本文關(guān)鍵詞： 溫針灸 桃紅四物湯 輸卵管通液術(shù) 輸卵管炎性阻塞性不孕癥 臨床療效觀察　出處：《安徽中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的:通過溫針灸、桃紅四物湯聯(lián)合輸卵管通液術(shù)治療氣滯血瘀型輸卵管炎性阻塞性不孕癥的妊娠率、輸卵管通暢率、中醫(yī)證侯積分、局部體征積分及術(shù)后VAS評分的改善情況,評估其臨床可行性、有效性及安全性。方法:收集氣滯血瘀型輸卵管炎性阻塞性不孕癥患者60例,隨機分為對照組和治療組,每組各30例。對照組用桃紅四物湯聯(lián)合輸卵管通液術(shù)治療,治療組在對照組的基礎(chǔ)上采用溫針灸治療,兩組治療6個月經(jīng)周期。治療結(jié)束時,評價中醫(yī)證侯積分、中醫(yī)各主癥積分、局部體征積分和VAS評分改善情況;治療結(jié)束6個月后,評價受孕情況、雙側(cè)輸卵管通暢情況及局部體征積分改善情況。結(jié)果:1.兩組臨床綜合療效比較兩組治療結(jié)束6個月后的臨床綜合療效比較:兩組均有提高,治療組總有效率96.67%,愈顯率66.67%;對照組總有效率80%,愈顯率40%,兩組總有效率及愈顯率(輸卵管通暢率)比較,差異均有統(tǒng)計學意義(P0.05)。2.兩組治療結(jié)束6個月后受孕情況比較兩組患者治療后6個月,治療組受孕率50%,對照組受孕率23.33%,兩組比較差異有統(tǒng)計學意義(P0.05)。3.兩組治療前后中醫(yī)證侯積分比較兩組治療結(jié)束時,中醫(yī)證侯積分較治療前均下降,兩組差異均有統(tǒng)計學意義(P0.01),但治療組的下降幅度更明顯,組間比較有顯著性差異(P0.01)。4.兩組治療前后中醫(yī)各主癥積分的比較治療前與治療結(jié)束時中醫(yī)各主癥平均積分比較:下腹脹痛或刺痛積分比較,治療組治療前較治療結(jié)束時有明顯下降,組間比較有顯著性差異(P0.01),但對照組下降幅度不明顯,組內(nèi)比較差異無統(tǒng)計學意義(P0.05);治療組下降幅度大于對照組,組間相比有顯著性差異(P0.01)。治療結(jié)束時兩組胸脅乳房脹痛積分均有所下降,兩組組內(nèi)比較均有顯著性差異(P0.01),而治療組下降更明顯,組間比較差異有統(tǒng)計學意義(P0.05)。5.兩組治療前后及治療結(jié)束6個月后局部體征積分比較治療結(jié)束時較治療前,兩組的局部體征積分均有下降,兩組組內(nèi)比較均有顯著性差異(P0.01),治療組下降幅度明顯大于對照組,差異有統(tǒng)計學意義(P0.01)。治療結(jié)束6個月后較治療結(jié)束時,治療組有下降,差異有統(tǒng)計學意義(P0.05),對照組局部體征積分有所下降,但組內(nèi)比較差異無統(tǒng)計學意義(P0.05);組間相比,治療組下降幅度明顯大于對照組,差異有統(tǒng)計學意義(P0.01)。6.兩組治療前后VAS評分的比較輸卵管通液術(shù)治療結(jié)束后40分鐘較輸卵管通液術(shù)結(jié)束時,兩組VAS評分均下降,兩組組內(nèi)比較均有顯著性差異(P0.01);組間相比,治療組下降幅度明顯大于對照組,差異有統(tǒng)計學意義(P0.05)。結(jié)論:溫針灸、桃紅四物湯聯(lián)合輸卵管通液術(shù)治療氣滯血瘀型輸卵管炎性阻塞性不孕癥的妊娠率和輸卵管通暢率高于用桃紅四物湯聯(lián)合輸卵管通液術(shù)治療,且改善中醫(yī)證侯積分、局部體征方面效果較佳,同時溫針灸有術(shù)后鎮(zhèn)痛作用。
[Abstract]:Objective: to treat the pregnancy rate, tubal patency rate and TCM syndrome score by warming acupuncture and moxibustion, Taohong Siwu decoction combined with tubal tubal fluid therapy for the treatment of tubal inflammatory obstructive infertility with qi stagnation and blood stasis. To evaluate the clinical feasibility, efficacy and safety of local sign score and postoperative VAS score. Methods: 60 cases of tubal inflammatory obstructive infertility with Qi stagnation and blood stasis were collected. Randomly divided into control group and treatment group, each group of 30 cases. The control group was treated with Taohong Siwu decoction combined with fallopian tube operation, and the treatment group was treated with warm acupuncture on the basis of the control group. At the end of the treatment, the improvement of TCM syndromes, main symptoms, local signs and VAS scores were evaluated. Six months after treatment, pregnancy was evaluated. Results 1. Comparison of clinical comprehensive efficacy between the two groups after 6 months of treatment: both groups were improved. The total effective rate of the treatment group was 96.677.The effective rate of the treatment group was 66.67; In the control group, the total effective rate was 80%, the more obvious rate was 40%, and the total effective rate and the healing rate (fallopian tube patency rate) were compared between the two groups. There were significant differences between the two groups after 6 months after the end of the treatment compared with the two groups of patients 6 months after treatment, the treatment group pregnancy rate 50, the control group pregnancy rate 23.33%. The difference between the two groups was statistically significant (P 0.05). Before and after treatment, the scores of TCM syndromes in the two groups were lower than those before and after treatment. The difference between the two groups was statistically significant, but the decrease was more obvious in the treatment group. There was significant difference between the two groups before and after treatment of the main symptoms of traditional Chinese medicine before and after the treatment of the average score of the main symptoms of traditional Chinese medicine comparison: lower abdominal distending pain or pain score comparison. There was a significant decrease in the treatment group before treatment than at the end of the treatment, there was a significant difference between the groups, but the decrease in the control group was not significant, there was no significant difference between the two groups (P 0.05). The decrease in the treatment group was greater than that in the control group, and there was a significant difference between the two groups. At the end of treatment, the score of breast distension and pain in both groups decreased. There was significant difference between the two groups (P 0.01), but the decrease was more obvious in the treatment group. Two groups before and after treatment and 6 months after the end of treatment compared with the end of treatment, the local signs of the two groups were decreased. There was significant difference between the two groups (P 0.01). The decrease of the treatment group was significantly larger than that of the control group (P 0.01). The difference was statistically significant 6 months after the end of treatment than at the end of the treatment. In the treatment group, the difference was statistically significant (P 0.05), and the score of local signs in the control group was decreased, but there was no significant difference between the two groups (P 0.05). Compared with the control group, the decrease of the treatment group was significantly greater than that of the control group. Comparison of VAS scores before and after treatment in the two groups, the VAS scores of the two groups decreased after 40 minutes compared with the end of salpingostomy. There was significant difference between the two groups (P 0.01). Compared with each other, the decrease of treatment group was significantly larger than that of control group, and the difference was statistically significant (P 0.05). Conclusion: warm acupuncture and moxibustion. The pregnancy rate and fallopian tube patency rate of Taohong Siwu decoction combined with fallopian tube liquid therapy were higher than that of Taohong Siwu decoction combined with fallopian tube fluid-opening operation in the treatment of oviduct inflammatory obstructive infertility with qi stagnation and blood stasis. And improve TCM syndromes score, local signs of the effect is better, at the same time warming acupuncture has postoperative analgesic effect.
【學位授予單位】：安徽中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.3

【相似文獻】

相關(guān)期刊論文 前10條

1 許青媛;王惠成;;氣滯血瘀型冠心病患者的血脂變化[J];中西醫(yī)結(jié)合雜志;1985年05期

2 全順球;;參芎湯治療氣滯血瘀型肺心病心衰30例[J];中國中醫(yī)藥現(xiàn)代遠程教育;2010年07期

3 王昕耀;治氣滯血瘀型睪丸腫痛方[J];新中醫(yī);1985年02期

4 包文勝;香靈湯治療氣滯血瘀型痛經(jīng)病43例[J];河南醫(yī)藥信息;1997年02期

5 王東;;中藥治療氣滯血瘀型帶狀皰疹后遺神經(jīng)痛40例[J];現(xiàn)代醫(yī)藥衛(wèi)生;2007年04期

6 劉菁;劉光瑤;;中西醫(yī)結(jié)合治療氣滯血瘀型慢性盆腔炎性包塊80例臨床分析[J];四川中醫(yī);2008年01期

7 范新霞;;瓜蔞薤白半夏湯加味治療痰濁壅塞氣滯血瘀型冠心病慢性心力衰竭31例[J];河南中醫(yī);2012年09期

8 楊永暉;孫奎;蘇國宏;周忠良;;隔三七餅灸治療氣滯血瘀型膝原發(fā)性骨性關(guān)節(jié)炎臨床研究[J];中醫(yī)藥臨床雜志;2008年01期

9 楊大賦;楊穎;沈元良;諸伯星;;中西醫(yī)結(jié)合治療氣滯血瘀型原發(fā)性血小板增多癥20例[J];浙江中醫(yī)雜志;2013年09期

10 邱財榮;張琰;劉鋒;徐立清;陳崇尚;;玄歸止痛滴丸治療100例氣滯血瘀型胃痛的療效觀察[J];藥學服務(wù)與研究;2009年03期

相關(guān)會議論文 前7條

1 徐瑞生;宗序華;李小剛;;反射性交感神經(jīng)營養(yǎng)不良(氣滯血瘀型)的辨證施治[A];第十六屆全國中西醫(yī)結(jié)合骨傷科學術(shù)研討會暨中西醫(yī)結(jié)合手法治療骨傷科疾病新進展學習班論文匯編[C];2008年

2 李力強;黃勝英;賓建平;翟洪;;鱉甲消癥丸治療慢性乙型肝炎(氣滯血瘀型)的臨床研究[A];中國中西醫(yī)結(jié)合學會第十二次全國消化系統(tǒng)疾病學術(shù)研討會論文匯編[C];2000年

3 陳用軍;石年;王建;倪浩;;增色丸治療氣滯血瘀型白癜風臨床及試驗研究[A];2009全國中西醫(yī)結(jié)合皮膚性病學術(shù)會議論文匯編[C];2009年

4 楊洪英;徐春燕;周順文;段明;程韻洲;;淺談胃康膠囊和膽胃康膠囊治療氣滯血瘀型食道炎[A];中華中醫(yī)藥學會第二十二屆全國脾胃病學術(shù)交流會暨2010年脾胃病診療新進展學習班論文匯編[C];2010年

5 李延;李策;;降脂復肝湯治療氣滯血瘀型非酒精性脂肪肝的臨床觀察[A];第十八次全國中西醫(yī)結(jié)合肝病學術(shù)會議論文匯編[C];2009年

6 鄧倩萍;鄔志雄;;穴位貼敷治療氣滯血瘀型痛經(jīng)32例臨床觀察[A];廣東省針灸學會第十一次學術(shù)研討會論文匯編[C];2010年

7 溫冬艷;;針灸配合中藥治療氣滯血瘀型痛經(jīng)50例[A];廣東省針灸學會第十一次學術(shù)研討會論文匯編[C];2010年

相關(guān)重要報紙文章 前1條

1 今報;視各自體質(zhì)來養(yǎng)生[N];民族醫(yī)藥報;2003年

相關(guān)博士學位論文 前1條

1 楊士萱;針灸加藥物治療氣滯血瘀型肥胖癥臨床研究[D];廣州中醫(yī)藥大學;2008年

相關(guān)碩士學位論文 前10條

1 鄭曉艷;針刺治療氣滯血瘀型神經(jīng)性耳鳴的臨床療效觀察[D];福建中醫(yī)藥大學;2015年

2 李先蘭;淺針治療氣滯血瘀型帶狀皰疹后遺神經(jīng)痛臨床療效觀察[D];福建中醫(yī)藥大學;2015年

3 朱玲;中藥分期治療氣滯血瘀型子宮內(nèi)膜不規(guī)則脫落的臨床觀察[D];安徽中醫(yī)藥大學;2015年

4 周瑞;中藥多途徑給藥治療氣滯血瘀型慢性盆腔炎臨床療效觀察及相關(guān)性研究[D];安徽中醫(yī)藥大學;2015年

5 李婧;針刺肝脾經(jīng)治療氣滯血瘀型單純性肥胖的臨床療效觀察[D];長春中醫(yī)藥大學;2015年

6 李方仁;逍遙散合桃紅四物湯加味治療氣滯血瘀型自身免疫性肝炎的臨床研究[D];遼寧中醫(yī)藥大學;2015年

7 張圓圓;柴胡坤草湯治療黃褐斑（氣滯血瘀型）的臨床療效觀察[D];成都中醫(yī)藥大學;2015年

8 劉航;低溫等離子技術(shù)結(jié)合中藥治療氣滯血瘀型腰椎間盤突出癥的臨床研究[D];北京中醫(yī)藥大學;2016年

9 曾曉婷;翁麗麗教授中醫(yī)皮膚美容經(jīng)驗總結(jié)及活血祛斑湯治療氣滯血瘀型黃褐斑臨床觀察[D];福建中醫(yī)藥大學;2015年

10 宋爽;中醫(yī)綜合療法治療氣滯血瘀型帶狀皰疹（蛇串瘡）的回顧性分析[D];遼寧中醫(yī)藥大學;2016年

，

本文編號：1472404