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目的分析并探讨抗生素联合妇科千金片治疗子宫内膜炎的临床效果,为临床治疗方案选择提供依据。方法随机选取2014年1月-2015年12月该院院接受治疗的子宫内膜炎患者180例为研究对象,随机分为观察组与对照组,每组各90例。两组患者均采取抗生素联合孕激素治疗,观察组在此基础上联合使用妇科千金片,观察两组治疗效果。结果观察组治疗有效率为95.56%,对照组治疗有效率为78.89%,观察组治疗有效率明显高于对照组,差异有统计学意义(P<0.05);观察组月经量恢复正常者占86.67%,经期恢复正常者占87.78%,阴道不规则出血者占4.44%。对照组月经量恢复正常者占63.33%,经期恢复正常者占65.56%,阴道不规则出血者占16.67%。观察组月经恢复正常和经期恢复正常百分比明显高于对照组,且阴道不规则出血少于对照组,差异均有统计学意义(均P<0.05);观察组子宫内膜厚度明显高于对照组,且分泌物增多、下腹坠痛以及子宫内膜充血粘连比例低于对照组,差异均有统计学意义(均P<0.05)。结论抗生素联合妇科千金片治疗子宫内膜炎的临床效果显著,临床症状改善明显,恢复快,值得推广。
Objective To analyze and discuss the clinical effects of antibiotics combined with gynecology Qianjin tablets in the treatment of endometritis and provide basis for clinical treatment options. Methods A total of 180 patients with endometritis treated in the hospital from January 2014 to December 2015 were randomly selected as study group and control group with 90 cases in each group. Both groups were treated with antibiotics combined with progesterone, the observation group based on the combination of gynecological daughter gold tablets, the two groups observed the effect of treatment. Results The effective rate was 95.56% in observation group and 78.89% in control group, and the effective rate in observation group was significantly higher than that in control group (P <0.05). The observation group had normal menstruation volume 86.67% %, 87.78% returned to normal menstruation, irregular vaginal bleeding accounted for 4.44%. The control group menstrual volume returned to normal accounted for 63.33%, 65.56% menstrual normal return, vaginal irregular bleeding accounted for 16.67%. The observation group, normal menstruation and menstrual recovery percentage was significantly higher than the control group, and vaginal irregular bleeding less than the control group, the difference was statistically significant (P <0.05); observation group, the endometrial thickness was significantly higher than the control group , And secretions increased, lower abdominal pain and endometrial congestion adhesion ratio was lower than the control group, the difference was statistically significant (P <0.05). Conclusion The combination of antibiotics and gynecology Qianjin tablets has significant clinical effect in treating endometritis, with obvious improvement of clinical symptoms and quick recovery. It is worth popularizing.