中医综合治疗慢性盆腔炎的临床疗效评价研究

摘要

Objective:To evaluate clinical efficacy of integrated TCM Treatment for Chronic pelvic inflammation , and explore efficacy e-valuation methodology .Methods:121 patients of chronic pelvic inflammation were randomly divided into integrated traditional Chinese medicine treatment group , western medicine group .Overall efficacy and symptoms were evaluated and compared .Results:Total effective rate of TCM group was 95.8%, compared to 86%of western medicine group (P>0.05).H test showed the subtype of qi stagnation and blood stasis in TCM group was better than western medicine group at relieving symptoms ( P<0.05 ) , the type of damp heat and blood stasis in TCM group was not significantly better than the Western medicine group in relieving symptoms .Conclusion:Integrated traditional Chinese medicine treatment is effective for treatment of chronic pelvic inflammation , H test with symptoms rating and categori-zation is a recommendable methodology for efficacy evlauation.%目的：评价中医综合治疗慢性盆腔炎的临床综合疗效，探讨基于症状变化的中医证候疗效评价方法。方法：将慢性盆腔炎患者121例随机分成中医综合治疗组、西药组，比较各组的综合疗效及证候疗效情况。结果：中医综合治疗组总有效率95.8％，西药组总有效率86％，2组差异无统计学意义（ P＞0.05）。症状等级分组资料的H检验结果表明气滞血瘀型中医综合治疗组（中医组）显著优于西药组（ P＜0.05）。湿热瘀结型中医组与西药组的差异无统计学意义。结论：中医综合治疗慢性盆腔炎的临床疗效确切，采用症状等级分组资料H检验可能为一种更好的疗效评价方法。