引用本文:李桂芬,林宝华,谢文韬,谢月娥.清热解毒汤加减联合抗生素治疗急性盆腔炎性疾病38例效果观察[J].中国临床新医学,2013,6(3):251-252.
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清热解毒汤加减联合抗生素治疗急性盆腔炎性疾病38例效果观察
李桂芬,林宝华,谢文韬,谢月娥
362400 福建,安溪县中医院妇产科(李桂芬);福建,安溪县感德卫生院内科(林宝华);福建,安溪县医院内科(谢文韬,谢月娥)
摘要:
[摘要] 目的 观察清热解毒汤加减联合抗生素治疗急性盆腔炎性疾病的临床效果。方法 选择急性盆腔炎性疾病患者38例,首选头孢曲松钠2.0 g(2次/d)+甲硝唑0.5 g(3次/d)静脉滴注7 d,同时口服清热解毒汤方剂(1剂/d)。待临床症状、体征改善3 d后口服头孢克肟0.1 g(2次/d)+上述中药方剂(1剂/d)水煎服14 d。观察其临床效果。结果 38例急性盆腔炎性疾病患者急性期总有效率为100.0%,遗留慢性盆腔痛4例(10.5%),炎症反复发作5例(13.2%)。结论 急性盆腔炎性疾病采用中西医结合治疗,可提高治愈率。
关键词:  盆腔炎性疾病  中西医结合治疗  清热解毒汤
DOI:10.3969/j.issn.1674-3806.2013.03.22
分类号:R 271
基金项目:
Experience of modified Qingrejiedu decoction combined with antibiotics in the treatment of 38 patients with acute pelvic inflammatory disease
LI Gui-fen,LIN Bao-hua,XIE Wen-tao, et al.
Department of Gynecology and Obstetrics, Anxi County Hospital of Traditional Chinese Medicine,Fujian 362400,China
Abstract:
[Abstract] Objective To summarize the clinical effect of Qingrejiedu decoction combined with antibiotics in treatment of acute pelvic inflammatory disease(PID).Methods Thirty-eight patients with acute PID were treated by oral modified Qingrejiedu decoction combined with intravenous drip of ceftriaxone sodium and metronidazole and other antibiotics for 7 days, then the use of above antibiotics was stopped and oral cefixime was used for 14 days, and the lucrative effects were observed.Results The total effective rate in acute stage was 100.0%, chronic pelvic pain was found in 4 patients(10.5%), repeated inflammatory episodes in 5 patients(13.2%).Conclusion Using the combination of the traditional Chinese and western medicine in the treatment of patients with acute pelvic inflammatory can improve the cure rate.
Key words:  Acute pelvic inflammatory disease(PID)  Combination of Chinese traditional and western medicine  Qingrejiedu decoction