温针灸治疗输卵管阻塞不孕症的临床疗效观察  

Clinical Efficacy Observation of Warm Needling for Infertility due to Tubal Obstruction

作　　者：康冰 孟鸿雁 闫清鑫 马建功[3] KANG Bing;MENG Hong-yan;YAN Qing-xin;MA Jian-gong(Henan Zhoukou Hospital of Traditional Chinese Medicine,Zhoukou 466000,China;The Affiliated Hospital of Henan Academy of Chinese Medicine,Zhengzhou 450000,China;The First Affiliated Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南周口市中医院,周口466000 [2]河南省中医药研究院附属医院,郑州450000 [3]河南大学第一附属医院,开封475000

出　　处：《上海针灸杂志》2021年第2期174-179,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河南省教育厅科学技术研究重点项目(14A320072)。

摘　　要：目的在补气温经方联合输卵管通液术基础上,观察温针灸治疗输卵管阻塞不孕症的临床疗效。方法将60例输卵管阻塞不孕症患者随机分为观察组和对照组,每组30例。对照组采用补气温经方联合输卵管通液术治疗,观察组在对照组治疗基础上采用温针灸任脉穴,两组均治疗6个月经周期。比较两组的临床疗效和受孕率,并比较两组治疗前后中医证候评分、局部体征评分和中医各项主症评分的变化,以及输卵管通液术后和针灸治疗后的疼痛视觉模拟量表(VAS)评分。结果经过6个月经周期治疗后,观察组总有效率和受孕率分别为93.3%和50.0%,对照组分别为80.0%和26.7%,两组比较差异均有统计学意义(P<0.05);观察组中医证候评分、局部体征评分和中医各项主症评分均优于对照组,差异具有统计学意义(P<0.05)。输卵管通液术后并经针灸治疗后,观察组VAS评分低于对照组,差异具有统计学意义(P<0.05)。结论在补气温经方联合输卵管通液术基础上,针灸治疗可提高输卵管阻塞不孕症的疗效和受孕率,改善中医证候和局部体征,并有效缓解卵管通液术后的疼痛。Objective To observe the clinical efficacy of warm needling in treating infertility due to tubal obstruction on the basis of Bu Qi Wen Jing(supplementing qi and warming meridians)prescription and hydrotubation.Method Sixty patients with tubal obstruction-induced infertility were randomized into an observation group and a control group,with 30 cases in each group.The control group was treated with Bu Qi Wen Jing prescription and hydrotubation,and the observation group was given additional warm needling at Conception Vessel acupoints.The treatment lasted for 6 menstrual cycles in both groups.The clinical efficacy and pregnancy rate were compared between the two groups,as well as the post-treatment changes in the symptom and sign score of traditional Chinese medicine(TCM),topical sign score,primary symptom scores of TCM,and the Visual Analogue Scale(VAS)score respectively after hydrotubation and acupuncture-moxibustion treatment.Result After treatment for 6 menstrual cycles,the total effective rate was 93.3%and the pregnancy rate was 50.0%in the observation group,versus 80.0%and 26.7%in the control group,with significant between-group differences(P<0.05);the observation group was superior to the control group comparing the TCM symptom and sign score,topical sign score and primary symptom scores of TCM,all presenting statistical significance(P<0.05).After hydrotubation and acupuncture-moxibustion treatment,the VAS score was lower in the observation group than in the control group,with statistical significance(P<0.05).Conclusion In addition to Bu Qi Wen Jing prescription and hydrotubation,warm needling can enhance the efficacy and pregnancy rate in treating infertility due to tubal obstruction;it can improve the TCM symptoms and signs and topical signs,and effectively reduce the pain caused by hydrotubation.

关 键 词：针灸疗法 温针疗法 任脉 针药并用 输卵管疾病 不育 女性 

分 类 号：R246.3[医药卫生—针灸推拿学]