加味清宫解毒饮合阿奇霉素治疗阴道解脲支原体感染的临床观察

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1、目录中文摘要···················································1英文摘要···················································2引言····················································5正文····················································71.研究方法及实验方案·················

2、····················71.1病例选择··············································71.2分组方法··············································91.3一般资料··············································91.4给药方法·············································101.5纳入病例观察方法····

3、·······························111.6观察指标·············································111.7疗效判定标准·········································121.8统计学处理··········································122.研究结果···············································132.1试验结

4、果·············································132.2不良反应·············································143.讨论················································143.1现代医学对生殖道解脲支原体感染的认识···········143.2解脲支原体感染中医渊源的认识····················183.3现代中医对解脲支原体感染的认识及治疗现状

5、······223.4导师对支原体感染的辨证论治·······················243.5加味清宫解毒饮组方分析····························253.6临床疗效分析及机理探讨····························283.7存在的问题及展望····································29结论··················································312参考文献·······

6、···········································32综述··················································35致谢··················································42攻读学位期间发表的学术论文目录·······················43作者声明··················································44个人简

7、历··················································453中文摘要目的：观察加味清宫解毒饮合阿奇霉素治疗女性阴道解脲支原体感染的临床功效，并探讨其机理。方法：选择2008年1月—2008年11月间，于广西中医学院附属瑞康医院国医堂门诊、妇科门诊就诊的湿热瘀结型阴道解脲支原体感染患者75例，按照随机数字表随机分为中药组25例，西药组25例，中西药组25例。中药组服加味清宫解毒饮，西药组服阿奇霉素，中西药组服加味清宫解毒饮合阿奇霉素。服药14天为一个疗程

8、，经期不停药，服药期间及停药后3个月使用避孕套隔离。分别于停药两周、停药三个月时复查解脲支原体，于初诊、服药后1周、2周、4周观察患者自觉症候，记录三组患者的临床症状、中医症候，相关实验室检查、复发情况，通过统计学方法处理。结果：中药组治疗湿热瘀结型女性阴道解脲支原体感染中医证候显愈率68.00%，转阴率68.00%，治疗总有效率72.00%，复发率29.41%；西药组中医证候显愈率12.00%，转阴率72.00%，治疗总有效率76.00%，复发率27.78%；中西药