接绪疗法对不孕症输卵管拾卵功能影响的研究

发布时间：2018-05-10 18:02

  本文选题：不孕症 + 伞卵距离(输卵管能动性)　； 参考：《成都中医药大学》2014年硕士论文

【摘要】：目的 探讨接绪疗法之结肠灌注法对不孕症输卵管拾卵功能的影响。 方法 本研究采用非随机非盲法,收集2012年10月～2014年4月在成都中医药大学第二附属医院中医妇科门诊就诊的不孕症患者及自然妊娠者(指孕前调理、复发性或习惯性流产且在6个月内自然受孕者)。分两组：①自然妊娠组(即拾卵功能正常)作为对照组,不采用结肠干预方法；②不孕症组采用中药免煎颗粒结肠灌注,每晚一次,每次150-300ml,自就诊之日起开始用药,经期停药,经净2天后开始灌肠,一月为一个疗程,观察1-3个疗程。 采用麦迪逊ACCUVIX V10彩色超声仪,阴道探头频率5.0MHz,选定最清晰切面,测量输卵管伞端到相应卵巢表面的最短距离(即伞卵距离),按照卵泡期(经净后-周期第11天)、排卵期(周期第12-16天)、黄体期(排卵后到下次月经来潮前)进行划分。采用北京贝亿TSI-21制冷型热断层扫描系统和北京悦天光电技术有限公司研制的HIR-2000非制冷型红外热像仪(温度分辨率为0.025℃,空间分辨率0.9mrad,成像速度约9帧/秒)扫描。体质评定按照中华中医药学会2009-04-09发布的《中医体质分类与判定》体质调查表判定。 观察不孕症组与自然妊娠组伞卵之间差别；同时观察治疗前后伞卵、中医证候积分、治疗后妊娠情况、肝郁血瘀证与红外线热成像表现、体质分布的关系。应用SPSS17.0统计软件进行统计学处理。 结果 共收集不孕症组54例；自然妊娠组17例。29例就诊时未解大便的患者(行生理盐水清洁灌肠)。 1、不孕症组较自然妊娠组伞卵距离远(7.62±3.48mm;4.50±1.59mm,P0.05). 2、结肠灌注治疗后伞卵距离较治疗前缩短,并在自然妊娠组范围内,治疗前后(7.62±3.48mm;3.83±1.72mm)有显著性差异,Z=-8.40,P0.05。 3、清洁灌肠前后伞卵距离缩短(8.51±6.09mm;6.86±5.95mm,P0.05),提示肠蠕动对伞卵距离有影响。 4、结肠灌注法对改善不孕症伞卵距离的总有效率为88.89%(其中17例患者自然受孕,治愈率31.48%)。 5、中医证候疗效：结肠灌注法对中医症状改善的总有效率为94.4%。 6、54例不孕症患者经红外线成像扫描提示有肝经阻滞现象的占68.52%。 7、46例不孕症体质分布以气郁质(27例,包括倾向体质5例,占58.70%；)、血瘀质(20例,包括倾向体质6个,占43.8%)、阳虚质(13个,占28.26%)为主。(其中8例体质调查表丢失,每例最多包含3种体质+1种倾向体质) 结论 1、接绪疗法之结肠灌注是有效方法,能够改善伞卵距离及肝郁症状、体征,促进输卵管拾卵功能。 2、伞卵距离可以作为输卵管拾卵功能的评价指标。
[Abstract]:Purpose To investigate the effect of colonic perfusion therapy on oval-collecting function in infertile fallopian tubes. Method From October 2012 to April 2014, we collected the infertile patients and the natural pregnancy patients (prepregnancy conditioning) from the second affiliated Hospital of Chengdu University of traditional Chinese Medicine (Chengdu University of traditional Chinese Medicine) in the clinic of gynecology of traditional Chinese medicine (TCM) and gynecology of the second affiliated hospital of Chengdu University of traditional Chinese Medicine. Recurrent or habitual abortion and spontaneous conception within 6 months. They were divided into two groups: 1 the natural pregnancy group (that is, normal egg picking function) as the control group. The infertile group did not use the colon intervention method. The infertile group was infused with traditional Chinese medicine without decoction granule colon, once a night, 150-300 ml each time, from the day of seeing a doctor, the medicine began to use, and the menstrual period stopped taking the medicine. Enema was started 2 days later, one month was a course of treatment, 1-3 courses of treatment were observed. Using Madison ACCUVIX V10 color ultrasound instrument, the frequency of vaginal probe was 5.0 MHz, and the clearest section was selected. The shortest distance from the end of the fallopian tube to the corresponding ovarian surface (i.e., the distance between the oviduct and the ovary) was divided according to the follicular period (the 11th day of the cycle), the ovulation stage (12-16 days of the cycle) and the luteal phase (after ovulation and before the next menstrual cycle). The thermal tomography system of Beijing Bei Yi TSI-21 refrigeration type and the HIR-2000 uncooled infrared thermal imager developed by Beijing Yue Tian Optoelectronic Technology Co., Ltd. (temperature resolution 0.025 鈩，

本文编号：1870319