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目的采用中药口服并结合输卵管通液、经期抗炎治疗观察输卵管炎性阻塞性不孕的临床疗效。方法按照随机数字法将75例输卵管炎性阻塞性不孕症患者随机分为观察组(n=35)和对照组(n=40),其中观察组采用中药口服并结合输卵管通液、经期抗炎治疗,对照组仅进行输卵管通液、经期抗炎治疗,比较两组患者的临床疗效。结果观察组输卵管炎性阻塞性不孕症患者中痊愈12例,显效11例,有效8例,总有效率达88.57%;对照组输卵管炎性阻塞性不孕症患者中痊愈6例,显效6例,有效10例,总有效率达55.00%;经统计分析发现观察组的总有效率明显高于对照组,且差异具有统计学意义(χ2=10.15,P﹤0.05)。观察组治疗后综合积分较治疗前明显下降,且差异具有统计学意义(t=2.63,P﹤0.05);而对照组治疗后综合积分则与治疗前无明显差异(t=1.16,P﹥0.05)。本组75例患者中共有150条输卵管发生阻塞,其中观察组共有70条,对照组80条;经过积极的治疗,其中观察组治愈28例,有效31例,总有效率达84.29%;对照组治愈15例,有效40例,总有效率为68.75%,经统计分析,观察组的治愈率和总有效率均明显高于对照组,且差异具有统计学意义(χ2=8.24、4.94,P﹤0.05)。结论传统的输卵管通液术对输卵管复通有一定作用,但治疗有效率低,以化瘀通络汤口服以及输卵管通液相结合的中西医结合方法可以有效扬长避短,提高了治疗有效率和输卵管通畅率,具有临床应用和推广价值。
Objective To observe the clinical curative effect of tubal inflammatory obstructive infertility by oral administration of traditional Chinese medicine combined with tubal fluid and menstrual anti-inflammatory treatment. Methods Seventy-five patients with obstructive infertility with tubal obstruction were randomly divided into observation group (n = 35) and control group (n = 40) according to random number method. The observation group was treated with oral administration of traditional Chinese medicine combined with tubal fluid, Inflammation treatment, the control group only tubal fluid, menstrual anti-inflammatory treatment, the clinical efficacy of two groups were compared. Results In the observation group, 12 cases of tubal obstruction infertility were cured, 11 cases were markedly effective and 8 cases were effective, the total effective rate was 88.57%. In the control group, 6 cases were cured of tubal obstructive infertility and 6 cases were markedly effective Cases, effective in 10 cases, the total effective rate was 55.00%; the statistical analysis found that the observation group was significantly higher than the effective rate of the control group, and the difference was statistically significant (χ2 = 10.15, P <0.05). After treatment, the comprehensive score of observation group decreased significantly compared with that before treatment, and the difference was statistically significant (t = 2.63, P <0.05); while the integrated score of the control group after treatment was no significant difference (t = 1.16, P> 0.05 ). A total of 150 obstructive tubal occlusion occurred in 75 patients in this study, including 70 in the observation group and 80 in the control group. After active treatment, the observation group was cured in 28 cases and effective in 31 cases, with a total effective rate of 84.29%. In the control group Fifteen cases were cured and 40 cases were effective. The total effective rate was 68.75%. According to statistical analysis, the cure rate and total effective rate in the observation group were significantly higher than those in the control group (χ2 = 8.24, 4.94, P < 0.05). Conclusion The traditional tubal fluid through the fallopian tube recanalization has a certain effect, but the treatment is inefficient, combined with traditional Chinese and western medicine combined with oral administration of Huayu Tongluo decoction can effectively prevent weaknesses and improve the treatment efficiency and fallopian tube Patency rate, with clinical application and promotion value.