| 引用本文:金凤斌，李元博，任波，刘桃，杨晶.探讨中西医结合治疗子宫内膜炎的临床效果[J].世界中医药,2017,(11):. |
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| 探讨中西医结合治疗子宫内膜炎的临床效果 |
| Discussion on Clinical Effects of Integrated Traditional Chinese and Western Medicine in Treatment of Endometritis |
| 投稿时间：2017-10-21 |
| DOI：10.3969/j.issn.1673-7202.2017.11.025 |
| 中文关键词: 中西医结合治疗 子宫内膜炎 |
| English Keywords:Integrated traditional Chinese and Western Medicine Endometritis |
| 基金项目:上海市高等学校中医内科学E-研究院建设计划（E03008） |
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| 中文摘要: |
| 目的：探讨中西医结合治疗子宫内膜炎的临床疗效。方法：随机选取2016年3月至2017年5月在辽宁省锦州市妇婴医院进行诊治的子宫内膜炎患者80例，随机分为观察组40例和对照组40例。对照组采取常规西医抗菌药物治疗，观察组在此基础上加用妇科千金片。治疗2周为1个疗程，2组患者均治疗2个疗程以上。比较2组患者临床症状改善情况、治疗效果、血清白细胞介素-2（IL-2）、白细胞介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）水平以及不良反应发生情况。对于2组痊愈的患者，对其进行为期一年的电话随访（共4次），统计2组患者的复发率。结果：治疗后，观察组临床症状分值明显低于对照组；对照组总有效率为75%；观察组为92.5%；观察组不良反应发生率为7.5%，对照组为15%；观察组炎性反应因子水平均优于对照组；经随访统计，观察组痊愈患者中总复发率为8%，对照组为12%。以上结果差异均具有统计学意义（P<0.05）。结论：经中西医结合治疗子宫内膜炎，不仅比常规治疗效果更显著、不良反应发生率低，而且降低了患者的复发率，适合临床应用与推广。 |
| English Summary: |
| To explore the clinical treatment of endometritis with integrated traditional Chinese and western medicine. Methods:A total of 80 cases of endometritis who were treaded in Jinzhou Maternal and Infants Hospital from March 2016 to May 2017, were randomly divided into control group and observation group with 40 cases in each group. The control group was treated with conventional antibiotics, and the observation group was added Qianjin tablets. 2 weeks as 1 treatment course, and both groups were treated for more than 2 courses. Clinical improvement of symptoms, treatment efficacy, serum interleukin-2 (IL-2), IL-1tmentourses.p. The craditional Chinese and re ce wdence of adverse reactions of both groups were compared. For patients who were fully recovered in 2 groups, one-year telephone follow-up (four times) was performed, and the statistical recurrence rates between two groups were calculated. Results:After treatment, the clinical symptoms score of observation group was significantly lower than the control group. The total effective rate of control group was 75% and 92.5% in the observation group. The incidence of adverse reactions of observation group was 7.5%, and the control group was 15%; the inflammatory cytokines levels in observation group were better than the control group; For the follow-up statistics, the relapse rate in observation group was 8%, and 12% in control group. These results were statistically significant differences (P<0.05). Conclusion:Integrated traditional Chinese and Western medicine in the treatment of endometritis is not only more effective than conventional treatment, but has low incidence of adverse reactions, and reduce the relapse rate of patients, which is worthy of clinical application and promotion. |
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