通络汤联合电刺激治疗输卵管性不孕症的临床研究

Clinical Study of Tongluo Decoction Combined with Electrical Stimulation in the Treatment of Tubal Infertility

目的:探讨通络汤联合电刺激治疗输卵管性不孕症的临床效果。方法:采用随机数字表法将2021年10月-2022年9月义乌市中医医院收治的48例输卵管性不孕症患者分为两组,每组24例。对照组采用通络汤治疗,观察组加用电刺激治疗,1个月经周期为1个疗程,两组均连续治疗3个疗程。对比两组临床疗效、局部体征积分、中医症候积分、舒适度[舒适状况量表(GCQ)评分]、妊娠情况及不良反应。结果:观察组治疗总有效率(91.67%)高于对照组(66.67%)(P<0.05);治疗后观察组局部体征积分、中医症候积分均较对照组低,GCQ评分[(105.23±2.22)分]较对照组[(89.92±4.43)分]高,差异均有统计学意义(P<0.05);观察组自然妊娠率(54.17%)高于对照组(16.67%)(P<0.05)。两组均未见明显不良反应。结论:输卵管性不孕症患者应用通络汤联合电刺激治疗具有良好的效果,利于临床症状及局部体征的改善,并可提高患者舒适度及自然妊娠率。

Objective:To explore the clinical effect of Tongluo Decoction combined with electrical stimulation in the treatment of tubal infertility.Method:A total of 48 patients with tubal infertility admitted to Yiwu Traditional Chinese Medicine Hospital from October 2021 to September 2022 were divided into two groups by random number table method,with 24 cases in each group.The control group was treated with Tongluo Decoction,and the observation group was treated with additional electrical stimulation.1 menstrual cycle was 1 course of treatment,and both groups were treated for 3 consecutive courses.The clinical efficacy,local signs integrals,TCM symptoms integrals,comfort level[general comfort questionnaire(GCQ)score],pregnancy status and adverse reactions were compared between the two groups.Result:The total effective rate of observation group(91.67%)was higher than that of control group(66.67%)(P<0.05).After treatment,the integrals of local signs and TCM symptoms in the observation group were lower than those in the control group,and the GCQ score[(105.23±2.22)scores]was higher than that in the control group[(89.92±4.43)scores],the differences were statistically significant(P<0.05).The natural pregnancy rate of observation group(54.17%)was higher than that of control group(16.67%),the difference was statistically significant(P<0.05).No obvious adverse reactions were observed in both groups.Conclusion:Tongluo Decoction combined with electrical stimulation has a good effect in the treatment of patients with tubal infertility,which is conducive to the improvement of clinical symptoms and local signs,and can improve patient comfort level and natural pregnancy rate.