热敏灸联合穴位注射对输卵管积水性不孕症宫腹腔镜术后妊娠结局的影响

Effect of Heat-Sensitive Moxibustion Combined with Point Injection on Pregnancy Outcome of Hydrosalpinx Infertility Patients after Retroperitoneoscopy

目的:观察输卵管积水性不孕症宫腹腔镜术后应用热敏灸联合穴位注射疗法对妊娠结局的影响。方法:将210例输卵管积水性不孕症宫腹腔镜术后患者采用随机数字表法分为对照组、热敏灸组、热敏灸联合穴位注射组各70例。对照组术后第1月开始试孕。热敏灸组术后第10天行热敏灸治疗,每月10次,共3疗程,治疗期间可以试孕。热敏灸联合穴位注射组在热敏灸组治疗方案的基础上,于术后第10天在阴道侧穹窿天宫穴(自创穴)注射利多卡因,加丁胺卡那、丹参注射液2 m L,治疗期间禁止同房,术后第4月开始试孕。观察3组妊娠结局情况。结果:随访至治疗后12月,3组宫内妊娠率、累计自然妊娠率、平均受孕时间分别为:对照组25.76%(17/66)、33.33%(22/66)、(4.92±1.56)月;热敏灸组32.81%(21/64)、40.63%(26/64)、(4.89±1.56)月;热敏灸联合穴位注射组46.15%(30/65)、56.92%(37/65)、(6.93±1.44)月,3组间比较,差异均有统计学意义(P<0.05),3组间两两比较,对照组与热敏灸组比较,差异无统计学意义(P>0.05);热敏灸联合穴位注射组与对照组比较,热敏灸联合穴位组与热敏灸组比较,差异均有统计学意义(P<0.05),提示热敏灸联合穴位注射组优于其余2组。3组自然流产率、异位妊娠率比较,差异均无统计学意义(P>0.05)。结论:输卵管积水性不孕症宫腹腔镜术后采用热敏灸联合穴位注射疗法可提高宫内自然妊娠率及累计自然妊娠率。

Objective：To observe the clinical effect of heat-sensitive moxibustion combined with point injection on pregnancy outcome of hydrosalpinx infertility patients after retroperitoneoscopy.Methods：Selected 210 hydrosalpinx infertility patients that received retroperitoneoscopy,and divided into control group,heat-sensitive moxibustion group,heat-sensitive moxibustion combined with point injection group with 70 cases in each,according to the random table method.The control group started pregnancy test after the first month of operation.The heat-sensitive moxibustion group was given the therapy of heat-sensitive moxibustion after the tenth days of operation,ten times a month,and the treatment lasted for three courses,patients can started pregnancy test during treatment period.Heat-sensitive moxibustion combined with point injection group was given lateral vagina fornix tiangong point（self-made point）,injection with lidocaine,amikacin and 2ml salvia injection.During the treatment,coitus was prohibited.After the four months of operation,patients can started pregnancy test.Observed pregnancy outcomes of the three groups.Results：Follow up for twelve months after operation,intrauterine natural pregnancy rate,cumulative natural pregnancy rate and the average pregnancy time was 25.76%（17/66）,33.33%（22/66）,（4.92± 1.56） months in the control group respectively,32.81%（21/64）,40.63%（26/64）,（4.89± 1.56） months in the heat-sensitive moxibustion group respectively,and was 46.15%（30/65）、56.92%（37/65）、（6.93± 1.44） months in the heat-sensitive moxibustion combined with point injection group,the difference of the three groups being significant（P 0.05）,but there being no significant difference in the control group and the heat-sensitive moxibustion group（P〉 0.05）.The difference between the heat-sensitive moxibustion combined with point injection group and control group,heat-sensitive moxibustion combined with point injection group and heat-sensitive moxibustion group were significant（P〈0.05）,which suggested that the clinical effect of the heat-sensitive moxibustion combined with point injection group was the best.Compared natural abortion rate and heterotopic pregnancy rate of the three groups,there being no significant difference（P〉0.05）.Conclusion：Heat-sensitive moxibustion combined with point injection therapy can improve intrauterine natural pregnancy rate and cumulative natural pregnancy rate for hydrosalpinx infertility patients that received retroperitoneoscopy.