序贯针灸治疗输卵管阻塞性不孕症临床观察

Clinical research on sequential acupuncture for treatment of salpingemphraxis infertility

目的：观察序贯针灸疗法治疗输卵管阻塞性不孕症的临床效果。方法：60名输卵管阻塞性不孕症患者随机分成2组,每组30例,治疗组采用序贯针灸配合常规输卵管通液治疗,对照组采用输卵管通液治疗,经过两年随访。结果：治疗组总有效率为86.67%（95%CI=69.30%～96.20%）;对照组为50.00%（95%CI=32.11%～67.89%）,两组综合疗效比较（u=2.496 8,P=0.013 2）,差异有显著性意义。结论：使用序贯针灸配合输卵管通液治疗输卵管阻塞性不孕症的疗效优于单纯应用输卵管通液术,其收益为OR=0.15（95%CI=0.04～0.55）,NNT=3（95%CI=1.66～7.62）,且,两组总有效率的95%CI不重叠。

objective： To observe the clinical effect of sequential acupuncture on salpingemphraxis infertility.Methods： 60 cases of patients with salpingemphraxis infertility were randomly divided into 2 groups,30 cases in each group. The treatment group was treated with sequential acupuncture combined with conventional hydrotubation,while the control group was tredted simple with hydrotubation. Two groups were followed up for two years,and analyzed. Results： The total effective rate of treatment group was 86. 67%（ 95% CI = 69. 30% to 96. 20%）,while that of control group was 50. 00%（ 95% CI = 32. 11% ～ 67. 89%）. Comparing comprehensive efficacy of two groups（ u = 2. 496 8,P = 0. 013 2）,the difference was significant. Conclusion： The curative effect of sequential acupuncture combined with hydrotubation on salpingemphraxis infertility is better than that of simple hydrotubation.