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中医药治疗输卵管性不孕的研究进展

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近年来,我国不孕症发生率不断上升,诸多育龄女性及家庭深受困扰.引发不孕症的原因众多,其中输卵管病变占诸多病因的 30%.输卵管性不孕指因各种因素导致输卵管阻塞、积水、输卵管炎等输卵管病变而引起的不孕,这在临床是多发病、常见病,亦属于中医学"不孕"范畴.目前西医多应用输卵管通液术、宫腹腔镜联合探查术等手术方法对本病进行治疗,虽有所成效,但存在粘连复发率高、异位妊娠等问题.中医药治疗输卵管性不孕从整体出发,辨证论治,临床收效良好,能够有效提高妊娠率,避免了西医手术治疗带来的局限性,值得深入研究和学习.本研究通过查阅近年来的相关文献,对中医药治疗输卵管性不孕的内治法、外治法、内外联合治法等方面作一综述,证实了中医药治疗输卵管性不孕的独特优势和良好预后,临床应用广泛.但本病的辨证分型尚以医家临床经验总结为主,缺乏相关标准,且中医外治法的具体操作流程有待规范,作用机制有待明确.关于本病的研究和思考,从"治未病"角度阐释预防本病的发生发展亦值得被探讨,从而为中医药治疗输卵管性不孕提供更好的依据,为临床治疗及开展相关研究提供思路和参考.
Progress in TCM treatment of tubal infertility
In recent years,the incidence of infertility has been rising in China,which has troubled many women of childbearing age and their families.There are many causes of infertility,among which tubal lesions account for 30%.Tubal infertility refers to the infertility caused by various factors,such as tubal obstruction,hydronephrosis,salpingitis and other tubal lesions,which is a frequent and common disease inclinical practice,and also belongs to the category of"infertility"in traditional Chinese medicine(TCM).At present,western medicine mostly uses tubal fluid drainage,uterine and laparoscopic combined exploration and other surgical methods to treat this disease.Although it has been effective,there are some problems such as high recurrence rate of adhesions and ectopic pregnancy.While TCM treatment of tubal infertility attaches great importance to the holistic concept and treatment based on syndrome differentiation,which has achieved good clinical effect,it can effectively improve the pregnancy rate,avoid the limitations of Western surgical treatment,and is worthy of in-depth research and learning.The author consults the relevant literature in recent years,and makes a review on the research status and progress of TCM in the treatment of tubal infertility from the aspects of internal treatment,external treatment,internal and external combined treatment,etc.The existing studies have confirmed the unique advantages and good prognosis of TCM in the treatment of tubal infertility,and it is widely used in clinical practice.However,the syndrome differentiation of this disease is mainly based on the summary of clinical experience of doctors,and there is a lack of relevant standards,and the specific operation process of external treatment of TCM needs to be standardized,and its mechanism needs to be clarified.In addition,the research and thinking about this disease,explaining the occurrence and development of prevention of this disease from the perspective of"preventive treatment of disease"is also worth discussing,so as to provide ideas and references for future clinical treatment of this disease and related research.

TCMTubal infertilityReview

郑敏、胡司群、胡樱

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江西中医药大学,江西 南昌,330006

江西中医药大学附属医院,江西 南昌,330006

中医药 输卵管性不孕 综述

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(21)