雷火灸治疗子宫腺肌病合并不孕的疗效观察  

Therapeutic Effect of Thunder-fire Moxibustion of Adenomyosis Combined with Infertility

作　　者：陈琰[1] 王华[1] 王赛莉[1] 王琴[1] 房彩平[1] 朱娇芳[1] CHEN Yan;WANG Hua;WANG Saili;WANG Qin;FANG Caiping;ZHU Jiaofang(Taizhou Hospital Affiliated to Nanjing University of Chinese Medicine, Taizhou 225300, China)

机构地区：[1]南京中医药大学附属泰州市中医院

出　　处：《云南中医学院学报》2018年第5期75-79,共5页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：江苏省“333工程”科研资助项目(BRA2016183);江苏省“六大人才高峰”高层次人才项目(WSW—260);泰州市科技支撑计划(社会发展)项目(TS201642,TS201808)

摘　　要：目的评价雷火灸联合排卵监测治疗子宫腺肌病合并不孕临床疗效。方法选择符合子宫腺肌病合并不孕且中医辨证属于寒凝血瘀诊断的患者60例,随机分为治疗组和对照组各30例。治疗组予雷火灸联合排卵监测,对照组单纯予排卵监测,比较2组6个月经周期内的妊娠率、痛经症状及中医证候的改善情况,以及血清CA-125、子宫直径的变化。结果治疗组6个月经周期内妊娠率与对照组相比有统计学意义(P<0.05)。治疗组痛经症状、中医证候改善明显,与对照组相比,差异有统计学意义(P<0.05)。2组血清CA-125相比有统计学意义(P<0.05)。子宫平均直径与对照组相比差异无统计学意义(P>0.05)。结论雷火灸联合排卵监测能提高子宫腺肌症不孕患者的受孕率,是一种有效的方法。Objective Evaluating the clinical efficacy of Thunder-Fire moxibustion combined with ovulation monitoring in the treatment of adenomyosis(AM) combined with infertility. Methods There were 60 cases of patients who were diagnosed with uterine AM combined with infertility and their syndrome differentiation of traditional Chinese medicine(TCM) belonged to cold blood coagulation and blood stasis, which were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was gave the combination of Thunder-Fire moxibustion and ovulation monitoring, while the control group was only treated with ovulation monitoring. The pregnancy rate, the improvement of dysmenorrhea symptoms and TCM syndromes, and the changes of serum CA-125 and uterus diameter in 6 menstrual cycles were compared between the two groups. Results The pregnancy rate in the treatment group was statistically significant compared with the control group(P<0.05). The dysmenorrhea symptoms and TCM syndromes in the treatment group improved significantly. Compared with the control group, the difference was statistically significant(P<0.05). There was a significant difference in serum CA-125 between the two groups(P<0.05). There was no significant difference in the average diameter of the uterus compared with the control group(P>0.05). Conclusion Thunder-Fire moxibustion combined with ovulation monitoring was an effective method to improve the pregnancy rate of patients with AM.

关 键 词：子宫腺肌病 不孕 雷火灸 

分 类 号：R246.3[医药卫生—针灸推拿学]