中药保留灌肠治疗输卵管阻塞性不孕症66例临床分析.docVIP

中药保留灌肠治疗输卵管阻塞性不孕症66例临床分析 　　[摘要] 目的 观察中药保留灌肠治疗输卵管阻塞性不孕症的临床效果。 方法 将130例诊断为输卵管阻塞性不孕症的患者分为观察组（n=66）和对照组（n=64），两组均给予输卵管通液术治疗，观察组在此基础上给予中药保留灌肠治疗，对照组在此基础上给予口服广谱抗生素治疗。每个经期为1个疗程，共3个疗程。统计两组患者治疗3个疗程后的输卵管通畅情况及随访治疗1年后妊娠成功率。 结果 治疗后观察组痊愈、有效和无效的例数分别为41、21、4例，总有效率为93.9%；对照组痊愈、有效和无效的例数分别为29、25、10例，总有效率为84.4%；两组间总有效率差异有统计学意义（P0.05）。治疗后随访1年，观察组和对照组妊娠成功率分别为63.6%和37.5%，差异有统计学意义（P0.05）。 结论 中药保留灌肠治疗输卵管阻塞性不孕症效果明显，值得在临床推广应用。 　　[关键词] 不孕症；输卵管阻塞；中药保留灌肠 　　[中图分类号] R271.14 [文献标识码] A [文章编号] 1674-4721（2013）11（a）-0038-03 　　The clinical analysis of Chinese medicine retention enema applied over 66 patients with fallopian tube obstructive infertility 　　TANG Ya-jun 　　Gynaecology and Obstetrics Department，People′s Hospital of Lushan County in Henan Province，Lushan 467300，China 　　[Abstract] Objective To investigate the clinical effects of Chinese medicine retention enema applied over patients with fallopian tube obstructive infertility. Methods A total of 130 patients with fallopian tube obstructive infertility were divided into observation group （n=66） and control group （n=64）.Two groups were performed tubal liquid treatment，while the observation group were given Chinese medicine retention enema treatment and the control group were given broad-spectrum antibiotic treatment.Each period for was a period of treatment and the treatment was three periods.The tubal patency after three periods′ treatment and success rate of pregnancy after one year were recorded. Results The cases or cured，effective and invalid of the observation group were 41 cases，21 cases and 4 cases，respectively，the total effective rate was 93.9%.The cases or cured，effective and invalid of the control group were 29 cases，25 cases，and 10 cases，respectively，the total effective rate was 84.4%.The differences between the the total effective rate were statistically significant （P0.05）.The pregnancy success rate of the two groups were 63.6% and 37.5%，respectively （P0.05）. Conclusion The clinical effects of traditional Chinese medicine r