CAJ | 학술논문

目的：观察中西医联合治疗女性绝育术后下腹痛的临床效果。方法对2009年9月—2013年9月间住院治疗的38例女性绝育术后患者的临床资料进行回顾性分析，根据治疗方法的不同，分为西医治疗组（A组）18例，中西医联合治疗组（B组）20例，比较两组间的疼痛程度、心理状况、白带月经情况的治疗效果。结果38例患者经过两种不同的方法治疗后均取得良好的效果，其中治愈16例，有效16例，无效6例，治疗有效率高达84.21%（32/38），治疗前后的疼痛程度评分分别为（7.53±1.85）分，（2.55±2.37）分；心理状况评分分别为（74.11±12.79）分，（44.92±16.45）分；两者在治疗前后相互比较，差异有统计学意义（P<0.05）。其中，治疗后B组的疼痛程度评分为（1.70±1.98）分、心理状况评分为（39.45±18.90）分明显比A组的疼痛程度评分（3.50±2.41）分，心理状况平分（51.00±10.21）分低，B组治疗有效率95.00%明显比A组的72.22%高，两者间比较差异有统计学意义（P<0.05）。结论两种方法治疗女性绝育术后下腹痛均可取得良好效果，在一定程度上，中西医联合治疗更能减轻女性绝育术后患者的疼痛程度，缓解患者的心理焦虑紧张状态，提高患者白带、月经恢复情况，值得推广。
목적：관찰중서의연합치료녀성절육술후하복통적림상효과。방법대2009년9월—2013년9월간주원치료적38례녀성절육술후환자적림상자료진행회고성분석，근거치료방법적불동，분위서의치료조（A조）18례，중서의연합치료조（B조）20례，비교량조간적동통정도、심리상황、백대월경정황적치료효과。결과38례환자경과량충불동적방법치료후균취득량호적효과，기중치유16례，유효16례，무효6례，치료유효솔고체84.21%（32/38），치료전후적동통정도평분분별위（7.53±1.85）분，（2.55±2.37）분；심리상황평분분별위（74.11±12.79）분，（44.92±16.45）분；량자재치료전후상호비교，차이유통계학의의（P<0.05）。기중，치료후B조적동통정도평분위（1.70±1.98）분、심리상황평분위（39.45±18.90）분명현비A조적동통정도평분（3.50±2.41）분，심리상황평분（51.00±10.21）분저，B조치료유효솔95.00%명현비A조적72.22%고，량자간비교차이유통계학의의（P<0.05）。결론량충방법치료녀성절육술후하복통균가취득량호효과，재일정정도상，중서의연합치료경능감경녀성절육술후환자적동통정도，완해환자적심리초필긴장상태，제고환자백대、월경회복정황，치득추엄。
Objective To observe the clinical effect of traditional Chinese medicine combined with western medicine on females with lower abnormal pain after sterilization. Methods A retrospective analysis was performed on the clinical data of 38 female patients who hospitalized in our center from September, 2009 to September, 2013 after the sterilization. The patients were divided into two groups according to different treatment methods, one was western medicine treatment group (group A) of 18 cases, the other was tra-ditional Chinese medicine combined with western medicine treatment group (group B) of 20 cases. The clinical effect of the treatment for the degree of pain, the psychological status, and the leucorrhoea menstrual status were compared between these two groups. Re-sults The 38 patients obtained good clinical effect after the treatment. Of whom, 16 patients were cured, 16 patients were effective, and 6 patients were ineffective, the total effective state reached as high as 84.21%(32/38). The scores of the pain degree were (7.53± 1.85) and (2.55±2.37) before and after the treatment. The scores of the mental status were (74.11±12.79) and (44.92±16.45) before and after the treatment. There were statistically significant differences in the pain degree, the score of mental status of 38 patients before and after the treatment (P<0.05). The score of pain degree and mental status after the treatment of group B were (1.70±1.98) and (39.45±18.90), obviously lower than group A's 3.50±2.41 and (51.00±10.21), respectively;and the total effective rate of the treatment of group B was 95%, higher than group A's 72.22%, there was statistically significant difference between them (P<0.05). Conclusion Both of the methods can achieve good effect in the treatment of lower abdominal pain for the female after sterilization. To a certain extent, the treatment of traditional Chinese method combined with western medicine can relieve the pain degree more than the western medicine does for the female after the sterilization, it can also alleviate the patients psychological anxiety state, and im-prove the leucorrhea and menstrual recovery situation of the patients, so it is worthy of promotion.