康復消炎栓聯合抗生素治療慢性盆腔炎的臨床效果

汪顯敏 周海軍

[摘要]目的 探討康復消炎栓聯合抗生素治療慢性盆腔炎的臨床效果。方法 選取我院2016年4～12月收治的93例慢性盆腔炎患者作為研究對象，按照隨機數字表法分為對照組（46例）與觀察組（47例）。對照組采用單一抗生素給藥治療，觀察組采用康復消炎栓聯合抗生素治療。比較兩組的總有效率、起效時間、用藥時間、不良反應發生率和復發率。結果 觀察組的總有效率明顯高于對照組，差異有統計學意義（P<0.05）。觀察組患者的起效時間與用藥時間明顯短于對照組，差異有統計學意義（P<0.05）。觀察組的不良反應發生率稍高于對照組，差異無統計學意義（P>0.05）。觀察組的復發率明顯低于對照組，差異有統計學意義（P<0.05）。結論 康婦消炎栓聯合抗生素治療婦科盆腔炎的效果優于單一抗生素治療，可明顯改善患者的臨床癥狀，推薦使用。

[關鍵詞]康婦消炎栓；抗生素；總有效率；復發率

[中圖分類號] R711.33 [文獻標識碼] A [文章編號] 1674-4721（2018）4（b）-0151-03

Clinical effect of Kangfu Xiaoyan Suppository combined with antibiotics in the treatment of chronic pelvic inflammation

WANG Xian-min ZHOU Hai-jun

Luozu Community Health Service Center of Shiyan People′s Hospital in Baoan District of Shenzhen City，Guangdong Province，Shenzhen 518108，China

[Abstract]Objective To explore the clinical effect of Kangfu Xiaoyan Suppository combined with antibiotics in the treatment of chronic pelvic inflammation.Methods Ninety-three patients with chronic pelvic inflammatory treated in our hospital from April to December 2016 were selected as the study subjects，and they were divided into the control group （46 cases） and the observation group （47 cases） according to the random number table method.The control group was treated with a single antibiotics，and the observation group was treated with Kangfu Xiaoyan Suppository combined with antibiotics.The total effective rate，effective time，medication time，the incidence of adverse reaction and recurrence rate were compared between the two groups.Results The total effective rate of observation group was significantly higher than that in the control group，and the difference was statistically significant （P<0.05）.The effective time and medication time in patients of the observation group were shorter than those of the control group，and the differences were statistically significant （P<0.05）.The incidence of adverse reaction of the observation group was slightly higher than that of the control group，but the difference was not statistically significant （P>0.05）.The recurrence rate of the observation group was significantly lower than that in the control group，and the difference was statistically significant （P<0.05）.Conclusion The effect of Kangfu Xiaoyan Suppository combined with antibiotics in the treatment of gynecologic pelvic inflammatory disease is better than that of single antibiotics treatment，which can obviously improve the clinical symptoms of the patients and it is recommend to use.

[Key words]Kangfu Xiaoyan Suppository；Antibiotics；The total effective rate；Recurrence rate

慢性盆腔炎（chronic pelvic inflammatory disease）是婦女的常見病、多發病，且難以治愈，治愈后易復發，其定義是指內生殖器及其周圍組織的炎癥，發病可局限于某一個部位、多個部位甚至整個盆腔，包括盆腔腹膜、卵巢、輸卵管、子宮內膜、子宮肌層等盆腔臟器及組織[1]。臨床癥狀主要表現為小腹疼痛、墜脹，腰骶酸痛，勞累、性交或行經前后加重，伴白帶多，或月經不調、痛經、疲乏、精神不振等。慢性盆腔炎多由急性盆腔炎未治愈、不潔性行為、宮腔操作等因素導致。盆腔炎有急性、亞急性、慢性、復發性之分，急性發病癥狀重，發病迅速，可導致敗血癥而危及生命；若治療不及時、不徹底很容易轉為慢性及遺留一系列后遺癥。當人體免疫力低下、勞累時則反復發作，嚴重影響婦女的身心健康和生活質量。抗生素是急性盆腔炎有效的治療方法，抗生素對慢性盆腔炎也有效，但長時間或反復使用抗生素治療容易引起耐藥性和患者機體菌群的失調[2]。……