[1]袁绘钰,蔡丽萍.红外光炙治疗仪联合甲硝唑治疗慢性盆腔炎患者的临床疗效及对临床症状的影响[J].医学信息,2023,36(18):152-155.[doi:10.3969/j.issn.1006-1959.2023.18.030]
 YUAN Hui-yu,CAI Li-ping.Clinical Effect of Infrared Phototherapy Instrument Combined with Metronidazole in the Treatment of Patients with Chronic Pelvic Inflammatory Disease and its Effect on Clinical Symptoms[J].Journal of Medical Information,2023,36(18):152-155.[doi:10.3969/j.issn.1006-1959.2023.18.030]
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红外光炙治疗仪联合甲硝唑治疗慢性盆腔炎患者的临床疗效及对临床症状的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年18期
页码:
152-155
栏目:
药物与临床
出版日期:
2023-09-15

文章信息/Info

Title:
Clinical Effect of Infrared Phototherapy Instrument Combined with Metronidazole in the Treatment of Patients with Chronic Pelvic Inflammatory Disease and its Effect on Clinical Symptoms
文章编号:
1006-1959(2023)18-0152-04
作者:
袁绘钰蔡丽萍
(九江市浔阳区人民医院妇产科,江西 九江 332000)
Author(s):
YUAN Hui-yuCAI Li-ping
(Department of Obstetrics and Gynecology,Xunyang District People’s Hospital,Jiujiang 332000,Jiangxi,China)
关键词:
红外光炙治疗仪甲硝唑慢性盆腔炎
Keywords:
Infrared phototherapy instrumentMetronidazoleChronic pelvic inflammatory disease
分类号:
R711.33
DOI:
10.3969/j.issn.1006-1959.2023.18.030
文献标志码:
A
摘要:
目的 观察红外光炙治疗仪联合甲硝唑治疗慢性盆腔炎患者的临床疗效及对临床症状的影响。方法 选取2020年1月-2022年5月我院诊治的66例慢性盆腔炎患者为研究对象,采用随机数字表法分为对照组和观察组,各33例。对照组采用甲硝唑治疗,观察组在对照组基础上联合应用红外光炙治疗仪治疗,比较两组临床疗效、临床症状(腹痛、白带异常、下腹坠胀、盆腔肿块)消失时间、C反应蛋白和血沉水平、不良反应发生率。结果 观察组治疗总有效率为93.94%,高于对照组的81.82%,差异有统计学意义(P<0.05);观察组腹痛、白带异常、下腹坠胀、盆腔肿块消失时间均短于对照组,差异有统计学意义(P<0.05);两组治疗后C反应蛋白、血沉水平均低于治疗前,且观察组C反应蛋白、血沉水平低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为6.06%,与对照组的9.09%比较,差异无统计学意义(P>0.05)。结论 红外光炙治疗仪联合甲硝唑治疗慢性盆腔炎具有确切的效果,可提高治疗疗效,减轻临床疼痛,降低炎症水平,缩短临床症状消失时间,且不会增加不良反应,是一种可行、有效、安全的联合治疗方法。
Abstract:
Objective To observe the clinical effect of infrared phototherapy instrument combined with metronidazole in the treatment of chronic pelvic inflammatory disease and its effect on clinical symptoms.Methods Sixty-six patients with chronic pelvic inflammatory disease diagnosed and treated in our hospital from January 2020 to May 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 33 patients in each group. The control group was treated with metronidazole, and the observation group was treated with infrared phototherapy instrument on the basis of the control group. The clinical efficacy, disappearance time of clinical symptoms (abdominal pain, abnormal leucorrhea, lower abdominal distension, pelvic mass), C-reactive protein and erythrocyte sedimentation rate, and incidence of adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.94%, which was higher than 81.82% in the control group, and the difference was statistically significant (P<0.05). The disappearance time of abdominal pain, abnormal leucorrhea, lower abdominal bulge and pelvic mass in the observation group were shorter than those in the control group, the differences were statistically significant (P<0.05). After treatment, the levels of C-reactive protein and erythrocyte sedimentation rate in the two groups were lower than those before treatment, and the levels of C-reactive protein and erythrocyte sedimentation rate in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 6.06%, which was compared with 9.09% in the control group, the difference was not statistically significant (P>0.05).Conclusion The infrared phototherapy instrument combined with metronidazole is effective in the treatment of chronic pelvic inflammatory disease, which can improve the therapeutic effect, relieve clinical pain, reduce the level of inflammation and shorten the time of clinical symptoms disappearing, it is a feasible, effective and safe combination therapy.

参考文献/References:

[1]Ravel J,Moreno I,Simón C.Bacterial vaginosis and its association with infertility, endometritis, and pelvic inflammatory disease[J].Am J Obstet Gynecol,2021,224(3):251-257. [2]Frock-Welnak DN,Tam J.Identification and Treatment of Acute Pelvic Inflammatory Disease and Associated Sequelae[J].Obstet Gynecol Clin North Am,2022,49(3):551-579.[3]Wiesenfeld HC,Meyn LA,Darville T,et al.A Randomized Controlled Trial of Ceftriaxone and Doxycycline, With or Without Metronidazole, for the Treatment of Acute Pelvic Inflammatory Disease[J].Clin Infect Dis,2021,72(7):1181-1189.[4]Savaris RF,Fuhrich DG,Maissiat J,et al.Antibiotic therapy for pelvic inflammatory disease[J].Cochrane Database Syst Rev,2020,8(8):CD010285.[5]方琳,黄伟礼,王世应,等.中药保留灌肠配合理疗治疗慢性盆腔炎487例临床分析[J].中国计划生育学杂志,2002,10(8):484-485,505.[6]王雪雁,田玉梅.红外光照射配合抗生素静滴治疗48例慢性盆腔炎的疗效观察[J].医学理论与实践,2010,23(4):441-442.[7]王文平,黄锦,敬巧,等.金刚藤胶囊联合甲硝唑治疗对慢性盆腔炎患者效果、生活质量及炎性因子水平的影响[J].中外医学研究,2021,19(11):12-15.[8]农贤刚,程卫萍.艾灸配合川芎嗪治疗寒湿凝滞型慢性盆腔炎疗效及对CRP、IL-6和TNF-α的影响[J].中国中医基础医学杂志,2017,23(3):387-389.[9]周夏,王嘉梅,柴华,等.寒湿凝滞型盆腔炎性疾病后遗症二联和三联疗法的临床研究[J].北京中医药,2018,37(4):307-311.[10]中华医学会妇产科学分会感染性疾病协作组.盆腔炎症性疾病诊治规范(2019修订版)[J].中华妇产科杂志,2019,54(7):433-437.[10]高妍.左氧氟沙星甲硝唑联合康妇消炎栓治疗盆腔炎性疾病后遗症的效果[J].中国药物与临床,2019,19(12):2070-2071.[11]汤燕明.红外线照射联合双柏散治疗慢性盆腔炎疗效观察[J]. 齐齐哈尔医学院学报,2016,37(3):395-396. [12]Zhao Y,Zhao W,Lang G,et al.Circumcision plus antibiotic,anti-inflammatory,and alpha-blocker therapy for the treat ment for chronic prostatitisronic pelvic pain syndrome:a prospective,randomized,multicenter trial[J].World J Urol,2018,33(5):617-622.[13]贾利平,刘玉珠,周小飞.中西医结合治疗慢性盆腔炎疗效观察及安全性分析[J].中华中医药学刊,2018,36(4):939-941.[14]王薇,颜纯钏,刘锋,等.热敏灸联合血府逐瘀胶囊治疗气滞血瘀型慢性盆腔炎疗效及对血清CA125、lL-8和TGF-β1的影响[J].上海针灸杂志,2019,38(4):389-393.[15]高金平.盆腔炎汤剂辅以物理疗法治疗慢性盆腔炎的临床效果[J].内蒙古中医药,2022,41(4):46-47.[16]黄健媚.抗生素配合物理疗法治疗慢性盆腔炎的效果研究[J].中国医药科学,2018,8(18):53-55,59.[17]张艳.抗生素联合微波理疗治疗盆腔炎32例的临床疗效探讨[J].中国卫生标准管理,2016,7(3):118-119.[18]严妍,龚坚,宁鹏.中药灌肠、雷火灸联合旋振治疗对慢性盆腔炎的应用价值[J].右江民族医学院学报,2022,44(2):272-275.[19]吴丽平,邹学敏,罗平.中药药熨联合微波理疗治疗慢性盆腔炎临床研究[J].中医学报,2016,31(7):1042-1045.[20]高雅,周夏.盆消解毒汤联合红外光理疗治疗湿热瘀结型慢性盆腔炎临床疗效[J].内蒙古中医药,2019,38(8):116-118.

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更新日期/Last Update: 1900-01-01