CN103330811A - 一种治疗慢性盆腔炎的中药制剂 - Google Patents

一种治疗慢性盆腔炎的中药制剂 Download PDF

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CN103330811A
CN103330811A CN2013103007262A CN201310300726A CN103330811A CN 103330811 A CN103330811 A CN 103330811A CN 2013103007262 A CN2013103007262 A CN 2013103007262A CN 201310300726 A CN201310300726 A CN 201310300726A CN 103330811 A CN103330811 A CN 103330811A
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CN103330811B (zh
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谭玉金
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Abstract

本发明公开了一种治疗慢性盆腔炎的中药制剂。慢性盆腔炎属中医带下、腹痛、发热、瘕范畴。病因为外感湿毒,热毒入侵,壅滞于胞宫,气血运行不畅,不通则痛,营卫不和而发热,湿热下注则带多,气血凝滞聚而成为瘕脓肿。为此,本发明选择中药蝉翼藤、绵枣儿、牡丹皮、紫参、竹节七、小血藤、荔枝核、独行千里、凌霄花、垂盆草,水煎成汤剂,经我院临床试验,痊愈率、总有效率分别达到68.9%和96.7%,均优于对照组,值得临床应用。

Description

一种治疗慢性盆腔炎的中药制剂
技术领域
本发明涉及一种中药组合物,尤其涉及一种治疗慢性盆腔炎的中药制剂。 
背景技术
盆腔炎是妇科常见病、多发病。急性者治疗不当可转变为慢性,具有病程长,治愈率低,复发率高的特点,严重危害妇女身心健康,甚至影响生育,目前西医在治疗上采用抗菌谱广,对需氧菌和厌氧菌都有杀灭作用的广谱抗生素,长此以往造成细菌的耐药,导致治疗效果欠佳,而且长期使用抗生素可产生各种并发症。 
发明内容
本发明的目的是提供一种治疗慢性盆腔炎的中药制剂。慢性盆腔炎属中医带下、腹痛、发热、瘕范畴。病因为外感湿毒,热毒入侵,壅滞于胞宫,气血运行不畅,不通则痛,营卫不和而发热,湿热下注则带多,气血凝滞聚而成为瘕脓肿。 
本发明的目的是通过以下技术方案实现的,该治疗慢性盆腔炎的中药制剂由以下重量份的中药制成:蝉翼藤15-20份、绵枣儿10-15份、牡丹皮7-10份、紫参12-16份、竹节七15-18份、小血藤8-17份、荔枝核11-15份、独行千里3-5份、凌霄花12-20份、垂盆草15-19份。 
优选的,蝉翼藤18份、绵枣儿13份、牡丹皮9份、紫参14份、竹节七17份、小血藤12份、荔枝核13份、独行千里4份、凌霄花 16份、垂盆草15份。 
制备方法按传统的制备方法,水煎制成汤剂。 
方中:蝉翼藤、绵枣儿、牡丹皮活血化瘀,消肿止痛,清热利尿,凉血;紫参、竹节七清热解毒,活血理气,利水消肿,止血;小血藤、荔枝核行气止痛,活血散瘀,行气散结,散寒止痛;独行千里、凌霄花破血散瘀,消肿止痛,舒筋活血,通经;垂盆草清热利湿,解毒。 
临床资料 
1、一般资料选择2008年12月至2009年12月在本科门诊就诊的慢性盆腔炎患者180例。诊断标准:有下腹部坠胀、疼痛及腰骶部酸痛,白带增多;有的患者有月经不调或不孕史;妇科检查见子宫后位,活动差,有压痛,一侧或双侧附件增厚有压痛或呈条索状增粗,或有包块、压痛;经B超及实验室检查排除盆腔恶性肿瘤及子宫内膜异位症。将180例随机分为两组:治疗组90例,年龄20~50岁(平均34.5岁),病程3个月~13年(平均3.5年);对照组90例,年龄21~55岁(平均35.0岁),病程4个月~12年(平均4.6年);两组病例年龄、病程差异无显著性(P>0.05)。 
2、疗效标准痊愈:症状消失,妇科检查示附件无增厚压痛及包块,B超检查提示盆腔正常;显效:症状消失,妇科检查示附件增厚明显减轻、无压痛,B超检查提示附件增厚减轻或包块减小1cm以上;有效:症状明显减轻或基本消失,妇科检查示附件增厚有所减轻无压痛,B超检查提示附件增厚减轻或包块略缩小;无效:治疗前后症状体征等无改变。 
3、治疗方法治疗组患者服用本发明所述的中药制剂,即称取蝉翼藤18g、绵枣儿13g、牡丹皮9g、紫参14g、竹节七17g、小血藤12g、荔枝核13g、独行千里4g、凌霄花16g、垂盆草15g,水煎制成汤剂,每日一剂,分早晚二次服用。对照组患者在月经期用青霉素类、头孢类或喹诺酮类抗生素加甲硝唑或替硝唑,静脉滴注,两组均7d为1个疗程,连用三个疗程。 
4、治疗结果两组治疗三个疗程后疗效比较见表1。 
表1      两组治疗三个疗程后疗效比较 
Figure 1
                        与对照组比较P<0.05 
两组比较,治疗组的痊愈率、总有效率,明显优于对照组,差异有统计学意义(P<0.05)。 
具体实施方式
实施例一:称取蝉翼藤18g、绵枣儿13g、牡丹皮9g、紫参14g、竹节七17g、小血藤12g、荔枝核13g、独行千里4g、凌霄花16g、垂盆草15g,将上述中药水煎制成汤剂。 
实施例二:称取蝉翼藤20g、绵枣儿15g、牡丹皮7g、紫参12g、竹节七18g、小血藤8g、荔枝核15g、独行千里5g、凌霄花12g、垂盆草19g,将上述中药水煎制成汤剂。 
实施例三:称取蝉翼藤15g、绵枣儿10g、牡丹皮10g、紫参16g、竹节七15g、小血藤17g、荔枝核11g、独行千里3g、凌霄花20g、垂盆草15g,将上述中药水煎制成汤剂。 

Claims (2)

1.一种治疗慢性盆腔炎的中药制剂,其特征在于该中药制剂由以下重量份的中药制成:蝉翼藤15-20份、绵枣儿10-15份、牡丹皮7-10份、紫参12-16份、竹节七15-18份、小血藤8-17份、荔枝核11-15份、独行千里3-5份、凌霄花12-20份、垂盆草15-19份。 
2.根据权利要求1所述的一种治疗慢性盆腔炎的中药制剂,其特征在于该中药制剂由以下重量份的中药制成蝉翼藤18份、绵枣儿13份、牡丹皮9份、紫参14份、竹节七17份、小血藤12份、荔枝核13份、独行千里4份、凌霄花16份、垂盆草15份。 
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