桂枝茯苓丸加减治疗慢性盆腔炎继发不孕症的效果

Study on the effect of Guizhi Fuling pills in the treatment of secondary infertility caused by chronic pelvic inflammatory disease

目的:探讨桂枝茯苓丸加减治疗慢性盆腔炎继发不孕症的临床效果。方法:选取170例慢性盆腔炎继发不孕症患者,随机分为观察组(常规治疗+桂枝茯苓丸加减)和对照组(常规治疗)各85例。对比两组患者临床疗效。结果:观察组患者总有效率94.12%,高于对照组的61.18%(P<0.05);观察组患者自然妊娠率、试管婴儿(IVF-ET)妊娠率和宫内妊娠率均高于对照组(P<0.05),异位妊娠率和自然流产率均低于对照组(P<0.05);观察组患者输卵管造影正常比例高于对照组(P<0.05),输卵管通而不畅、堵塞和积水比例均低于对照组(P<0.05)。结论:桂枝茯苓丸加减治疗慢性盆腔炎继发不孕症的效果显著,值得临床推广。

Objective：To investigate the clinical efficacy of Guizhi Fuling pills in the treatment of secondary infertility caused by chronic pelvic inflammatory disease. Methods：170 patients with secondary infertility caused by chronic pelvie inflammatory disease were randomly divided into the observation group and the control group, the former given conventional therapy plus Guizhi Fuling pill and the latter given conventional therapy, with 85 patients in each group. The clinical efficacy of the two groups was compared. Results：The total effective rate of the observation group was 94.12 %, which was significantly higher than that of the control group （ 61.18 % ） （ P 〈0.05 ）. The natural pregnancy rate, IVF - ET pregnancy rate and intrauterine pregnancy rate in the observation group were significantly higher than those in the control group （ P 〈 0.05 ）, and the ectopic pregnancy rate and spontaneous abortion rate were significantly lower than those in the control group （ P 〈 0. 05）. In the observation group, the normal ratio of oviduct radiography was significantly higher than that of/he control group （ P 〈0. 05）, and the ratio of oviduct with poor pass, obstruction, and hydronephrosis was significantly lower than that of the control group （ P 〈 0.05 ）. Condusion： Guizhi Fuling pills in the treatment of secondary infertility caused by chronic pelvic inflammatory disease is effective and worthy of clinical promotion.