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中药保留灌肠辅助治疗慢性盆腔炎的临床观察及其对炎性因子水平的影响

王璐,罗瑜   

  1. 南阳市第一人民医院,旬阳县中医院
  • 收稿日期:2018-07-02 修回日期:2018-08-06 出版日期:2018-11-25

Clinical Observation and Effect on Inflammatory Factors of Traditional Chinese Medicine Retention Enema in the Treatment of Chronic Pelvic Inflammatory Disease

WANG Lu and LUO Yu   

  1. 南阳市第一人民医院,旬阳县中医院
  • Received:2018-07-02 Revised:2018-08-06 Online:2018-11-25

摘要: 目的:评价中药保留灌肠辅助治疗慢性盆腔炎的临床疗效和安全性,探讨其对炎性因子水平的影响。方法:选取2016年7月至2017年7月我科收治的116例慢性盆腔炎患者作为研究对象,采用随机数字表法将其分为两组:观察组和对照组,每组各58例。全部患者均常规给予中药口服治疗,观察组患者同时给予中药保留灌肠辅助治疗。比较两组患者的治疗结果、生活质量评分(角色功能、认知功能、社会功能、躯体功能)及炎性因子血清白介素-2(IL-2)、白介素-10(IL-10)、肿瘤坏死因子α(TNF-α)水平变化情况。结果:治疗结束后,观察组患者有效率(72.4% vs 50%)和生活质量评分均高于对照组。两组患者治疗后炎性因子血清IL-2、IL-10、TNF-α水平均低于治疗前;观察组患者血清IL-2、IL-10、TNF-α水平低于对照组,差异均有统计学意义(P<0.05)。两组患者均未见明显不良反应。结论:中药保留灌肠辅助治疗慢性盆腔炎的疗效好,安全性高,可能与其能有效抑制患者血清IL-2、IL-10、TNF-α水平有关。

Abstract: Objective:To investigate the efficacy and safety of retention enema of traditional Chinese medicine on chronic pelvic inflammatory disease and its effect on inflammatory response factors. Methods:116 patients with chronic pelvic inflammatory disease treated in our hospital from July 2016 to July 2017 were selected as subjects,and were divided into two groups using random number table method:the control group(n=58)and the observation group(n=58). Patients in the control group were treated with conventional Chinese medicine. Patients in the observation group were applied adjuvant therapy with retention enema of traditional Chinese medicine on the basis of the control group. The quality of life scores,clinical efficacy,and levels of IL-2,IL-10,and TNF-α inflammatory factors were compared between the two groups. Results: After the treatment, the effective rate(72.4% vs 50%)and the quality of life score of the patients in the observation group were higher than those of the control group.The levels of serum inflammatory factors IL-2, IL-10 and TNF-α in the two groups were lower after treatment than those before the treatment.And the levels of serum IL-2, IL-10 and TNF-α of the patients in the observation group were lower than those of the control group.There was statistically significant difference(P<0.05).No significant adverse reaction was observed in either group. Conclusion:Retention enema of traditional Chinese medicine has good curative effect,and high safety in the treatment of chronic pelvic inflammatory disease,which may be related to its effective inhibition of serum IL-2, IL-10 and TNF-α levels.