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目的:观察中医定向透药治疗气滞血瘀型盆腔炎性疾病后遗症的临床疗效。方法:收集2016年4月至2018年4月上海市浦东新区中医医院治疗的气滞血瘀型盆腔炎性疾病后遗症患者60例，按照随机数字法分为两组，治疗组和对照组各30例。对照组予妇科千金胶囊治疗，治疗组予中医定向透药治疗，疗程均为1个月。比较两组的临床疗效、中医症候积分、西医体征评分的改变情况。结果:治疗组总有效率为96.67%(29/30)，对照组总有效率为80.00%(24/30)，两组总有效率差异有统计学意义(χn 2＝4.043，n P<0.05)。对照组治疗前西医体征评分(16.50±5.35)分，治疗后(8.87±3.26)分，治疗前后差异有统计学意义(n t＝9.34，n P<0.05)；治疗组治疗前西医体征评分(17.83±4.47)分，治疗后(6.47±3.19)分，治疗前后差异有统计学意义(n t＝10.92，n P<0.05)；对照组治疗前中医症状评分(26.33±7.61)分，治疗后(11.33±4.18)分，治疗前后差异有统计学意义(n t＝9.99，n P<0.05)；治疗组治疗前中医症状评分(29.67±7.61)分，治疗后(8.93±3.74)分，治疗前后差异有统计学意义(n t＝13.37，n P<0.05)。治疗组治疗后中医症候积分减少比对照组更加明显(n t＝2.23，n P<0.05)，治疗组西医体征积分减少比对照组更加明显(n t＝2.50，n P<0.05)。n 结论:对气滞血瘀型盆腔炎性疾病后遗症，中医定向透药治疗疗效优于妇科千金胶囊。“,”Objective:To observe the clinical efficacy of traditional Chinese medicine(TCM) directing therapy in the treatment of pelvic inflammatory disease sequelae (SPID) with the syndrome of Qi stagnation and blood stasis.Methods:From April 2016 to April 2018, 60 patients of SPID with the syndrome of Qi stagnation and blood stasis in the Traditional Chinese Medicine Hospital of Pudong New Area of Shanghai were randomly divided into the treatment group and the control group according to the digital table, with 30 cases in each group.The control group was treated with FukeQianjin capsules, and the treatment group was treated with TCM directing therapy, with a course of 1 month.The clinical efficacy was observed, and the TCM syndrome score and gynecological examination score were compared.Results:The total effective rate of the treatment group was 96.67%(29/30), which was significantly higher than 80.00%(24/30) of the control group (χn 2=4.043, n P<0.05). The gynecological examination score of the control group after treatment was (8.87±3.26)points, which was significantly lower than that before treatment [(16.50±5.35)points] (n t=9.34, n P<0.05). The gynecological examination score of the treatment group after treatment was (6.47±3.19)points, which was significantly lower than that before treatment [(17.83±4.47)points](n t=10.92, n P<0.05). The TCM syndrome score of the control group after treatment was (11.33±4.18)points, which was significantly lower than that before treatment [(26.33±7.61)points](n t=9.99, n P<0.05). The TCM syndrome score of the treatment group after treatment was (8.93±3.74)points, which was significantly lower than that before treatment [(29.67±7.61)points](n t=13.37, n P<0.05). After treatment, the decrease of TCM syndrome score in the treatment group was obviously better than that in the control group (n t=2.23, n P<0.05). And the decrease of the gynecological examination score in the treatment group was obviously better than that in the control group(n t=2.50, n P<0.05).n Conclusion:TCM directing therapy has good efficacy in the treatment of SPID with the syndrome of Qi stagnation and blood stasis.