| 引用本文: |
邹笃准, 刘莹, 袁娅芬, 刘玉娟, 彭丹, 李嫦玲.胡氏清宫止带丸治疗湿热下注型宫颈炎的临床研究[J].湖南中医药大学学报,2026,46(1):163-167[点击复制] |
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| 胡氏清宫止带丸治疗湿热下注型宫颈炎的临床研究 |
| 邹笃准,刘莹,袁娅芬,刘玉娟,彭丹,李嫦玲 |
| (益阳市第一中医医院, 湖南 益阳 413000) |
| 摘要: |
| 目的 探讨胡氏清宫止带丸治疗湿热下注型宫颈炎的临床疗效。方法 将2024年1月至2024年9月益阳市第一中医医院收治的81例湿热下注型宫颈炎患者随机分为两组，其中对照组41例、试验组40例。对照组采用多西环素片口服治疗，结合保妇康栓阴道纳药，试验组在对照组的基础上采用胡氏清宫止带丸治疗，两组疗程均为14 d。比较两组治疗后的宫颈糜烂样改变综合疗效、中医证候总积分疗效；比较两组治疗前后的炎症相关指标（分泌物涂片镜检、白带清洁度指标、病原体培养结果）及治疗后疗效。结果 治疗后，试验组宫颈糜烂样改变综合疗效总有效率（97.5%）高于对照组（75.6%）（P＜0.01）；试验组中医证候总积分疗效总有效率（97.5%）高于对照组（70.7%）（P＜0.01）。治疗后，两组分泌物涂片镜检、白带清洁度及病原体培养均较治疗前改善（P＜0.05，P＜0.01）；且试验组上述治疗效果均优于对照组（P＜0.05），试验组治愈率（55.0%）高于对照组（22.0%）（P＜0.01）。结论 胡氏清宫止带丸可有效改善湿热下注型宫颈炎患者的临床症状，且疗效优于单纯西药治疗。 |
| 关键词: 宫颈炎 湿热下注型 胡氏清宫止带丸 宫颈糜烂 中医证候积分 炎症指标 |
| DOI：10.3969/j.issn.1674-070X.2026.01.023 |
| 投稿时间：2025-03-12 |
| 基金项目:湖南省中医药管理局项目（D2024047）；益阳市科技创新计划项目（2025YR19）。 |
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| Clinical study on Hushi Qinggong Zhidai Pill in the treatment of cervicitis of damp-heat downflow type |
| ZOU Duzhun, LIU Ying, YUAN Yafen, LIU Yujuan, PENG Dan, LI Changling |
| (Yiyang First Hospital of Chinese Medicine, Yiyang, Hunan 413000, China) |
| Abstract: |
| Objective To explore the clinical efficacy of Hushi Qinggong Zhidai Pill (HSQGZDP) in the treatment of cervicitis of damp-heat downflow type. Method A total of 81 patients with damp-heat downflow type cervicitis admitted to Yiyang First Hospital of Chinese Medicine from January 2024 to September 2024 were randomly divided into two groups, with 41 cases in the control group and 40 cases in the experimental group. The control group was treated with oral doxycycline tablets combined with Baofukang suppositories for vaginal administration. The experimental group received HSQGZDP on the basis of the control group's regimen. Both groups were treated for 14 days. After treatment, the comprehensive efficacy on cervical erosion-like changes and the therapeutic efficacy based on total Chinese medicine pattern score were compared between the two groups. The inflammation-related indicators (secretion smear microscopy, leukorrhea cleanliness index, pathogen culture results) were compared between the two groups before and after treatment, and the curative effects after treatment. Results After treatment, the total effective rate for comprehensive efficacy of cervical erosion-like changes in the experimental group (97.5%) was higher than that in the control group (75.6%) (P＜0.01). The total effective rate of therapeutic efficacy based on total Chinese medicine pattern score in the experimental group (97.5%) was higher than that in the control group (70.7%) (P＜0.01). After treatment, both groups showed improvement in secretion smear microscopy, leukorrhea cleanliness, and pathogen culture results compared to before treatment (P＜0.05, P＜0.01); Furthermore, the experimental group demonstrated superior outcomes in these aspects compared to the control group (P＜0.05). The cure rate in the experimental group (55.0%) was higher than that in the control group (22.0%) (P＜0.01). Conclusion HSQGZDP can effectively alleviate the clinical symptoms of patients with cervicitis of damp-heat downflow type, and its efficacy is superior to that of western medicine alone. |
| Key words: cervicitis dampness-heat downflow type Hushi Qinggong Zhidai Pill cervical erosion Chinese medicine pattern score inflammatory indicators |
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