摘要
目的探讨中西医结合疗法治疗输卵管堵塞性不孕症的临床效果。方法采用随机数字表法将158例输卵管堵塞性不孕症妇女分为联合组和西医组各79例。西医组采用西药、微波及通液治疗,联合组在西医组基础上加用中药方剂桂苓汤加味治疗,比较2组患者治疗1年后的临床疗效及2组患者的成功妊娠情况差异。结果治疗前联合组和西医组的气滞血瘀型、湿热瘀结型、寒湿凝滞型、气虚血瘀型分型分布比较无统计学意义(P>0.05),治疗前2组中医评分比较无统计学意义(P>0.05)。治疗后联合组和西医组的中医证候评分较治疗前均显著降低(P<0.05),联合组较西医组降低更加显著(P<0.05)。联合组的疗效分布显著优于西医组(P<0.05),联合组的总有效率(84.81%)显著高于西医组的70.89%(P<0.05),联合组正常妊娠40例(50.63%)显著高于西医组的25例(31.65%)(P<0.05)。2组宫外孕发生率比较无统计学意义(P>0.05)。联合组的未孕率(48.10%)显著低于西医组的65.82%(P<0.05)。结论中西医结合疗法治疗输卵管堵塞性不孕症较西医疗法具有更加显著的效果,能够提高患者的妊娠率,改善患者的中医证候。
Objective To investigate tility by traditional Chinese medicine the clinical effect of combination therapy and Western medicine. Methods The in the treatment of tubal blockage infer- use of randomly 158 cases in our hospi- tal were divided into combined group and Western medicine group with 79 cases in each group, western medicine group treated with western medicine, microwave and the treatment of liquid flow, the United Group in western medicine group on the basis of treatment with prescription of traditional Chinese medicine Guiling decoction, two the patients and the clinical effect after 1 years and two groups of patients with successful pregnancy differences. Results Qi stagnation and blood stasis, before treatment group and Western medicine group with dampness heat and blood stasis, cold and dampness, Qi deficiency and blood stasis type distribution differences were not significant （ P 〉 0.05 ）. Before treatment in the two groups no significant difference between TCM score （ P 〉 0.05 ） ; combined treatment group and Western medicine group of Chinese medicine symptom score than before treatment were significantly decreased （ P 〈 0.05 ）, combination group compared with western medicine group decreased more significantly （ P 〈 0.05 }. The efficacy of the combined treatment group distribution was better than western medicine group significantly （ P 〈0.05 ） , with an efficiency of （ 84.81% ） was significantly higher than that of Western medicine group of 70. 89% total combined group I P 〈 0.05 ）. Joint group of normal pregnancy in 40 cases （ 50.63% ） was significantly higher than that of 25 cases of Western medicine group （31.65%） （ P 〈 0.05） ; the two group of ectopic pregnancy rate is the difference was not significant（ P 〉0.05） ;united group of non pregnant rate of （48.10% ） was significantly lower than that of Western medicine group of 65.82% （ P 〈 0.05 ）. Conclusion Pipe blockage infertility than the pure western medicine treatment has more significant effect of integrated traditional Chinese and Western medicine therapy in the treatment of tubal pregnancy rate, can improve the patients, and improve the symptoms of patients.
出处
《吉林中医药》
2015年第11期1132-1135,共4页
Jilin Journal of Chinese Medicine
基金
河北省科技攻关项目(05276084)
关键词
输卵管堵塞
中西医结合疗法
不孕症
桂苓汤
tubal blockage
combined treatment of traditional Chinese and Western medicine
infertility
Gulling decoction
