| Objective:To observe the clinical efficacy of combined therapy in the treatment of pelvic inflammatory disease sequelae of damp-heat and stasis type,in order to alleviate clinical symptoms and signs,improve the quality of life of patients,give full play to the unique advantages of traditional Chinese medicine in the treatment of pelvic inflammatory disease sequelae and further clinical promotion and application.Methods:Seventy-two cases of pelvic inflammatory disease sequelae with damp-heat and stasis syndrome in Henan Hospital of Traditional Chinese Medicine were selected and randomly divided into treatment group and control group with 36 cases in each group.Treatment group: Chinese medicine decoction orally plus Chinese medicine enema,control group: Chinese medicine decoction orally.Continuous treatment of three menstrual cycles,observe the two groups of patients before and after treatment of lower abdominal distension or falling pain,lumbosacral pain,increased bandage and overall efficacy before and after treatment to evaluate the clinical efficacy of combined therapy for pelvic inflammatory disease sequelae of damp-heat stagnation.Results:(1)This study included 72 patients who met the criteria.One patient in the treatment group was excluded because of taking Chinese patent medicines for the treatment of the disease.One patient in the control group dropped out because of missing visits.The final statistics were 70 cases.(2)In the course of clinical observation,the total effective rate of the treatment group was 97.14%,and that of the control group was 83.33%.It was concluded that the curative effect of the treatment group was better than that of the control group(P<0.05).(3)After treatment,the total integral curative effect of the two groups was compared,the two groups were P < 0.05,with statistical significance;the comparison between the two groups was P < 0.05,with statistical significance,so the treatment group and the control group had better curative effect,but the treatment group had better curative effect.(4)Comparing the main symptoms of lower abdominal distension pain or falling pain,there was no statistical difference between the two groups before treatment(P >0.05).After treatment,the comparison between the two groups was P < 0.05,indicating that both groups were effective,and the comparison between the two groups was P < 0.05,indicating that the curative effect of the treatment group was better than that of the control group.(5)Comparing the main symptoms of lumbosacral pain,there was no statistical difference between the two groups before treatment(P > 0.05).After treatment,the comparison between the two groups was P < 0.05,indicating that both groups were effective,and the comparison between the two groups was P < 0.05,indicating that the curative effect of the treatment group was better than that of the control group.(6)In the main symptoms,there was no statistical difference between the two groups before treatment(P > 0.05).The comparison of P < 0.05 in the treatment group shows that both groups are effective after treatment,and the comparison of P < 0.05 between the two groups shows that the curative effect of the treatment group is better than that of the control group after treatment.(7)Safety analysis: In the course of clinical observation,no drug was found in the treatment group and the control group after treatment.Allergic phenomena,no dizziness,malignancy,vomiting and other adverse reactions.Conclusion:Both the treatment group and the control group can achieve better clinical efficacy,but the combined therapy(decoction of traditional Chinese medicine combined with Enema of traditional Chinese medicine)is superior to the control group in terms of overall efficacy and syndromes,so the treatment is safe and effective,and it is worth popularizing and applying in clinic. |