输卵管阻塞性不孕症不同中医治疗方法的临床观察（英文）

Different traditional Chinese medicine treatments on Tubal obstructive infertility

目的:观察中药保留灌肠方、中药内服方和针灸冲任二脉经穴3种方法治疗输卵管阻塞性不孕的临床疗效。方法:根据随机数字表法将105例诊断为输卵管阻塞性不孕症的患者分为A、B、C三组,每组35例。A组采用桃仁、红花、荔枝核、橘核等中药水煎浓缩保留灌肠;B组采用红藤、败酱草、赤芍、夏枯草、皂角刺等中药煎剂内服;C组采用针灸中极、关元、气海等穴,行平补平泻法,艾灸15min;3组均治疗3个月经周期后统计疗效。结果:A组总有效率45.71%,B组总有效率77.14%,C组总有效率85.71%,AB两组、AC两组间疗效差异均有统计学意义(均P<0.05),BC两组间差异无统计学意义(P>0.05)。结论:不同中医方法治疗输卵管阻塞性不孕均有效,针灸与中药内服疗效优于中药灌肠。

Objective To observe the clinical efficacy of prescription of Chinese medical retention enema, Chinese herbal decoction and acupncture at acupoints of thoroughfare vessel and conception vessel in treating tubal obstructive infertility. Methods One hundred and five patients with tubal obstructive infertility were randomly divided into 3 groups according to random number table （A, B and C） with 35 cases in each group）. The patients in group A were treated by retention enema with concentrated decoction of Taoren （核仁 Semen Persicae）, HGnghua （红花 Flos Carthami）, Lizhi He （荔枝核 Semen Litchi）, Juhe （橘核 Semen Citri Reticulatae） and other Chinese medicine; the patients in group B were given Chinese herbal decoction of Hongteng （红藤 Caulis Sargentodoxae）, BbijiGngcao （败酱草 Herba Patriniae）, Chishao （赤芍 Radix Paeoniae Rubra）, Xibkucao （夏枯草 Spica Prunellae） 20 g, Zbojiaoci （皂角刺 Spina Gleditsiae） and so on orally; the patients in group C were given acupuncture treatment by needling in ZhGngji （中极 CV 3）, Guanyuan （关元 CV 4）, O.ihai （气海 CV 6） and other acupoints with uniform reinforcing- reducing method and then combined with moxibustion for 15 min. The therapeutic effect of three groups was recorded after treatment of three menstrual cycles. Results The total effective rate of group A was 45.71%; the total effective rate of group B was 77.14%; the total effective rate of group B was 85.71%. The difference in statistics of group A and group B, Group A and group C had obvious statistical significance （both P〈0.05） but statistics of group B and group C had no statistical significance （P〉0.05）. Conclusion Different kinds of traditional Chinese medicine treatments all have an effect in treating tubal obstructive infertility, Chinese herbal decoction and acupncture in thoroughfare vessel and conception vessel have better effects than retention enema.