中西医结合治疗女性不孕症妊娠40例临床分析

目的:探索中西医结合治疗女性不孕症的可行性和有效性。方法:对已妊娠的40例女性不孕症患者进行中西医结合治疗的回顾性分析。结果:原发不孕者15例,其中输卵管炎性病变2例,占原发不孕组的13.3%,阴道感染4例,占26.7%,月经不规则者7例,占46.6%,高泌乳素血症4例,占26.6%;继发不孕25例,其中输卵管病变17例,占继发不孕组的68.0%,阴道感染11例,占44.0%,月经不规则9例,占36.6%,泌乳素轻度升高5例,占20.0%。经用西药调整内分泌并结合中药活血化瘀清热解毒治疗2～3个月经周期后,所有内分泌失调患者的激素水平均趋于正常,月经转为规则,基础体温测定(BBT)由原来单相或不典型双相转为典型双相;原有痛经及下腹坠胀感消失,性欲改善。结局:40例妊娠者中,4例胚胎停育,2例输卵管妊娠,1例宫内宫外同时妊娠,且宫内胚胎停育,1例孕24周晚期流产,其余均为宫内正常妊娠。其中19例输卵管炎性病变患者有17例获得宫腔内妊娠,2例输卵管妊娠。结论:生殖道感染是继发不孕症的主要病因,加强性及生殖健康教育是减少继发不孕的重要措施;大多数输卵管炎性疾患可通过中西医结合治疗以改善症状,恢复功能,最终自然受孕;中西医结合是治疗原发和继发不孕症的较理想和有效的方法。

Analysis of female infertility of 40 cases with pregnancy in combinative treatment of traditional Chinese medicine and western medicine

Objective:To investigate the feasibility and the efficiency of combinative treatment of traditional Chinese medicine and western medicine for female infertility.Methods:40 cases of pregnant women who were treated for infertility by combinative treatment of traditional Chinese medicine and western medicine were analyzed from 1st April 2004 to 31st April 2005 retrospectively.Results:Of all, there were 15 cases in primary infertility, of which has 2 cases in tubal infertility, 4 cases in vaginal inflammation, 7 in irregular menstruation, 4 in hyperprolactinia; there were 25 cases in secondary infertility, of which has 17 cases in tubal infertility, 11 in vaginal inflammation, 9 in irregular menstruation, 5 in slight hyperprolactinia. Among 40 cases of pregnancy, there were 4 cases in embryo-stopping, 2 in tubal pregnancy, 1 in both of tubal and uterine pregnancy, 1 case was delivered in 24 weeks of gestation, and the others were in normal uterine pregnancy; Among all of 19 cases of tubal infertility, there were 17 cases with normal pregnancy, 2 with tubal pregnancy respectively.Conclusion:The inflammation of genital system was the main factor of secondary infertility.Popularization of sexual and reproductive healthy educations is an important measure of declining the incidence of secondary infertility.It is a more ideal and effective method of the combinative treatment of traditional Chinese medicine and western medicine for primary and secondary infertilities.