导师黄可佳教授治疗慢性盆腔炎经验总结
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摘要
慢性盆腔炎是妇科常见病、多发病,以小腹、少腹疼痛、坠胀,痛引腰骶或伴白带增多、盆腔包块等为其临床表现,具有病程长、病情缠绵、复发率高等特点,严重影响妇女的正常工作和生活,甚至可导致不孕,异位妊娠。由于现代生活节奏快,工作压力大,许多人处于亚健康状态,以及性传播疾病流行、宫内节育器应用增多等因素的存在,慢性盆腔炎发病率呈逐年增高的趋势。西医治疗本病用药以抗生素为主,对控制盆腔炎急性期敏感细菌感染较为有效,对于慢性盆腔炎症造成的组织增生、粘连,局部循环障碍等一系列病理损害,难以渗入局部发挥作用,因此疗效不理想,且长期、反复应用抗生素可产生耐药性,并存在复发率高及药物不良反应等问题。中医治疗本病辨证论治,治病求因,具有一定优势。导师黄可佳教授从医近三十年,灵活运用中医理论,在临床实践中积累了丰富的经验,对本病进行了较为深入的研究,认为肾虚是贯穿本病始终的重要因素,肾虚湿阻血瘀是本病的主要发病机理,在本病治疗上通过补肾培元,扶助正气,以调节机体免疫功能,增强机体抗病能力,同时结合活血利湿之品,清除余邪又利于阴阳气血的恢复,以达到治疗目的,临床上取得较好疗效。
Chronic pelvic inflammatory disease is a gynecological common disease, to lower abdomen, Shaofu pain, bulge, pain with vaginal discharge or increased lead lumbosacral, pelvic mass, such as its clinical presentation, with longer duration, lingering illness, relapse rate, etc. seriously affect the normal working and living of women, and even can lead to infertility, ectopic pregnancy.As the fast pace of modern life, work pressure, many people in the sub-health status, and prevalence of sexually transmitted diseases, increased application of factors such as intrauterine devices exist, the incidence of chronic pelvic inflammatory disease was increasing tendency.Traditional Chinese medicine treatment of this disease with antibiotics based on the control of sensitive bacterial infections of acute pelvic inflammatory disease is more effective for chronic pelvic inflammatory disease caused by tissue, adhesions, a series of local circulation disorders pathological lesions, difficult to penetrate the local effect and hence effective not ideal, and the long-term, repeated use of antibiotics resistance, and high rate of relapse and adverse drug reactions and other issues. TCM Differential Treatment of this disease, seek medical treatment because, with certain advantages.Instructor Professor Huang Kejia became a doctor nearly three decades, flexible use of Chinese medicine theory, clinical practice has accumulated rich experience of this disease to a more in-depth study that runs through the kidney is always an important factor in this disease, kidney deficiency and blood stasis Dampness is the main pathogenesis of this disease, the treatment of this disease by kidney culture yuan, strengthening the body to regulate immune function, enhance the body resistance to diseases, combined with blood dampness of the goods, cleared over evil also in favor of yin and yang restoration of blood to achieve therapeutic purposes, to achieve better clinical efficacy.
引文
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