四联外治法结合中药口服治疗输卵管炎性不孕（寒湿瘀滞型）的疗效评价

发布时间：2019-07-02 10:39

【摘要】：目的：通过比较四联外治法结合中药口服与单纯中药口服治疗寒湿瘀滞型输卵管炎性不孕的临床疗效，探讨四联外治法结合中药口服治疗寒湿瘀滞型输卵管炎性不孕的优势，为寒湿瘀滞型输卵管炎性不孕的治疗提供一个新的思路。方法：将2012年12月至2013年9月于河南中医学院第一附属医院生殖医学门诊就诊的寒湿瘀滞型输卵管炎性不孕患者，，随机分成2组。对照组50例，采用中药口服治疗；治疗组50例，采用四联外治法结合中药口服—穴位注射、中频脉冲电理疗、灌肠法及青盐外敷法治疗。观察治疗后输卵管通畅情况，中医证候积分改善情况及随访治疗后半年内妊娠情况。结果：1.对照组总有效率为79.59%，治疗组总有效率为94.00%。两组比较，差异有统计学意义（P0.05）； 2.对照组宫内妊娠15例，异位妊娠0例，宫内妊娠率为30.61%；治疗组宫内妊娠27例，异位妊娠0例，宫内妊娠率为54.00%。两组比较差异有统计学意义（P0.05）； 3.对照组治疗后中医证候积分为18.69±1.27，有效率为85.71%，治疗组治疗后中医证候积分为10.28±1.06，有效率为94.00%，两组比较，差异有统计学意义（P0.05）。结论：1四联外治法结合中药口服能有效改善寒湿瘀滞型输卵管炎性不孕症的临床症状及体征，疗效优于单纯中药口服治疗。 2四联外治法结合中药口服治疗寒湿瘀滞型输卵管炎性不孕症，能够明显提高输卵管复通的几率及治疗后妊娠率，疗效明显优于单纯中药口服治疗。 3本课题为四联外治法结合中药口服治疗寒湿瘀滞型输卵管炎性不孕症的临床推广应用提供了可靠的科学依据。
[Abstract]:Objective: to compare the clinical efficacy of four external treatments combined with traditional Chinese medicine (TCM) in the treatment of salpingitis infertile of cold dampness stasis type, and to explore the advantages of four external treatments combined with traditional Chinese medicine (TCM) in the treatment of salpingitis infertile of cold dampness stasis type, so as to provide a new idea for the treatment of salpingitis infertile of cold dampness stasis type. Methods: from December 2012 to September 2013, the patients with salpingitis with cold dampness and stasis were randomly divided into two groups in the outpatient Department of Reproductive Medicine, the first affiliated Hospital of Henan Institute of traditional Chinese Medicine. The control group (n = 50) was treated with oral Chinese medicine, while the treatment group (n = 50) was treated with four external treatments combined with oral acupoint injection of traditional Chinese medicine, intermediate frequency pulse electrophysiotherapy, enema and green salt external application. The tubal patency, the improvement of TCM syndrome score and pregnancy within half a year after treatment were observed. Results: 1. The total effective rate was 79.59% in the control group and 94.00% in the treatment group. There was significant difference between the two groups (P 0.05). In the control group, there were 15 cases of uterine pregnancy, 0 cases of ectopic pregnancy, the rate of intrauterine pregnancy was 30.61%, 27 cases of intrauterine pregnancy, 0 cases of ectopic pregnancy, the rate of intrauterine pregnancy was 54.00%. There was significant difference between the two groups (P 0.05). After treatment, the score of TCM syndromes in the control group was 18.69 卤1.27, the effective rate was 85.71%, and that in the treatment group was 10.28 卤1.06, and the effective rate was 94.00%. There was significant difference between the two groups (P 0.05). Conclusion: 1 the combination of four external treatments and oral administration of traditional Chinese medicine can effectively improve the clinical symptoms and signs of salpingitis sterility with cold, dampness and stasis, and the curative effect is better than that of traditional Chinese medicine alone. (2) the combination of four external treatments and traditional Chinese medicine in the treatment of salpingitis sterility with cold, dampness and stasis can obviously improve the probability of fallopian tube recanalization and pregnancy rate after treatment, and the curative effect is obviously better than that of oral treatment with traditional Chinese medicine alone. This study provides a reliable scientific basis for the clinical application of four external treatments combined with traditional Chinese medicine in the treatment of salpingitis sterility with cold dampness and stasis.
【学位授予单位】：河南中医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.6

【参考文献】