本文選題：不孕癥 + 傘卵距離(輸卵管能動(dòng)性)��； 參考：《成都中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的 探討接緒療法之結(jié)腸灌注法對(duì)不孕癥輸卵管拾卵功能的影響。 方法 本研究采用非隨機(jī)非盲法,收集2012年10月～2014年4月在成都中醫(yī)藥大學(xué)第二附屬醫(yī)院中醫(yī)婦科門(mén)診就診的不孕癥患者及自然妊娠者(指孕前調(diào)理、復(fù)發(fā)性或習(xí)慣性流產(chǎn)且在6個(gè)月內(nèi)自然受孕者)。分兩組：①自然妊娠組(即拾卵功能正常)作為對(duì)照組,不采用結(jié)腸干預(yù)方法；②不孕癥組采用中藥免煎顆粒結(jié)腸灌注,每晚一次,每次150-300ml,自就診之日起開(kāi)始用藥,經(jīng)期停藥,經(jīng)凈2天后開(kāi)始灌腸,一月為一個(gè)療程,觀察1-3個(gè)療程。 采用麥迪遜ACCUVIX V10彩色超聲儀,陰道探頭頻率5.0MHz,選定最清晰切面,測(cè)量輸卵管傘端到相應(yīng)卵巢表面的最短距離(即傘卵距離),按照卵泡期(經(jīng)凈后-周期第11天)、排卵期(周期第12-16天)、黃體期(排卵后到下次月經(jīng)來(lái)潮前)進(jìn)行劃分。采用北京貝億TSI-21制冷型熱斷層掃描系統(tǒng)和北京悅天光電技術(shù)有限公司研制的HIR-2000非制冷型紅外熱像儀(溫度分辨率為0.025℃,空間分辨率0.9mrad,成像速度約9幀/秒)掃描。體質(zhì)評(píng)定按照中華中醫(yī)藥學(xué)會(huì)2009-04-09發(fā)布的《中醫(yī)體質(zhì)分類(lèi)與判定》體質(zhì)調(diào)查表判定。 觀察不孕癥組與自然妊娠組傘卵之間差別；同時(shí)觀察治療前后傘卵、中醫(yī)證候積分、治療后妊娠情況、肝郁血瘀證與紅外線熱成像表現(xiàn)、體質(zhì)分布的關(guān)系。應(yīng)用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)學(xué)處理。 結(jié)果 共收集不孕癥組54例；自然妊娠組17例。29例就診時(shí)未解大便的患者(行生理鹽水清潔灌腸)。 1、不孕癥組較自然妊娠組傘卵距離遠(yuǎn)(7.62±3.48mm;4.50±1.59mm,P0.05). 2、結(jié)腸灌注治療后傘卵距離較治療前縮短,并在自然妊娠組范圍內(nèi),治療前后(7.62±3.48mm;3.83±1.72mm)有顯著性差異,Z=-8.40,P0.05。 3、清潔灌腸前后傘卵距離縮短(8.51±6.09mm;6.86±5.95mm,P0.05),提示腸蠕動(dòng)對(duì)傘卵距離有影響。 4、結(jié)腸灌注法對(duì)改善不孕癥傘卵距離的總有效率為88.89%(其中17例患者自然受孕,治愈率31.48%)。 5、中醫(yī)證候療效：結(jié)腸灌注法對(duì)中醫(yī)癥狀改善的總有效率為94.4%。 6、54例不孕癥患者經(jīng)紅外線成像掃描提示有肝經(jīng)阻滯現(xiàn)象的占68.52%。 7、46例不孕癥體質(zhì)分布以氣郁質(zhì)(27例,包括傾向體質(zhì)5例,占58.70%；)、血瘀質(zhì)(20例,包括傾向體質(zhì)6個(gè),占43.8%)、陽(yáng)虛質(zhì)(13個(gè),占28.26%)為主。(其中8例體質(zhì)調(diào)查表丟失,每例最多包含3種體質(zhì)+1種傾向體質(zhì)) 結(jié)論 1、接緒療法之結(jié)腸灌注是有效方法,能夠改善傘卵距離及肝郁癥狀、體征,促進(jìn)輸卵管拾卵功能。 2、傘卵距離可以作為輸卵管拾卵功能的評(píng)價(jià)指標(biāo)。
[Abstract]:Purpose To investigate the effect of colonic perfusion therapy on oval-collecting function in infertile fallopian tubes. Method From October 2012 to April 2014, we collected the infertile patients and the natural pregnancy patients (prepregnancy conditioning) from the second affiliated Hospital of Chengdu University of traditional Chinese Medicine (Chengdu University of traditional Chinese Medicine) in the clinic of gynecology of traditional Chinese medicine (TCM) and gynecology of the second affiliated hospital of Chengdu University of traditional Chinese Medicine. Recurrent or habitual abortion and spontaneous conception within 6 months. They were divided into two groups: 1 the natural pregnancy group (that is, normal egg picking function) as the control group. The infertile group did not use the colon intervention method. The infertile group was infused with traditional Chinese medicine without decoction granule colon, once a night, 150-300 ml each time, from the day of seeing a doctor, the medicine began to use, and the menstrual period stopped taking the medicine. Enema was started 2 days later, one month was a course of treatment, 1-3 courses of treatment were observed. Using Madison ACCUVIX V10 color ultrasound instrument, the frequency of vaginal probe was 5.0 MHz, and the clearest section was selected. The shortest distance from the end of the fallopian tube to the corresponding ovarian surface (i.e., the distance between the oviduct and the ovary) was divided according to the follicular period (the 11th day of the cycle), the ovulation stage (12-16 days of the cycle) and the luteal phase (after ovulation and before the next menstrual cycle). The thermal tomography system of Beijing Bei Yi TSI-21 refrigeration type and the HIR-2000 uncooled infrared thermal imager developed by Beijing Yue Tian Optoelectronic Technology Co., Ltd. (temperature resolution 0.025 鈩，

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