高位中药保留灌肠治疗输卵管阻塞性不孕症的疗效观察.docxVIP

高位中药保留灌肠治疗输卵管阻塞性不 孕症的疗效观察 刘军花 姚聪 党慧敏 陈久霞马艳 李佰成 西安交通大学第二附属医院中医科 陕西省中医医院 摘要: 口的观察高位屮药保留灌肠治疗输卵管阻塞不孕症的疗效情况。方法采用方便 抽样法选择2014年2至10月在西安交通大学第二附属医院中医科治疗的输卵管 阻塞性不孕患者78例，其中对照组38例，观察组40例。对照组采用常规中药 保留灌肠治疗，观察组清洁肠道后采用高位中药保留灌肠治疗。观察两组患者药 液在肠道内的保留时间和疗效，并应用舒适状况量表评估各组患者治疗时舒适 状况。结果 观察组和对照组药液保留时间比较，其屮26h者，观察组为185例 次(66. 07%),对照组15例次(5. 64%),两组比较差异有统计学意义 (Z二-13.286, P二0.001) o观察组的总有效率明显高于对照组(Z二-2. 418, P0. 05) o观察组舒适状况中的牛理维度评分高于对照组，差异有统计学意义 (t=-6. 605, P0. 05) o结论临床应用中药高位保留灌肠，药液保留吋间长，疗 效确切，值得进一步推广及研究。 关键词： 中药;高位保留灌肠;输卵管阻塞;不孕症;舒适状况; 作者简介：刘军花(1966—),女，主管护师，主要从事中医临床护理工作。 作者简介：李佰成，副主任药师。 收稿日期:2017-02-20 基金：陕四省社会发展科技攻关基金资助项目(2016SF-370) Observation of effect of retention enema with traditional Chinese drugs in treatment of pa/tients with infertility LIU Jun—hua YAO Cong DANG Hui-min CHEN J^u-xia MA Yan LI Bai-cheng Department of Traditional Chinese Medicine, Second Aff订iated Hospit込 Xian Jiaotong University; Hospital of Traditional Chinese Medicine of Shaanxi Province; Abstract： Objective To explore the retention time of medicine in intestinal tract, thcrapcutic effect and comfortable situation of high Chinesc mcdicinc retention enema treatment for patients with fallopian tube obstruction infertility. Methods Seventy-eight cases of fallopian tube obstruction infertility were selected and divided into control group (38 patients) and observation group (40 patients) .The control group accepted convcntional Chinesc mcdicinc rotention enema trcatment， while the observation group obtained high retention enema treatment after intestinal tract was cleaned. The retention time of medicine in intestinal tract and therapeutic effect were observed for two groups, and General Comfort Questionnaire (GCQ) was used to evaluate comfort conditions of each paticnt. Results There were 185 case-times (66. 07%) in the observation group with longer than 6 hours of retention time of medicine in intestinal tract, and there were 15 case-times (5. 64%) in the control group.The differenee between them was statistically s