Clinical observation on the treatment of tubal infertility with warming kidney and promoting blood circulation method combined with uterine laparoscopy
Objective To investigate the effect of tubal infertility(TI)treated with warming kidney and promoting blood circulation method combined with uterine laparoscopy.Methods A total of 112 TI patients admitted to Yan'an Traditional Chinese Medicine Hospital from February 2021 to August 2022 were selected for a prospective study and were divided into two groups with 56 cases in each group by the random number table method.In the control group,the age was(28.18±3.13)years old,the course of disease was(3.11±0.52)months,and there were 28 cases of unilateral obstruction,9 cases of bilateral obstruction,and 19 cases of partial obstruction.In the study group,the age was(28.54±3.27)years old,the course of disease was(3.16±0.56)months,and there were 26 cases of unilateral obstruction,10 cases of bilateral obstruction,and 20 cases of partial obstruction.The control group was treated with uterine laparoscopy,and the study group was treated with warming kidney and promoting blood circulation method on the basis of the control group.The total effective rate,TCM syndrome score,fallopian tube patency,inflammatory factor level[interleukin-4(IL-4)and IL-6],ovarian function indexes[luteinizing hormone(LH),follicle-stimulating hormone(FSH),and estradiol(E2)],pregnancy rate,and adverse reactions were compared between the two groups.Paired sample t test,independent sample t test,and x2 test were used.Results The total effective rate of the study group[96.43％(54/56)]was higher than that of the control group[80.36％(45/56)](P＜0.05).After treatment,the TCM syndrome score of the study group was(10.01±1.28)points,which was lower than that of the control group[(14.15± 1.96)points](P＜0.05).After treatment,the patency rate of fallopian tube in the study group was 96.43％(54/56),which was higher than that in the control group[82.14％(46/56)],with a statistically significant difference(P＜0.05).After treatment,the levels of IL-4 and 1L-6 in the study group were(5.09±0.72)ng/L and(4.62±0.63)ng/L,which were lower than those in the control group[(6.66±0.95)ng/L and(6.25±0.86)ng/L](both P＜0.05).After treatment,the LH and FSH levels in the study group were(7.42±1.21)IU/L and(5.33±0.82)IU/L,which were lower than those in the control group[(13.38±2.15)IU/L and(11.06±2.11)IU/L],but the E2 level[(230.38±25.19)IU/L]was higher than that in the control group[(185.57±20.23)IU/L](all P＜0.05).After treatment,the pregnancy rate of the study group was higher than that of the control group[62.50％(35/56)vs.42.86％(24/56)],with a statistically significant difference(P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups[5.36％(3/56)vs.8.93％(5/56)](P＞0.05).Conclusion The treatment of TI patients undergoing uterine laparoscopy by warming kidney and promoting blood circulation method can effectively improve their tubal function and regulate the levels of sex hormones,with ideal effect and high clinical application value.
Tubal infertilityUterine laparoscopyWarming kidney and promoting blood circulation methodClinical efficacyPregnancy
万方数据
维普
