摘要
目的 观察血府逐瘀汤结合桂枝茯苓汤加减疗法对慢性盆腔炎患者的疗效.方法 选取2020年2月至2023年2月济南市第二妇幼保健院慢性盆腔炎患者100例,依据用药方法分为血府逐瘀汤结合桂枝茯苓汤加减疗法组(结合用药组)、单独桂枝茯苓汤疗法组(单独用药组)两组,各50例,观察疗效及不良反应.结果 结合用药组患者的腰骶胀痛、下腹疼痛、带下色黄、带下量多、带下气臭积分及症状总积分、体征积分、TNF-α、WBC、IL-6、IL-8、hs-CRP、MDA水平均低于单独用药组,IL-2、IL-10、SOD、GSH-Px水平均高于单独用药组,总有效率高于单独用药组,不良反应发生率低于单独用药组(P<0.05).结论 慢性盆腔炎患者血府逐瘀汤结合桂枝茯苓汤加减疗法的疗效较单独桂枝茯苓汤加减疗法显著.
Abstract
Objective To observe the curative effect of Xuefu Zhuyu Decoction combined with Guizhi Poria Decoction on patients with chronic pelvic inflammatory disease.Methods 100 patients with chronic pelvic in-flammatory disease in Jinan Second Maternal and Child Health Hospital from February 2020 to February 2023 were selected and divided into two groups,Xuefu Zhuyu Tang combined with Guizhi Fuling Tang plus or minus treatment group(combined treatment group)and the Guizhi Fuling Tang alone treatment group(single treatment group),with 50 cases in each group.The curative effect and adverse reactions were observed.Results The levels of lumbosa-cral swelling pain,lower abdominal pain,subband yellow,subband heavy,subband odor score,total symptom score,physical sign score,TNF-α,WBC,IL-6,1L-8,hs-CRP,and MDA in the combined treatment group were lower than those in the single treatment group.The levels of IL-2,IL-10,SOD,and GSH-Px of the combined treatment group were higher than those of the single drug group.The total effective rate of the combined treatment group was higher than that of the single drug group.The incidence of adverse reactions of the combined treatment group was lower than that of the single drug group(P<0.05).Conclusion Xuefuzhuyu Decoction combined with Guizhi Poring de-coction is more effective than Guizhi poring decoction alone in the treatment of chronic pelvic inflammatory disease.