摘要
目的探讨产后子宫内膜炎支原体属感染与中医治疗相关性,以期为其诊断和治疗提供参考依据。方法选取2011年1月-2012年12月诊治的产后子宫内膜炎患者中医治疗79例作为治疗A组,另选取子宫内膜炎患者抗菌药物治疗79例作为治疗B组,以同期正常产妇79例作为对照组,支原体属分离检测采用液体培养基培养法,分析支原体属感染与产后子宫内膜炎中医治疗的相关性。结果治疗前治疗A组患者支原体感染39例,阳性率49.37%,其中解脲脲支原体(Uu)培养阳性26例,占32.91%,对照组支原体属感染23例,阳性率为29.11%,其中Uu培养阳性11例,占13.92%,两组比较差异有统计学意义(χ2=4.485,P<0.05),而治疗A组中人支原体(Mh)培养阳性13例,占16.46%,对照组中Mh培养阳性12例,占15.19%,两组比较差异无统计学意义;79例产后子宫内膜炎患者经过中医治疗后,Uu培养阳性9例,占11.39%,明显低于治疗前的治疗A组,差异有统计学意义(χ2=4.873,P<0.05);中医治疗组79例患者中治愈63例,治愈率达79.75%,总有效率93.67%,与经抗菌药物治疗总有效率89.89%比较,差异无统计学意义。结论解脲支原体感染是影响产后子宫内膜炎发生的危险因素,与其发生有一定关系,而中医治疗可抑制Uu感染,并有效治疗产后子宫内膜炎、治愈率高、成本低。
OBJECTIVE To explore the correlation of postpartum endometritis mycoplasma infections and Chinese medicine treatment, in order to provide a reference for its diagnosis and treatment. METHODS A total of 79 patients with postpartum endometritis received Chinese medicine treatment during Jan. 2011-Dec. 2012 was selected as treatment group A, while another 79 cases with endometritis received antimicrobial treatment as treatment group B, and 79 normal women at the same period as control group. Fluid nutrient medium cultivation was used for the detection of separation of mycoplasmad, in order to analyze the correlation of mycoplasma infection and Chinese medicine treatment for postpartum endometritis. RESULTS Before treatment, a total of 39 cases with mycoplasma infection in treatment group A, accounting for 49.37%, among which 26 cases in Uu culture positive, accounting for 32.91%, while in control group there were 23 cases of mycoplasma infections, and positive rate was 29. 11%, among which Uu culture positive in 11 cases, accounted for 13. 92%, and the differenee in two groups was significant （X^2=4. 485, P〈0.05）. There were 13 cases in treatment A group Mh culture positive, accounted for 16. 46%, while 12 cases in control group Mh culture positive, accounted for 15. 19%, and the difference in two groups was not statistical significance. A total of 79 patients with postpartum endometritis were cured after TCM treatment, among which 9 cases （11. 39%）in Uu culture positive, which significantly lower than before treatment in the treatment A group（Х^2= 4. 873, P〈0.05）. By traditional Chinese medicine treatment, 63 cases were cured among 79 cases in treatment group, and the cure rate was as high as 79.75~, total effective rate 93. 67~, which compared with the total effective rate 89. 89~ of antimicrobial treatment had no significant difference. CONCLUSION Ureaplasrna mycoplasma infection is a ri.sk factor for postpartum endometritis occurence, and the traditional Chinese medicine treatment can inhibit of U. rnycoplasma infection, and effective cure postpartum endometritis in a high cure rate and low cost way.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第11期2818-2820,共3页
Chinese Journal of Nosocomiology
基金
杭州市科技基金资助项目(2010YSB234)
关键词
子宫内膜炎
支原体属感染
中医治疗
相关性
Postpartum endometritis
Mycoplasma infection
Chinese medicine treatment
Correlation
