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多西环素联合甲硝唑宫腔灌注治疗慢性子宫内膜炎患者的效果观察

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目的:探究多西环素联合甲硝唑宫腔灌注治疗慢性子宫内膜炎患者的效果。方法:选择 2022年 10月—2023年 10月临沂市中心医院收治的 108例慢性子宫内膜炎患者作为研究对象,按随机数字表法分为对照组和研究组,各 54例。对照组采用多西环素治疗,研究组在对照组基础上加用甲硝唑宫腔灌注治疗,比较两组临床疗效、血清炎症因子、CD 138转阴率、妊娠状况及不良反应发生情况。结果:研究组治疗总有效率 94。44%高于对照组的 79。63%,差异有统计学意义(P<0。05);治疗后,两组血清炎症因子水平均较治疗前降低,且研究组均低于对照组,差异均有统计学意义(P<0。05);治疗后,研究组 6个月内自然妊娠率 62。96%高于对照组的 38。89%,CD 138转阴率 48。19%高于对照组的 27。78%,差异均有统计学意义(P<0。05);两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:多西环素联合甲硝唑宫腔灌注治疗慢性子宫内膜炎患者效果确切,可显著改善机体的炎性状态,降低血清炎症因子水平,提高 6个月内自然妊娠率,安全性良好。
Effect of Doxycycline Combined with Metronidazole Intrauterine Infusion in the Treatment of Patients with Chronic Endometritis
Objective:To explore the effect of Doxycycline combined with Metronidazole intrauterine infusion in the treatment on patients with chronic endometritis.Methods:A total of 108 patients with chronic endometritis treated in Linyi Central Hospital from October 2022 to October 2023 were selected as research objects,and were divided into a control group and a study group according to random number table method,with 54 cases in each group.The control group was treated with Doxycycline,and the study group was treated with Metronidazole intrauterine infusion on the basis of the control group.The clinical efficacy,serum inflammatory factors,CD138 negative conversion,pregnancy status and occurrence of adverse reactions of the two groups were compared.Results:The total effective rate of the study group was 94.44%higher than 79.63%of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of serum inflammatory factors in both groups were decreased than before treatment,and the study group was lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the natural pregnancy rate within 6 months in the study group was 62.96%,higher than 38.89%in the control group,the CD138 negative conversion rate was 48.19%,higher than 27.78%in the control group,with statistical significances(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Doxycycline combined with Metronidazole have a definite effect in the treatment of patients with chronic endometritis,which can significantly improve the inflammatory state of the body,reduce the level of serum inflammatory factors,and increase the natural pregnancy rate within 6 months,with good safety.

Chronic endometritisDoxycyclineMetronidazoleClinical effectSerum inflammatory factor

顾沛玲

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山东省临沂市中心医院生殖医学科,山东 临沂 276400

慢性子宫内膜炎 多西环素 甲硝唑 临床疗效 血清炎症因子

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(17)