【作者】 张丽娜；

【导师】 丛惠芳；

【作者基本信息】 黑龙江中医药大学 ， 中医妇科学， 2004， 硕士

【摘要】 输卵管炎性阻塞是导致女性不孕症的重要原因之一，中医学认为本病的发生主要由于气滞血瘀、痰湿阻遏、湿热阻络，冲任失调，导致不能摄精成孕。本病的基本病因在于“血瘀”，笔者导师通过多年临床经验的积累和探索，自拟“红藤煎”加减灌肠，该方具有活血化瘀、清热解毒、软坚散结的功效，配合微波理疗及西药宫腔输卵管内注药治疗输卵管炎性阻塞性不孕症。本文对131例患者进行临床观察，其中治疗组为79例，给予中西医结合的三联疗法治疗，对照组Ⅰ为28例，给予中药灌肠合微波理疗，对照组Ⅱ24例，给予单纯西药宫腔输卵管注药。结果表明治疗组总有效率为77.22％，明显高于对照组的50.00％和45.83％。治疗组与对照组疗效对比具有显著性差异。由此可见，中西医结合的三联疗法治疗本病要较单纯的中医或西医治疗更为有效。同时年龄越大，病程越长，阻塞程度越重的患者治疗起来也越困难。更多还原

【Abstract】 The salpingian phlogistic obstruction is one of the main causes resulting in the infertility female. Traditional Chinese Medicine researches think that salpingian infertility is caused by blood-cemented stasis . Hongteng Decoction(HT.D)which was applied by the author’s tutor Professor Cong can regulate the flow of blood, remove blood-cemented stasis, clear away heat and toxic material besides intenerate tumour. Hongteng Decoction together with microwave treatment and intrauterine injecting Western medicine can cure the salpingian phlogistic obstruction.We observed 78 cases of this kind of disease. There are 39 cases treated with the triple therapy called treated group, 25 cases treated with Hongteng Decoction together with microwave called comparison I,14 cases treated with Western medicine intrauterine injection called comparison II . The effective rate of the treated group is 79. 49%, which are more higher than the effective rate of the comparison I ( 56.00%)and comparison II (42.86). There has obvious difference among the three groups. Therefore, we can make a conclusion that the triple therapy(Hongteng Decoction together with microwave and Western medicine intrauterine injection) are more efficient than the other two kinds of treatments. Meanwhile, with the age growing, time prolonging and degree aggravating, it is more difficult to be cured.更多还原