首页|抗菌药物联合安宫黄体酮治疗子宫内膜炎的临床疗效

抗菌药物联合安宫黄体酮治疗子宫内膜炎的临床疗效

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目的 探讨抗菌药物联合安宫黄体酮治疗子宫内膜炎的临床疗效.方法 选取50例子宫内膜炎患者,根据随机数字表法分为两组,每组25例.对照组患者采用甲硝唑治疗,研究组患者采用甲硝唑联合安宫黄体酮治疗.比较两组临床效果.结果 研究组治疗总有效率92.0%明显高于对照组的68.0%(P<0.05).治疗前,两组患者C-反应蛋白、肿瘤坏死因子-α水平比较,差异无统计学意义(P>0.05);研究组治疗后C-反应蛋白、肿瘤坏死因子-α水平均低于对照组(P<0.05).治疗前,两组患者子宫动脉搏动指数、阻力指数及子宫内膜组织基质金属蛋白酶水平比较,差异无统计学意义(P>0.05);研究组治疗后子宫动脉搏动指数、阻力指数及子宫内膜组织基质金属蛋白酶水平均低于对照组(P<0.05).结论 抗菌药物联合安宫黄体酮治疗子宫内膜炎的疗效显著,对患者炎性因子水平与子宫内膜状况具有明显的改善效果,值得临床推广与应用.
Clinical effect of antibacterial drugs combined with medroxyprogesterone in the treatment of endometritis
Objective To investigate the clinical effect of antibacterial drugs combined with medroxyprogesterone in the treatment of endometritis.Methods 50 patients with endometritis were selected and divided into two groups with 25 cases in each group according to random number table method.The control group was treated with metronidazole,and the study group was treated with metronidazole combined with medroxyprogesterone.The clinical effect of the two groups was compared.Results The total effective rate of 92.0%in the study group was significantly higher than 68.0%in the control group(P<0.05).Before treatment,there was no significant difference in the levels of C-reactive protein and tumor necrosis factor-α between 2 groups(P>0.05).The levels of C-reactive protein and tumor necrosis factor-α in the study group were lower than those in the control group after treatment(P<0.05).Before treatment,there was no significant difference in uterine artery pulsation index,resistance index and endometrial tissue matrix metalloproteinase level between 2 groups(P>0.05).After treatment,the uterine artery pulse index,resistance index and the level of matrix metalloproteinase in endometrial tissue of the study group were lower than those of the control group(P<0.05).Conclusion Antibacterial drugs combined with medroxyprogesterone in the treatment of endometritis have a significant effect on the level of inflammatory factors and endometrial status of patients,which is worthy of clinical promotion and application.

EndometritisMedroxyprogesteroneClinical effectInflammatory factor

陈旖

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赤峰市中医蒙医医院 药剂科,内蒙古 赤峰 024000

子宫内膜炎 安宫黄体酮 临床效果 炎性因子

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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