中医综合疗法治疗气滞血瘀型输卵管性不孕的临床疗效  

Clinical Efficacy of Traditional Chinese Medicine Comprehensive Therapy on Tubal Factor Infertility of Qi Stagnation and Blood Stasis Syndrome

作　　者：潘静 杜美琳 王玉超 于潇 刘鹏飞 刘金星[2] PAN Jing;DU Meilin;WANG Yuchao;YU Xiao;LIU Pengfei;LIU Jinxing(The First Clinical College,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2025年第2期170-177,共8页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省自然科学基金项目(编号:ZR2021MH079,ZR2022QH075)。

摘　　要：目的:观察中医综合疗法治疗气滞血瘀型输卵管性不孕的临床疗效。方法:选取气滞血瘀型输卵管性不孕患者160例,按随机数字表法分为对照组(中医外治疗法)和观察组(中医综合疗法)各80例。筛选剔除后统计为观察组79例、对照组76例。对照组采用中药消癥散外敷联合灌肠方汤剂保留灌肠、针刺、隔姜灸、耳穴贴压、电磁波理疗外治疗法,观察组在对照组基础上联合中药逍遥舒坤汤口服综合治疗,均连续治疗3个疗程。记录两组患者妊娠情况,比较未孕患者输卵管通畅性的改变,观察气滞血瘀证候、局部体征和盆腔疼痛的改善。结果:观察组宫内妊娠率(62.03%)和总妊娠率(63.29%)高于对照组(宫内妊娠率28.95%,总妊娠率31.58%),差异均具有统计学意义(P<0.01)。观察组输卵管通畅性痊愈率(17.07%)、显效率(52.50%)和总有效率(37.00%)与对照组(痊愈率6.25%,显效率27.08%,总有效率15.83%)比较,差异均具有统计学意义(P<0.05,P<0.01)。与治疗前相比,两组患者治疗后气滞血瘀证候评分、局部体征评分和盆腔疼痛评分均显著降低(P<0.01);治疗后,观察组较对照组气滞血瘀证候评分、局部体征评分和盆腔疼痛评分降低明显(P<0.05,P<0.01),观察组治疗局部体征总有效率(87.34%)和盆腔疼痛总有效率(89.87%)与对照组(局部体征总有效率77.63%,盆腔疼痛总有效率59.21%)比较,差异均具有统计学意义(P<0.05,P<0.01)。结论:中医综合治疗气滞血瘀型输卵管性不孕能提高妊娠率,改善输卵管通畅性和中医证候,缓解局部体征,减轻盆腔疼痛,效果优于单纯中医外治疗法。Objective:To observe the clinical efficacy of traditional Chinese medicine(TCM)comprehensive treatment in tubal factor infertility(TFI)of qi stagnation and blood stasis syndrome.Methods:Totally 160 patients with TFI of qi stagnation and blood stasis syndrome were selected and divided into a control group(TCM external therapy)and an observation group(TCM comprehensive therapy)according to random number table method,with 80 patients in each group.After screening and exdusion,the statistics showed that there were 79 cases in the observation group and 76 cases in the control group.The control group was treated with the external application of Xiaozheng Powder(消癥散)combined with Chinese medicinal retention enema,acupuncture,ginger moxibustion,auricular pressure,and electromagnetic wave physiotherapy.The observation group was treated with oral administration of Xiaoyao Shukun Decoction(逍遥舒坤汤)besides therapies in the control group.Both groups were treated for three consecutive courses.The pregnancy rate,the changes in tubal patency among non-pregnant patients,improvement of qi stagnation and blood stasis syndrome,local body signs,and pelvic pain were recorded and compared.Results:The intrauterine pregnancy rate(62.03%)and the total pregnancy rate(63.29%)of the observation group were higher than those(31.58%,28.95%)in the control group(P<0.01).Compared with the control group,the recovery rate(17.07%)and the markedly effective rate(52.50%)of non-pregnant patients in the observation group were increased,and the total efficiency(37.00%)was increased obviously(P<0.05 or P<0.01).After treatment,the scores for qi stagnation and blood stasis syndrome,local body signs,and pelvic pain in both groups were significantly reduced(P<0.01).In the observation group scores for qi stagnation and blood stasis syndrome,local signs,and pelvic pain(P<0.01)were lower than those in the control group,and the total efficiency in treating local body signs(87.34%)and pelvic pain(89.87%)was significantly increased compared to the cont

关 键 词：输卵管性不孕 气滞血瘀证 中医综合治疗 逍遥舒坤汤 消癥散 

分 类 号：R271.14[医药卫生—中医妇科学]