张晓勇

【摘  要】目的：研究黄芪忍冬汤治疗输卵管炎性不孕症行腹腔镜手术后的临床疗效，并探讨其机理。方法：选择符合纳入标准的输卵管炎性不孕症患者144例随机分为观察组78例和对照组66例，对照组单纯行腹腔镜手术治疗，观察组在行腹腔镜手术治疗后再应用黄芪忍冬汤口服治疗，每次月经干净后连用20天为一疗程，最多连用6个疗程，观察并记录两组患者的妊娠情况并进行统计学比较。结果：观察组与对照组患者1年内临床妊娠率分别为55.13%与31.82%，差异有统计学意义（P<0.01），但症状和体征的改善率均无显著性差异（P>0.05）。结论：对输卵管炎性不孕症的患者在行腹腔镜手术治疗后应用黄芪忍冬汤口服能明显提高患者的临床妊娠率。

【关键词】黄芪忍冬汤;输卵管炎性不孕症;临床研究

【中图分类号】R197      【文献标识码】A      【文章编号】1004-7484（2019）07-0123-02

Clinical study of astragalus honeysuckle soup in treatment of the tubal inflammatory infertility

Zhang Xiao-yong，Ma Chun-liang，and Wang Wei-xia

（Department of Gynecology， The Third Peoples Hospital of Jinan， Jinan（250101）， China）

【Abstract】 Objective： To Study astragalus honeysuckle soup on the clinical effect of the tubal inflammatory infertility line after laparoscopic surgery， and to explore its mechanism. Methods： 144 patients with fallopian tube obstructive infertility cases were included in the standard. They were randomly divided into the observation group of 78 cases and control group of 66 cases. The control group was only treated with laparoscopic surgery，and observation group was treated with astragalus honeysuckle soup after laparoscopic surgery， and each period is clean and can be followed by twenty days for a course of treatment， with up to six sessions. Finally， the pregnancy rates and statistical comparison were observed and recorded in both groups. Results： The clinical pregnancy rate of observation group was 55.13% and the control group was 31.82% for the one years， and the difference was statistically significant （P < 0.05），however， there was no significant difference in the improvement rate of symptoms and signs（P>0.05. Conclusion： For the tubal inflammatory infertility patients， suggest laparoscopic surgery in advance. And then conbine with astragalus honeysuckle soup therapy can significantly improve the patient's clinical pregnancy rate.

【Key words】Astragalus honeysuckle soup    The tubal inflammatory infertility     Clinical research

在女性不孕癥中，输卵管因素占40%左右^[1]，但对于输卵管炎性不孕症的治疗，单纯应用腹腔镜手术治疗或单纯应用药物治疗临床疗效均欠佳，而腹腔镜术后配合中药治疗输卵管炎性不孕症，效果良好。

1 资料与方法

1.1 一般资料

选择2016 年10 月至2018 年5月我院妇科不孕不育门诊符合输卵管炎性不孕症纳入标准的患者共144例，经过与患者沟通后随机分为观察组（腹腔镜手术后配合黄芪忍冬汤组）和对照组（单纯腹腔镜手术组）。观察组78例患者中年龄22～42岁，平均（28.8±6.0）岁，不孕年限2.0～12.5 年，平均（5.9±1.0）年，其中原发性不孕28 例，继发性不孕50 例;对照组66例患者中年龄22～43 岁，平均（28.9±5.9）岁，不孕年限2.0～12.7 年，平均（6.0±0.9）年，其中原发性不孕23 例，继发性不孕43 例。……