factor-α and interleukin-1β in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The use of traditional Chinese medicine retention enema combined with fleroxacin in the treatment of chronic pelvic inflammatory disease with Qi stagnation and blood stasis syndrome can help to improve the hemorheology indicators of patients,reduce the levels of serum inflammatory factors and lower the traditional Chinese medicine syndrome score.The clinical effect is significant,and it is worthy of clinical promotion.

Chronic pelvic inflammatory diseaseQi stagnation and blood stasis syndromeTraditional Chinese medicine retention enemaFleroxacinClinical efficacyHemorheology

张风华

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广饶县中医院妇产科,山东东营 257300

慢性盆腔炎 气滞血瘀型 中药保留灌肠 氟罗沙星 临床疗效 血液流变学

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)
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