桂枝桃仁汤联合温经通络汤治疗输卵管阻塞性不孕症临床观察

Clinical Observation on Guizhi Taoren Decoction Combined with Warming Meridian and Dredging Collaterals Decoction in the Treatment of Fallopian Tube Obstructive Infertility

目的 探究桂枝桃仁汤联合温经通络法治疗输卵管阻塞性不孕症(FTOI)的临床疗效。方法 选取2019年2月—2020年6月郑州人民医院132例输卵管阻塞性不孕症患者作为研究对象,采用随机数表法,分为研究组和对照组,各66例。对照组给予温经通络汤治疗,研究组在对照组基础上给予桂枝桃仁汤治疗。观察2组患者输卵管通畅率、中医证候评分、炎症指标水平。结果治疗后,研究组输卵管通畅率为93.94%明显高于对照组的81.82%(P<0.05);治疗后,2组患者中医证候评分均明显降低,且研究组低于对照组(P<0.05);2组患者治疗后血清超敏C-反应蛋白(Hs-CRP)和白细胞(WBC)水平均明显降低,且研究组低于对照组(P<0.05)。结论 桂枝桃仁汤联合温经通络法治疗输阻性不孕症的临床效果显著,且能有效改善输卵管阻塞性不孕症患者的妇科炎症,为临床治疗输卵管阻塞性不孕症提供参考。

Objective To explore the clinical efficacy of Guizhi Taoren decoction combined with warming meridian and dredging collaterals in the treatment of fallopian tube obstructive infertility.Methods From February 2019 to June 2020, 132 patients with fallopian tube obstructive infertility in Zhengzhou People’s Hospital were selected as the research objects. Using the random number table method, they were divided into a study group and a control group, with 66 cases in each. The control group was treated with Wenjing Tongluo decoction,and the study group was treated with Guizhi Taoren decoction on the basis of the control group. The fallopian tube patency rate, traditional Chinese medicine(TCM) syndrome score, and inflammation index levels in the two groups were observed.Results After treatment, the normal fallopian tube rate of the study group was 93. 94%, which was significantly higher than that of the control group 81. 82% (χ2=4. 552,P< 0. 05). After treatment, the TCM syndromes of the two groups of patients were significantly reduced on average, and were lower than those of the control group(P< 0. 05). After treatment, the levels of serum hypersensitive C-reactive protein(Hs-CRP) and white blood cells(WBC) in the two groups were significantly lower than those in the control group(P< 0. 05).Conclusion Guizhi Taoren decoction combined with warming meridian and dredging collaterals has a significant therapeutic effect on the treatment of transfusion infertility, and can effectively improve the gynecological inflammation in patients with transfusion infertility, providing a reference for clinical treatment of transfusion infertility.