Clinical Investigation Of Chronic Pelvic Inflammatory Disease With The Type Of Damp-heat And Blood Stasis Treated By Comprehensive Therapy Of Traditional Chinese Medicine After Laparoscopy

Objective:This research is about using oral Chinese medicine and Kangfu Xiaoyan suppository to cure chronic pelvic inflammatory disease with the type of Damp-heat and Blood Stasis after laparoscopy,in order to evaluate objectivly its role in improving clinical symptoms,signs completly,and to explore the possibility of reducing relapse rate.Methods:Select 120 cases who has been in laparoscopic surgery,and diagnosed as chronic pelvic inflammatory disease,then choose the inclusion criteria of the objects who were randomly divided into A,B,C,Dgroups,each group with 30 cases.A Group:Take traditional Chinese medicine oral and apply Kangfu Xiaoyan suppository after laparoscopy;B Group:Take traditional Chinese medicine oral after laparoscopy;C Group:Apply Kangfu Xiaoyan suppository after laparoscopy;D Group:Do not take any treatment.To observe the patients' symptoms and signs change before and after these treatment,and relapse rate after treatment six months,then to conduct statistical analysis and evaluate the efficacy of various methods.Results:1.Before the laparoscopic surgery,each group in age,preoperative clinical symptoms integral,signs integral,the severity,pelvic conditions,whether pelvic washing,whether application of anti-adhesion agent and operative time were no significant differences(P>0.05).2.Comparison of discharge time after laparoscopic surgery:A,B group wer compared with D group,there were a significant difference(P<0.05);C group and D group have no significant difference(P>0.05).3.Comparison of efficacy3.1 Comparison of comprehensive efficacy:The four group have a significant difference(P<0.05);A group and D group have a significant difference(P<0.01);B group,C group were compared with D group,there were significantly different (P<0.05);A group was compared with B group,C group,there were a significant difference(P<0.05); B group and C group have no significant difference(P>0.05). A group,B group,C group in the total clinical efficacy were superior to D group,and A group was significantly better than B group,C group.3.2Comparison of clinical symptoms:The four group have a significant difference(P<0.05);A group,B group were compared with D group,there were significant difference(P<0.01);C group and D group have significant difference (P<0.05);A group and B group,there was no significant difference in(P>0.05);A group and C group, there was a significant difference(P<0.05);B group and C group,there was no significant difference (P>0.05).3.3Comparison of clinical signs:The four group have a significant difference(P<0.05); A group was compared with B group, D group, there were significant difference(P<0.01); B group and D group, there was no significant difference(P>0.05); C group and D group there was significant difference(P<0.05); A group and C group have no significant difference(P>0.05); B group and C group have a significant difference (P>0.05).4.Comparison of recurrence after six months:Follow up the patients who were cure,marked and effective after treatment 6 months,A group followed 28 patients which 6 cases recurrenced,accounting for 21.43%;B group followed 28 cases which 8 cases recurrenced, accounting for 28.57%;C group followed up 29 cases which 9 cases recurrenced,accounting for 31.03%;D group followed 28 cases which 14 cases recurrenced,accounting for 50.00%.The recurrence of A group,B group,C group were significantly lower than D group,and A group was lower than B group and C group.And Traditional Chinese Medicine interfered group were significantly lower than laparoscopic group in relapse rank(P<0.05).Conclusions:For the chronic pelvic inflammatory disease with Damp-heat and Blood stasi after laparoscopic surgery,oral Traditional Chinese medicine and Kangfu Xiaoyan suppository can improve clinical comprehensive efficacy.Traditional Chinese medicine oral group is better efficacy in clinical symptoms compared with the anal group,but anal suppository group is better in the efficacy of signs. Also it can reduce the relapse rate and the severity of disease recurrenced.The research on the patients with chronic pelvic inflammatory disease about how to prevente recurrence and enhance the quality of life after laparoscopic surgery with a referenced value.