Objective: Through the HuaYuSan in treating sequelae of pelvic inflammatorydisease (SPID) was carried out to observe the clinical curative effect, carries on thepreliminary discussion on its mechanism of action, and through the steps and methods inclinical research of this topic research.Methods:1.Clinical observation From2011May to2012May were seen in theDepartment of gynecology and obstetrics of the Second Affiliated Hospiatal of ShandongUniversity of Traditional Chinese Medicine is diagnosed with sequelae of pelvicinflammatory disease, record the general data of patients,120cases were randomly dividedinto two groups,60cases as test group, give the HuaYuSan three course of treatment;60cases as the control group, give the XueFuZhuYu granule three course of treatment. Beforeand after the treatment of the TCM symptoms, local sign score.2.In1months for acourse of treatment(menstrual withdrawal), continuous observation of3courses,3afterthe end of treament, the sympton score, local signs again.Results:1.The comprehensive curative effect analysis: In this study, the final result is:60cases of test group patients,16cases were cured,21cases markedly effective, effective in22cases, the cure rate was26.67%, the total efficiency of98.33%; control group60casesof patients,14cases were cured,20cases markedly effective,21cases effective, the curerate was23.33%, total effective rate was96.67%; by inspection, Patients in the treatmentgroup compared with score before and after treatment, there were significant differences (P<0.05), there is no significant difference between the experiment group and the controlgroup (P>0.05), the test group was better than control group.2. Comparison of clinical symptoms of two patients,60cases of test group patients, 15cases were cured,21cases markedly effective, effective in21cases, the cure rate was25%, the total efficiency of95%; control group60cases of patients,12cases were cured,19cases markedly effective,20cases effective, the cure rate was20%, total effective ratewas85%; by inspection, Patients in the treatment group compared with traditional Chinesemedicine symptom score before and after treatment, there were significant differences (P<0.05), there is no significant difference between the experiment group and the controlgroup (P>0.05), the test group was better than control group.3. Comparison of curative effect in patients with signs of two groups,60cases of testgroup patients,17cases were cured,19cases markedly effective, effective in22cases, thecure rate was28.33%, the total efficiency of96.67%; control group60cases of patients,14cases were cured, markedly effective in18cases, effective in21cases, the cure rate was23.33%, total effective rate was88.33%; by inspection, Patients in the treatment groupcompared with the local sign score before and after treatment, there were significantdifferences (P<0.05), there is no significant difference between the experiment groupand the control group (P>0.05), the test group was better than control group.4.Comparison of≤30years old group and>30years old patients withcomprehensive treatment, the treatment group was≤30cases of30patients,12caseswere cured, markedly effective in10cases, effective in8cases, the cure rate was403%;30patients>30years old group,4cases were cured, markedly effective in12cases,effective in14cases, the cure rate13.33%; the cure rate was significant difference (P<0.05). This shows that, the age is smaller, the cure rate is high.5. The treatment group, with pregnancy and no pregnancy patients in comparison tothe therapeutic effect, a pregnancy group had47cases,11cases were cured, markedlyeffective in16cases, effective in19cases, the cure rate was23.4%; no pregnancy in13cases patients,5cases were cured,5cases markedly effective, effective in3cases, the curerate was38.46%; both the cure rate showed no significant difference (P>0.05)6. Comparison group course and comprehensive effect of the groups with treatment,≤3years30cases group of patients,14cases were cured, apparent effective in8cases,effective in8cases, the cure rate was46.67%;30cases of patients>3years,2cases werecured, apparent effective in13cases, effective in14cases, the cure rate was6.67%; twothe cure rate had significant difference (P<0.05). This shows that, the shorter the duration,the better the effect. conclusion: HuaYuSan in treating sequelae of pelvic inflammatory disease (SPID)the clinical curative effect is remarkable, with blood circulation, Wenjing Tongluo Sanjieeffect, can significantly improve the clinical symptoms and local signs. |