红藤灌肠治疗输卵管阻塞性不孕症32例疗效观察-《西部中医药》

文章信息/Info

Title:: Observation on Curative Effects of HongTeng Enema in the Treatment for 32 Cases of Tubal Obstructive Infertility

Author(s):: XU Ping; Huating County People′s Hospital, Huating 744100, China

摘要:: 目的：观察红藤灌肠治疗输卵管阻塞性不孕症的疗效。方法：将输卵管堵塞患者64例随机分为A组和B组，A组采用通液法治疗；B组在A组治疗的基础上实施中药红藤灌肠法治疗，观察2组患者治疗的效果及不良反应发生情况。结果：A组治疗总有效率为75.0%，明显低于B组93.75%(P＜0.05)；治疗后B组患者E2、P水平和A组E2水平明显高于治疗前，而A组P水平无变化(P＞0.05)；与A组治疗后比较，B组治疗后E2、P水平显著升高(P＜0.05)；治疗1年后，A组11例妊娠(占34.38%)，B组18例妊娠(56.25%)；未妊娠者输卵管通畅情况比较，A组Ⅰ～Ⅴ度均明显降低，Ⅵ度明显升高，与B组相比，差异有统计学意义(P＜0.05)，2组患者均无严重不良反应发生。结论：中药红藤灌肠治疗输卵管阻塞性不孕症有效率高，不良反应发生率低。

Abstract:: Objective: To investigate clinical effects of HongTeng (Sargentodoxa cuneata.) enema in treating trbal obstructive infertility. Methods: Sixty-four patients were randomized into the groups of A and B, the group A was treated by hydrotubation; and the group B accepted HongTeng enema on the basis of the therap the group A received, clinical effects and the incidence of adverse reaction were observed in both groups. Results: Total effective rate of the group A was 75.0%, notably lower than 93.75% of the group B (P＜0.05); the levels of E2 and P in the group B and the level of E2 in the group A after treating were higher than these before treating, while there was no changes in the level of P in the group A(P＞0.05); compared with the group A after treating, the levels of E2 and P in the group B raised evidently(P＜0.05); after treating for one year, there were 11 cases pregnant (34.38%) in the group A and 18 cases pregnant (56.25%) in the group B; the results of the comparisons of fallopian tube patency in the patients failing in pregnancy showed: the degrees from Ⅰ to Ⅴ decreased notably in the group A, Ⅵ degree raised significantly, compared with the group B, the difference had statistical meaning(P＜0.05), and no severe adverse reaction happened. Conclusion: HongTeng enema is effective in treating trbal obstructive infertility and it presents low incidence of adverse reaction.