Discussion on the efficacy of Chinese medicine enema combined with azithromycin in the treatmentof pelvic inflammatory diseases with cold-damp stagnation evidence
中药灌肠联合阿奇霉素治疗盆腔炎性疾病寒湿凝滞证的疗效探讨

摘要

目的 盆腔炎性疾病是一种常见的妇科疾病，其中寒湿凝滞证是其一种常见证型。传统中医的治疗理念强调恢复人体内的阴阳平衡，通过中药灌肠和药物治疗的结合来治疗盆腔炎性疾病。本研究旨在探讨中药灌肠联合阿奇霉素治疗盆腔炎性疾病寒湿凝滞证的疗效和可行性^[1]。方法 本次针对盆腔炎性疾病的治疗，选取本科室在2022年6月至2023年6月90例盆腔炎性疾病患者，将这90例盆腔炎性疾病患者随机分为对照组和研究组各45例，两组均进行常规护理。但不同之处在于研究组的45例应用中药灌肠联合阿奇霉素治疗。结果 研究组盆腔炎性疾病患者应用中药灌肠联合阿奇霉素治疗效果评估明显高于对照组，差异具有统计学意义（P<0.05）。结论 患者发生盆腔炎性疾病过程中，经常由于疾病治疗不及时而转为慢性盆腔炎或炎症治疗不彻底出现复发情况，对于此类盆腔炎性疾病患者应用中药灌肠联合阿奇霉素治疗效果较为显著，可以有效提高盆腔炎性疾病治愈率，降低盆腔炎性疾病复发率，应被广泛应用于临床工作中^[2]。

Abstract

Objective Pelvic inflammatory disease is a common gynaecological disease, of which the cold-damp stagnation syndrome is a common syndrome. The treatment concept of traditional Chinese medicine emphasises the restoration of the balance of yin and yang in the body, and the pelvic inflammatory disease can be treated by the combination of traditional Chinese medicine enema and medication. The aim of this study is to investigate the efficacy and feasibility of herbal enema combined with azithromycin in the treatment of cold-damp stagnation syndrome of pelvic inflammatory diseases ^[1].
Methods For the treatment of pelvic inflammatory disease, 90 cases of pelvic inflammatory disease patients were selected in this department from June 2022 to June 2023, and these 90 cases of pelvic inflammatory disease patients were randomly divided into 45 cases each in the control group and the study group, and both groups were subjected to routine care. However, the difference was that the 45 cases in the study group were treated by applying traditional Chinese medicine enema combined with azithromycin.
Results The assessment of the therapeutic effect of applying traditional Chinese medicine enema combined with azithromycin in the patients with pelvic inflammatory diseases in the study group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05).
Conclusion   In the process of pelvic inflammatory disease, patients often turn into chronic pelvic inflammatory disease due to untimely treatment or recurrence of inflammatory disease due to incomplete treatment, the application of traditional Chinese medicine enema combined with azithromycin treatment for such pelvic inflammatory disease patients has a more significant effect, which can effectively improve the cure rate of pelvic inflammatory disease and reduce the recurrence rate of pelvic inflammatory disease, and it should be widely used in the clinical work ^[2].