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中药外敷联合灌肠治疗慢性盆腔炎疗效观察 毛琼冬黄海媖 (上饶市广信区中医院,江西上饶334100) 【摘要】目的探讨中药外敷联合灌肠治疗慢性盆腔炎的疗效。方法回顾性分析2019年1月—2020年 4月我院收治的60例慢性盆腔炎患者的临床资料,根据治疗方法的不同进行分组,30采用头孢呋辛钠与甲硝 唑治疗的患者纳入对照组,30例联合中药外敷与灌肠治疗的患者纳入观察组。比较2组临床疗效,治疗前后 的证候积分以及炎症因子水平。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05);治疗 后,2组证候积分、C-反应蛋白、肿瘤坏死因子-α水平均下降,且观察组较低,差异有统计学意义(P<0.05)。 结论中药外敷联合灌肠治疗慢性盆腔炎疗效显著,可减轻患者临床症状,控制炎症反应。 【关键词】慢性盆腔炎中药外敷灌肠证候积分炎症因子 EfficacyofexternalapplicationofChinesemedicinecombinedwithenemaontreatmentofchronicpelvic inflammation MaoQiongdong,HuangHaiying.TheGuangxinDistrictTraditionalChineseMedicineHospitalofShangraoCity, Shangrao,Jiangxi334100 【Abstract】ObjectiveToexploretheefficacyofexternalapplicationofChinesemedicinecombinedwithenema intreatmentofchronicpelvicinflammation.MethodsTheclinicaldataof60patientswithchronicpelvicinflammation treatedfromJanuary2019toApril2020inourhospitalwereretrospectivelyanalyzed,andgroupedthemaccordingto differenttreatmentmethods.Amongthem,30patientstreatedwithcefuroximesodiumandmetronidazolewereincluded inacontrolgroup,andanother30patientscombinedtraditionalChinesemedicineexternalapplicationwithenemafor treatmentwereincludedinanobservationgroup.Theclinicalefficacy,syndromescoresbeforeandaftertreatment,and levelsofinflammatoryfactorswerecomparedbetweenthetwogroups.ResultsComparedtheclinicalefficacyofthe twogroups,theobservationgroupwashigher,therewasstatisticallysignificantdifference(P<0.05);Aftertreatment,the syndromescoresofthetwogroupswerealldecreased,andtheobservationgroupwaslower,therewasstatistically significantdifference(P<0.05);Aftertreatment,thelevelsofC-reactiveprotein(CRP)andtumornecrosisfactor-α (TNF-α)inthetwogroupsweredecreased,andtheobservationgroupwaslower,therewasstatisticallysignificant difference(P<0.05).ConclusionExternalapplicationofChinesemedicinecombinedwithenemaintreatmentof chronicpelvicinflammatorydiseaseiseffective,itcanreliefclinicalsymptomsofpatientsandcontroltheinflammatory response. 【KeyWords】ChronicpelvicinflammatorydiseaseExternalapplicationofChinesemedicineEnema