自拟通管汤联合坐浴治疗输卵管性不孕症的临床观察

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Abstract Objective To explore the clinical effect of self-made Tongguan Decoction combined with sitz bath in the treatment of tubal infertility.Methods A total of 60 patients with tubal infertility admitted to Yichun Hospital of Traditional Chinese Medicnine from October 2020 to October 2022 were selected as the study subjects.They were divided into control group(30 cases)and treatment group(30 cases)according to random number table method.The patients in the control group were treated with routine tubal patency therapy,while the patients in the treatment group were treated with self-made Tongguan Decoction combined with sitz bath therapy on the basis of the treatment of the control group.The clinical efficacy,traditional Chinese medicine syndrome scores,local signs scores,inflammatory factor levels,uterine artery blood flow parameters,tubal patency,and natural conception rate between the two groups were compared.Results The total effective rate of the treatment group was higher than that of the control group,with a statistically significant difference (P＜0.05).Before treatment,there were no statistically significant differences in traditional Chinese medicine syndrome score,local sign score,tumor necrosis factor-α (TNF-α),interleukin-6 (IL-6),interleukin-8 (IL-8),uterine artery resistance index (RI),peak systolic velocity/end diastolic velocity (S/D) between the two groups (P＞0.05).After treatment,the traditional Chinese medicine syndrome score,local sign score,TNF-α,IL-6,IL-8,uterine artery RI,S/D of the two groups were lower than those before treatment,and the above in the treatment group were lower than those in the control group,and the differences were statistically significant (P＜0.05).After treatment,the tubal patency of the treatment group was better than that of the control group,and the natural pregnancy rate of the treatment group was higher than that of the control group,and the differences were statistically significant (P＜0.05).Conclusion The combination of self-made Tongguan Decoction and sitz bath can improve uterine artery blood flow,clinical symptoms and signs,reduce inflammatory factor levels,facilitate the recanalization of the fallopian tubes,and increase the natural conception rate,which is worthy of clinical promotion.

Key words： Tubal infertility Self-made Tongguan Decoction Sitz bath Inflammatory factors

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