[1]王艳君*,兰玛,李建辉,等.中药内服加灌肠配合针灸治疗输卵管阻塞性不孕60例的临床研究[J].中国计划生育和妇产科,2017,(2):40- 42,50.
　WANG Yan-jun*,LAN Ma,LI Jian-hui,et al.Clinical study on treatment of 60 cases of fallopian tube obstructive infertility with oral Chinese medicine，enema and acupuncture[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):40- 42,50.
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中药内服加灌肠配合针灸治疗输卵管阻塞性不孕60例的临床研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年2期
页码:
40- 42,50
栏目:
论著与临床
出版日期:
2017-02-25

文章信息/Info

Title:
Clinical study on treatment of 60 cases of fallopian tube obstructive infertility with oral Chinese medicine，enema and acupuncture
作者:
王艳君*; 兰玛; 李建辉; 弋杰
攀枝花市中西医结合医院
Author(s):
WANG Yan-jun*; LAN Ma; LI Jian-hui; YI Jie
Department of Gynecology and Obstetrics, Panzhihua Traditional Chinese and Western Medicine Hospital， Panzhihua Sichuan 617000，P.R.China
关键词:
输卵管; 不孕; 中药内服; 灌肠; 针灸
Keywords:
fallopian tube;  infertility;  oral Chinese medicine;  enema;  acupuncture
分类号:
R 27114
摘要:
目的探讨中药内服加灌肠配合针灸治疗输卵管阻塞性不孕的临床疗效。方法选择2011年10月至2013年10月攀枝花学院附属医院妇产科60例符合输卵管阻塞性不孕诊断的患者，根据随机数字表法分为观察组和对照组。对照组月经净后3~7 d，输卵管内注药通液（庆大霉素8万U、地塞米松注射液5 mg，糜蛋白酶4 000 U加入09 %氯化钠注射液30 mL）；观察组以自拟通管方中药水煎服，加中药直肠灌注配合针灸治疗，比较两组疗效。结果两组患者治疗后输卵管通畅度评分均较治疗前降低，观察组输卵管通畅情况总有效率（8333 %）显著优于对照组（4000 %），随访12月发现，观察组的受孕率（3000 %）显著优于对照组（1333 %）（P<005）。结论中药自拟通管方内服加灌肠配合针灸治疗输卵管阻塞性不孕具有明确的临床疗效，具有临床推广价值。
Abstract:
ObjectiveTo explore the clinical efficacy of Chinese herbal medicine plus enema combined with acupuncture in treating fallopian tube obstructive infertility. Methods60 patients with fallopian tube obstructive infertility in Panzhihua Traditional Chinese and Western Medicine Hospital from October 2011 to October 2013 were selected.They were divided into observation group and control group by random number table. 3 to 7 days after menstruation, patients of control group received fallopian tube injection of liquid(gentamicin 80 000U, dexamethasone injection 5 mg， chymotrypsin 4 000U by adding 0.9% sodium chloride injection 30mL) and the observation group were treated with self-made oral Chinese medicine, rectal perfusion combined with acupuncture treatment. Clinical curative effect of the two groups were compared. ResultsAfter treatment, fallopian tube patency score of the two groups were reduced, and the fallopian tube patency rate of the observation group(8333%) was significantly higher than the control group (40%). After 12 months of follow-up, the pregnancy rate of observation group（30%）was significantly higher than the control group (1333%), the difference was statistically significant (P<005). ConclusionTraditional Chinese medicine decoction for oral and pipe enema combined with acupuncture in the treatment of fallopian tube obstructive infertility has definite efficacy and is worthy of promotion.

参考文献/References:

［1］谢幸，苟文丽.妇产科学 ［M］第8版北京：人民卫生出版社，2013：369 ［2］华克勤，丰有吉实用妇产科学 ［M］第3版北京：人民卫生出版社，2013：700 ［3］王季颖，王寒梅辨证治疗人流术后恶露不净 55例 ［J］中国社区医师，2009，164（9）：37 ［4］张玉珍中医妇科学 ［M］北京：中国中医药出版社，2002：321 ［5］张丽钰中药保留灌肠治疗输卵管阻塞性不孕症36例临床分析 ［J］中国保健营养，2014，24 (7)： 4694-4695. ［6］柳慧中药保留灌肠配合针刺治疗输卵管阻塞性不孕症62例 ［J］大家健康，2014，8（8）：44

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备注/Memo

备注/Memo:
四川省教育厅2011年第二批科研项目（自筹经费）（项目编号：11ZA256）
更新日期/Last Update: 2017-02-25