Standardized study on the diagnosis and treatment program of pelvic inflammation with comprehensive therapy of traditional Chinese medicine
中医综合疗法治疗盆腔炎湿热瘀阻证诊疗方案的规范化研究

摘要

目的 本研究旨在探讨中医综合疗法治疗盆腔炎湿热瘀阻证的规范化研究，并通过数据分析评估不同治疗方案的疗效。方法 本研究选取了2020年1月至2022年12月期间的1196例盆腔炎患者作为研究对象，采用简单数字随机法将其分为四组进行不同中医综合治疗。治疗方案分别为：中医综合治疗1组（口服中药、激光疗法）、中医综合治疗2组（口服中药、激光疗法、中药薰药）、中医综合治疗3组（口服中药、激光疗法、中药直肠滴入）、中医综合治疗4组（口服中药、激光疗法、中药薰药、静滴红花黄色素）。结果 通过对研究数据进行分析，发现中医综合治疗4组在缓解盆腔炎症状、改善临床体征、降低炎性指标等方面的疗效明显优于其他治疗组。其中，口服自拟除湿化淤补肾方、中药灌肠方、中药熏洗1号方以及红花黄色素氯化钠注射液的应用在治疗盆腔炎湿热瘀阻证方面具有显著效果。结论 中医综合疗法在治疗盆腔炎湿热瘀阻证中具有较好的疗效。本研究提出的治疗方案能够规范化地指导临床治疗实践，为盆腔炎的中医综合治疗提供了一定的参考依据。

Abstract

Objective This study aims to investigate the standardization of pelvic syndrome, and evaluate the efficacy of different treatment options through data analysis.
Methods This study included 1196 patients with pelvic inflammation from January 2020 to December 2022, and divided them into four groups by simple numerical randomization. Treatment respectively: comprehensive treatment of traditional Chinese medicine 1 group (oral Chinese medicine, laser therapy), comprehensive treatment of traditional Chinese medicine 2 groups (oral Chinese medicine, laser therapy, Chinese medicine smoked medicine), comprehensive treatment of traditional Chinese medicine 3 groups (oral traditional Chinese medicine, laser therapy, Chinese medicine rectal drop), comprehensive treatment of traditional Chinese medicine 4 groups (oral Chinese medicine, laser therapy, Chinese medicine, static drops safflower yellow pigment).
Results Through the analysis of the study data, it was found that the four groups of TCM comprehensive treatment were significantly better than other treatment groups in alleviating pelvic inflammatory symptoms, improving clinical signs and reducing inflammatory indicators. Among them, the application of oral self-formulated dehumidification stasis and kidney prescription, Chinese medicine enema prescription, Chinese medicine fumigation and washing no. 1 prescription and safflower yellow pigment sodium chloride injection has significant effects in the treatment of dampness, heat and stasis of pelvic inflammation.
Conclusion   TCM comprehensive therapy has good effect in treating pelvic inflammatory heat and blood stasis. The treatment plan proposed in this study can guide the clinical treatment practice and provide a certain reference for the comprehensive treatment of pelvic inflammation.