清利湿热方联合阿莫西林克拉维酸钾片治疗慢性盆腔炎临床研究
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Clinical Study on Qingli Shire Prescription Combined with Amoxicillin Clavulanate Potassium Tablets for Chronic Pelvic Inflammation
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    摘要:

    目的:观察清利湿热方联合阿莫西林克拉维酸钾片治疗慢性盆腔炎的临床效果。方法:选取慢性盆腔炎患者142 例,按随机数字表法分为对照组和观察组各71 例。对照组给予阿莫西林克拉维酸钾片治疗,观察组在对照组基础上联合清利湿热方治疗。观察2 组临床疗效,记录视觉模拟评分法(VAS) 评分,检测肿瘤坏死因子-α (TNF-α)、白细胞介素-21(IL-21)、胰岛素样生长因子1(IGF-1)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、丙二醛(MDA) 水平。结果:观察组总有效率为92.96%,高于对照组74.65%,差异有统计学意义(P<0.05)。治疗前,2 组VAS 评分比较,差异无统计学意义(P>0.05)。治疗后,2 组VAS 评分较治疗前降低,且观察组VAS 评分低于对照组,差异有统计学意义(P<0.05)。治疗前,2 组TNF-α、IL-21、IGF-1、SOD、GSH-Px、MDA 水平比较,差异均无统计学意义(P>0.05)。治疗后,2 组TNF-α、IL-21、IGF-1、MDA 水平较治疗前降低,SOD、GSH-Px 水平较治疗前升高;且观察组TNF-α、IL-21、IGF-1、MDA 水平低于对照组,SOD、GSH-Px 水平高于对照组,差异均有统计学意义(P<0.05)。结论:清利湿热方联合阿莫西林克拉维酸钾片治疗慢性盆腔炎可降低炎症反应,提高抗氧化能力,减轻疼痛程度。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Qingli Shire prescription combined with amoxicillin clavulanate potassium tablets for chronic pelvic inflammation. Methods:A total of 142 cases of patients with chronic pelvic inflammation were selected and divided into the control group and the observation group according to the random number table method, 71 cases in each group. The control group was treated with amoxicillin clavulanate potassium tablets, and the observation group was additionally treated with Qingli Shire prescription based on the treatment of the control group. The clinical effect in the two groups was observed;the scores of Visual Analogue Scale(VAS) were evaluated;the levels of tumor necrosis factor-α (TNF-α),interleukin-21(IL-21),insulin-like growth factor 1(IGF-1),superoxide dismutase(SOD),glutathione peroxidase (GSH- Px) and malondialdehyde(MDA) were detected. Results: The total effective rate was 92.96% in the observation group,higher than that of 74.65% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of VAS scores between the two groups(P>0.05). After treatment,average VAS scores in the two groups were decreased when compared with those before treatment,and VAS score in the observation group was lower than that in the control group, the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of TNF-α,IL-21,IGF-1,SOD, GSH-Px and MDA between the two groups(P>0.05). After treatment,the levels of TNF-α,IL-21,IGF-1 and MDA in the two groups were decreased when compared with those before treatment, and the levels of SOD and GSH- Px were increased; the levels of TNF- α, IL- 21, IGF- 1 and MDA in the observation group were lower than those in the control group,and the levels of SOD and GSH-Px were higher,differences being significant(P<0.05). Conclusion:The therapy of Qingli Shire prescription combined with amoxicillin clavulanate potassium tablets for chronic pelvic inflammation can reduce inflammatory responses,enhance antioxidant capacity and relieve pain.

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刘爱敏,付昕,杨瑾.清利湿热方联合阿莫西林克拉维酸钾片治疗慢性盆腔炎临床研究[J].新中医,2020,52(21):57-60

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  • 在线发布日期: 2020-11-05
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