中药保留灌肠治疗盆腔炎性疾病后遗症(SPID)湿热瘀结证的临床观察

Clinical Observation of Traditional Chinese Medicine Retention Enema Therapy for Sequelae of Pelvic Inflammatory Disease (SPID) with Symptom of Damp-Heat and Stagnation

摘要: 目的：研究中药保留灌肠在盆腔炎性疾病后遗症(SPID)湿热瘀结证治疗中的运用。方法：通过我中心门诊2022年7月至2023年7月湿热瘀结型盆腔炎行后遗症的患者随机分为观察组和对照组，观察组予以红藤煎(湿热瘀结型)中药保留灌肠，对照组给予中成药妇乐片服用。结论：在治疗组前后总体疗效、局部症状疗效、中医证候疗效和治疗后两组病人的妇科B超改善状况以及治疗后3个月内的复发率等方面均优于对照组。结论：中药保留灌肠法治疗盆腔炎性疾病后遗症(湿热瘀结证)的临床效果确切，值得推广使用。

Abstract: Objective: To investigate the application of traditional Chinese medicine retention enema in the treatment of sequelae of pelvic inflammatory disease (SPID) with the symptom of damp-heat and stagnation. Methods: Patients with SPID of the damp-heat and blood stasis type who visited our outpatient center from July 2022 to July 2023 were randomly divided into an observation group and a control group. The observation group received Hongteng decoction (specific for symptom of damp-heat and stagnation) as a traditional Chinese medicine retention enema, while the control group was given the Chinese patent medicine Fule tablets orally. Results: The observation group showed superior outcomes compared to the control group in terms of overall efficacy, improvement in local symptoms, improvement in TCM syndrome scores, post-treatment gynecological ultrasound findings, and recurrence rate within three months after treatment. Conclusion: Traditional Chinese medicine retention enema is clinically effective in treating sequelae of pelvic inflammatory disease (damp-heat and blood stasis syndrome) and is worthy of promotion.