砭石热敷治疗输卵管阻塞性不孕症疗效观察

Effect of Hot Compress with Stone Needle on Tubal Obstruction Infertility

目的观察砭石热敷联合毛冬青灌肠及频谱治疗对输卵管阻塞性不孕症的临床疗效。方法将180例输卵管阻塞性不孕症患者随机分为观察组89例和对照组91例,观察组采用烫熨治疗砭石热敷+毛冬青灌肠+频谱治疗,每天1次,20 min/次,2周为1疗程。对照组采用毛冬青灌肠+频谱治疗,方法疗程同观察组。2组疗程均为3个月经周期,随访6个月。观察比较两组治疗后中医证候积分、临床疗效、生育力和不良反应。结果两组患者治疗后中医证候积分较治疗前下降(P<0.05)(观察组带下异常除外),观察组在改善小腹疼痛及腰骶胀痛方面优于对照组(P<0.05);观察组治愈率优于对照组;两组患者治疗后生育力比较,观察组临床妊娠率高于对照组(P<0.05);观察组患者腹泻等副反应比对照组减轻。结论烫熨治疗砭石热敷在输卵管阻塞性不孕患者中的作用较为明显,且副作用小,值得临床推广应用。

Objective To observe the clinical effect of hot compress with stone needle in the treatment of tubal obstruc-tion infertility. Methods The 180 cases of infertility patients were randomly assigned into the observation group （n=89） and control group （n=91）. The patients in observation group were treated by warming and ironing therapy, hot compress with stone needle ＋ Maodongqing enema ＋ spectrum therapy （once a day, 20 minutes per time, two weeks for a course of treat-ment, except for vaginal bleeding）, and the control group by Maodongqing enema ＋ spectrum therapy （the method was same with that in observation group. Both groups were treated for 3 menstrual cycles. All patients were followed up for 6 months. The symptom scores, clinical efficacy, fertility and adverse reactions were observed and compared between the two groups. Re-sults After treatment, the TCM syndrome score of two groups reduced than before （P〈0.05） （except for leucorrhea situation in observation group）. The observation group was better than the control group in improving the abdomen and lumbosacral pain （P〈0.05）. The recovery rate in observation group was better than the control group. The pregnancy rate in observation group was higher than the control group （P〈0.05）. In addition, adverse reaction like diarrhea is less than the control group. Conclu-sion The hot compress with stone needle therapy shows obvious effect in treating patients with tubal obstruction infertility, and with little side effect. It is worthy of clinical application.