四妙丸加减对湿瘀互结型慢性盆腔炎患者生活质量的影响∗

摘要

目的：观察四妙丸加减对湿瘀互结型慢性盆腔炎患者临床效果及生活质量的影响。方法将85例诊断为湿瘀互结型慢性盆腔炎患者按随机数字表法分为治疗组43例和对照组42例。治疗组采用四妙丸加减治疗；对照组采用妇科千金胶囊治疗,治疗3个月后进行临床疗效评价,采用WHOQOL-BREF简表进行生活质量评估,分析其临床疗效及对生活质量的改善情况。结果治疗组和对照组总有效率分别为90.70％,71.43％,差异有统计学意义( P<0.05)；治疗前两组患者WHOQOL-BREF各维度评分及总积分比较,差异无统计学意义(P>0.05)；治疗后两组患者生活质量评分均有所提高,治疗组总体评分(104.21±6.67)分,显著高于对照组(89.60±7.31)分,差异有统计学意义(P<0.05)。结论四妙丸加减治疗湿瘀互结型慢性盆腔炎患者临床疗效显著,有利于改善患者生活质量。%Objective To investigate the influence of Simiao pill intervention on the life quality of patients with chronic pelvic inflammatory disease( CPID) . Methods Eighty-five cases of damp heat and blood stasis type of CPID were randomly divided into two groups:the treatment group( n=43) was treated with Simiao pill decoction combined with other Chinese herbs;the control group(n=42)was treated with Fuke Qianjin capsules.Three months after the treatment, clinical efficacy was evaluated and life quality was assessed by WHOQOL-BREF. Results The total effective rate was 90. 70% in the treatment group and 71.43% in the control group(P<0.05).Before the treatment, score of each dimension of WHOQOL-BREF in both groups was not significantly different(P>0.05).After the treatment, score of each dimension of WHOQOL-BREF in both groups were increased, and the total score was(104.21±6.67)in the treatment group and(89.60±7.31)in the control group(P<0.05). Conclusion Simiao pill decoction combined with other Chinese herbs can effectively treat damp heat and blood stasis type of CPID and improve the life quality of the patients.