子午流注开穴法对薄型子宫内膜患者妊娠结局的影响

Effects of selection points by earth meridian ebb-flowing rule on pregnancy outcome of infertile women suffering from thin endometrium

目的探讨子午流注开穴法对薄型子宫内膜患者妊娠结局的影响。方法将同期在门诊行B超监测排卵、指导受孕的薄型子宫内膜患者80例随机分为两组,每组各40例,观察组采用子午流注开穴法及药物治疗,对照组则单纯给予药物治疗。比较两组治疗前后的子宫内膜厚度、子宫内膜形态、子宫内膜血流搏动指数(PI)、血流阻力指数(RI)及临床妊娠率(PR)。结果两组治疗后子宫内膜厚度与同组治疗前均有不同程度的改善(P<0.05),治疗后子宫内膜厚度两组间比较差异有统计学意义(P<0.05)。观察组治疗后A型子宫内膜的比例较治疗前增加,差异有统计学意义(P<0.05);与对照组比较,差异有统计学意义(P<0.05)。观察组临床妊娠率为27.5%,对照组临床妊娠率为10%,两组相比较差异有统计学意义(P<0.05)。结论子午流注开穴法在薄型子宫内膜患者中的应用有效促进子宫内膜容受性的建立,从而改善其妊娠结局。

Objective To explore the effects of selection points by earth meridian ebb-flowing rule on infertile women suffering from thin endometrium.Methods 80 patients with thin endometrium who were monitored ovulation and guided pregnancy under B-mode ultrasound were randomly divided to two groups:the observation group and the control group,40 patients for each group.The observation group was treated with selection points by earth meridian ebb-flowing rule and medication,while the control group was treated with medication only.The endometrial thickness,endometrial morphology,endometrial blood flow Pulsation Index(PI),Resistance Index(RI)and Clinical Pregnancy Rate(PR)before and after treatment were compared between the two groups.Results After treatment,the endometrial thickness was improved in both groups,which was statistical significant between the two groups(P<0.05).The proportion of type A endometrium in the observation group was increased compared with that before treatment and the control group,the difference was statistical significant(P<0.05).The clinical pregnancy rate was 27.5%in the observation group and 10%in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The application of selection points by earth meridian ebb-flowing rule in patients with thin endometrium may effectively promote the establishment of endometrial receptivity and improve the pregnancy outcome.