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Traditional Chinese Medicine Of Type Of Treatment Clinical Efficacy Of The Comprehensive Treating Chronic Pelvic Inflammatory Disease

Posted on:2013-01-02Degree:MasterType:Thesis
Country:ChinaCandidate:H X ChenFull Text:PDF
GTID:2234330374493909Subject:TCM gynecology
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Purpose:Chronic pelvic inflammatory disease is one of the gynecology common, has a long treatment refractory, recurrent, patients with long-term feeling of the lower abdomen and lumbosacral pain, severe often can lead to other diseases that affect the patient’s physical and mental health and work and life. For the prevention and treatment of chronic pelvic inflammatory disease, attracted the attention of the majority of medical workers. TCM syndrome type of prescription used in this study coupled with retention enema, combined with gynecological Xiaozheng San abdominal collapse stains and the use of microwave physical principles of TCM and Western medicine treatment of chronic pelvic inflammatory disease, and the observation of the clinical efficacy, preliminary evaluation of traditional Chinese medicine type of treatment plus retention enema combined with the clinical efficacy and safety of traditional Chinese medicine collapse stains treatment of chronic pelvic inflammatory disease.Methods:Data from184cases of patients with chronic pelvic inflammatory disease hospitalization in our hospital from April2010to2011April,1:1randomized, controlled,105cases of observation group, the number of cases of damp heat and Results on48cases,26cases of qi stagnation, cold dampness stagnation card12cases,19cases QDBS disease mild29cases of39cases of moderate and severe in37cases; Western medicine treatment control group,79cases of various types The number of cases, respectively, for the damp heat and knot card30cases,21cases of qi stagnation, cold dampness stagnation card13cases,15cases QDBS, including17cases of illness with mild, moderate in28cases,34cases of moderate to severe. Two groups of patients with general information difference not statistically significant, were comparable (P>0.05). Treatment①observation group:clean after menstruation dialectical typing on the rule of prescription medication, oral2times/day, take140ml in the concoction to retain enema, enema:take the concoction about140ml, until temperature of30°-40°gauze filters, retention enema, with a one-time infusion, enema infusion will be in charge of the device, the exhaust pipe into the vial, hung on the IV pole, to pluck the infusion needle connected to a disposable catheter with paraffin oil lubrication guide catheter and around the anus, the catheter slowly inserted into the anus about10cm, adjust the drip rate, about30min drop finished, the enema should be carried out before going to sleep at night, keep2-3hours, but it retained until the next morning is the best1/day. Gynecological Xiaozheng hospital-made traditional Chinese medicine bags scattered spreads in the lower abdomen, the microwave treatment of the lower abdomen, use:housing County rice wine soaked in traditional Chinese medicine bags gynecological Xiaozheng scattered and heating, medicine bag wrapped with a towel to a temperature suitable for after the collapse of stains patients in the lower abdomen, while abdominal physical therapy under the microwave apparatus for40minutes,1time/day.10days for treatment of the above method, continuous treatment of the three courses. In conjunction with western medicine intravenous drip.②Control group:1.0g×3by adding250ml normal saline intravenous infusion after menstruation ceftazidime needle Tinidazole Injection100ml intravenous infusion of1times/day,7days a course of treatment, continuous treatment of the three courses. Observe the changes in clinical symptoms (abdominal pain and lumbosacral pain, vaginal discharge volume, color, odor and menstruation, as well as the body accompanied by symptoms and tongue and pulse), and gynecological examination (uterine activity restricted extent; salpingitis when in the womb side or both sides can reach a strip of changes, and check on tenderness; pelvic side or both sides of the buckle and the mass changes), B ultrasound (the pelvic fluid and pelvic mass changes), and monitoring of blood, urine, stool, liver and renal function, electrocardiogram, and other safety indicators change. Collect data for statistical studies of TCM on the governance plus retention enema combined with the lower abdomen microwave collapse stains the clinical efficacy of the comprehensive treatment of chronic pelvic inflammatory disease, the safety analysis.Results: There were49cases cured,34cases markedly improved in16cases, total effective rate was94.29%Control group,22cases were cured,19cases markedly improved in15cases, the total efficiency of70.89%after Ridit analysis, the efficacy of the observation group and control group significant differences (P<0.05), observe the group more effective than the efficacy of the control group. Safety Inspection:before and after treatment, blood, urine, stool routine, liver, renal function, electrocardiogram showed no abnormality changes that TCM type of treatment plus retention enema safe and effective combination of traditional Chinese medicine collapse stains comprehensive treatment of chronic pelvic inflammatory disease, toxic side effects.Conclusion TCM type of treatment plus retention enema combined with the apparent efficacy of the lower abdomen microwave collapse stains chronic pelvic inflammatory disease, the clinical application of safe, effective, non-toxic side effects, it is worth to further promote the application.
Keywords/Search Tags:TCM Differential Treatment, retention enema, Microwave therapy, Gynecological Xiaozheng San, Chronicpelvic inflammatory disease, Observed Clinical efficacy
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