摘要
目的:观察何氏红藤汤联合中药灌肠辅助宫腔镜下输卵管插管通液术治疗输卵管炎性梗阻气滞血瘀证的临床疗效。方法:将输卵管炎性梗阻患者96例随机分为对照组和观察组,每组48例;对照组均给予宫腔镜下输卵管插管通液术治疗,每月1次,共3次;观察组在对照组的基础上加用何氏红藤汤内服及妇外Ⅳ号灌肠治疗,持续治疗3个月经周期;观察比较2组气滞血瘀证证候评分、输卵管畅通率、妊娠率及并发症发生情况。结果:治疗后,2组下腹胀痛、胸胁胀闷、乳房胀痛、月经不调、精神抑郁、心烦易怒、面色晦暗等气滞血瘀证证候评分均较治疗前明显降低(P<0.05);且观察组各项评分均低于对照组(P<0.05)。治疗后,观察组输卵管畅通率、妊娠率分别为95.83%、79.17%,对照组分别为79.17%、58.33%,2组比较,差异有统计学意义(P<0.05)。术后随访1年,并发症发生率观察组为2.08%,对照组为18.75%,2组比较,差异有统计学意义(P<0.05)。结论:何氏红藤汤联合中药灌肠辅助宫腔镜下输卵管插管通液术治疗输卵管炎性梗阻,可明显改善患者中医证候,提高输卵管畅通率和妊娠率,降低并发症发生率。
Objective: To observe the clinical effect of HE’s Hongteng tang combined with Chinese herbal enema in adjuvant treatment with hysteroscopic tubal catheterization and hydrotubation for inflammatory obstruction of oviduct with qi stagnation and blood stasis syndrome. Methods:Divided 96 cases of patients with inflammatory obstruction of oviduct into the control group and the observation group randomly, with 48 cases in each group;both groups were treated with hysteroscopic tubal catheterization and hydrotubation once a month and three times in total;while the observation group was additionally given the oral administration of HE’s Hongteng tang and Fuwai Ⅳ enema, and continuously treated for three menstrual cycles;observed and compared the symptom scores of qi stagnation and blood stasis syndrome, tubal patent rates, pregnancy rates and occurrence of complications in the two groups. Results: After treatment, the scores of the symptoms of qi stagnation and blood stasis syndrome such as lower abdominal distending pain,distending pain in chest and hypochondrium,mammary swelling pain,irregular menstruation,mental depression,vexation and irascibility and dim and blackish complexion in the two groups were obviously decreased when compared with those before treatment(P < 0.05);and all the scores in the observation group were lower than those in the control group(P < 0.05). After treatment,the tubal patent rate and pregnancy rate in the observation group were 95.83% and 79.17%,and those in the control group were 79.17% and58.33%. The difference between the two groups was statistically significant(P < 0.05). Postoperative follow-up for one year showed that the incidence of complications was 2.08% in the observation group and 18.75% in the control group, and compared the two groups, difference being significant(P < 0.05). Conclusion: The application of HE’s Hongteng tang combined with Chinese herbal enema in adjuvant treatment with hysteroscopic tubal catheterization and hydrotubation for inflammatory obstruction of o
作者
吴晓婷
王思慧
WU Xiaoting;WANG Sihui
出处
《新中医》
CAS
2020年第1期119-121,共3页
New Chinese Medicine
关键词
输卵管炎性梗阻
气滞血瘀证
输卵管插管通液术
何氏红藤汤
妇外Ⅳ号
内服
灌肠
Inflammatory obstruction of oviduct
Qi stagnation and blood stasis syndrome
Tubal catheterization and hydrotubation
HE’s Hongteng tang
Fuwai Ⅳ
Oral administration
Enema
