中药灌肠疗法治疗盆腔炎性疾病后遗症的研究进展

Research Progress of Traditional Chinese Medicine Enema Therapy in the Treatment of Sequelae of Pelvic Inflammatory Disease

摘要: 盆腔炎性疾病后遗症(sequelae of pelvic inflammatory disease, SPID)是临床上比较普遍的妇科疾病之一，具有病程长、反复发作、久治难愈等特征。以不孕、输卵管妊娠、慢性盆腔痛、炎症反复发生为主要临床表现。严重影响女性的生活和工作，不利于其身心健康。研究证明，中药灌肠疗法对本病有确切的疗效，且具有操作简便、毒副作用小、生物利用度高、疗效显著等优势。在联合抗生素、中药汤剂、中成药、针灸、藏药、穴位贴敷、热奄包、中药熏洗等治疗后可增强疗效，加快治疗进程，提高用药安全性，减少本病复发率。本文旨在以灌肠的历史沿革、作用机制、盆腔炎性疾病后遗症的临床应用等方面进行综述，以期为本病的临床治疗提供理论参考。

Abstract: Sequelae of pelvic inflammatory disease is one of the more common gynecological diseases in clinical practice, which has the characteristics of long course of disease, recurrent attacks, and long-term treatment and difficult to heal. The main clinical manifestations were infertility, tubal pregnancy, chronic pelvic pain, and recurrent inflammation. It seriously affects women’s life and work, and is not conducive to their physical and mental health. Studies have proved that traditional Chinese medicine enema therapy has a definite curative effect on this disease, and has the advantages of simple operation, low toxicity and side effects, high bioavailability, and significant efficacy. After combined treatment with antibiotics, Chinese herbal decoction, Chinese patent medicine, acupuncture, Tibetan medicine, acupoint application, hot packing, and traditional Chinese medicine fumigation, it can enhance the curative effect, speed up the treatment process, improve the safety of medication, and reduce the recurrence rate of the disease. The purpose of this article is to review the historical evolution, mechanism of action, and clinical application of sequelae of pelvic inflammatory disease, in order to provide a theoretical reference for the clinical treatment of this disease.