Comparison Of Intervention Clinical Effects On Tubal Infertility By Using Various Ways Of Chinese Medicine

Objective:to compare the clinical effects of the external application method with traditional Chinese medicine and the enema method with traditional Chinese medicine in treatment of tubal infertility, so as to find out a more effective and simple way for traditional Chinese medicine in treatment of tubal infertility.Method:68 cases of patients with tubal infertility who had met the criteria were chosen, and they were divided into 3 groups randomly:the group for oral medication with traditional Chinese medicine included 15 cases, the group for oral medication+external application method with traditional Chinese medicine included 37 cases, the group for oral medication+enema method with traditional Chinese medicine included 16 cases. Patients for the three groups all began to receive corresponding treatment after the total finishing of menstruation; they all received the corresponding treatment for 18 consecutive days or stopped their treatment three days after the monitoring of the discharge of ovarian follicle in aid of B ultrasonic. Patients for the three groups all received 1-2 course treatment in which one course contained three menstrual cycles. Patients were told for normal sexual life during receiving these treatments. When the treatment course of each group was finished, numbers of pregnant patients and non-pregnant patients for each group would be made statistics to check the improvement of clinical symptoms.Results:(1) The total effective rate of the group for oral medication, the group for oral medication+external application method, and the group for oral medication+enema method respectively was 67.67%,75.68% and 50.00%. When comparing the group for oral medication with the group for oral medication+external application method and also with the group for oral medication+enema method, it both finds no significant difference (P>0.05); but the total effective rate of the group for oral medication+external application method is obvious higher than that of the group for oral medication+enema method, it finds out significant difference (P<0.05). It shows that in respect of clinical effect, the external application method is better than the enema method. (2) The pregnancy rate of the group for oral medication, the group for oral medication+external application method, and the group for oral medication+enema method respectively was 46.67%,54.05% and 18.75%. When comparing the group for oral medication with the group for oral medication+external application method and also with the group for oral medication+enema method, it both finds no significant difference (P>0.05); but when comparing that of the group for oral medication+external application method with that of the group for oral medication+external application method, it finds out significant difference (P<0.05). It show that in respect of improving pregnancy rate, the external application method is better than the enema method. (3) When it respectively compares the integrals of each group before and after the corresponding treatment, it all finds out significant difference (P<0.05), which shows that clinical symptom of each group is all relieved. When it makes the integral comparison among the three groups, it finds out that the comparison results between the group for oral medication with the group for oral medication+external application method and also with the group for oral medication+enema method have significant difference (P<0.05); while the comparison result between the group for oral medication+external application method and the group for oral medication+external application method has no significant difference (P>0.05); it shows that in respect of relieving clinical symptom, the oral medication+external application method and the oral medication+enema method has same effect which is both better than the oral medication. (4) When it respectively compares the course of the treatment of each group after the corresponding treatment, it all finds no significant difference (P>0.05), it shows that in respect of the course of the treatment,the three groups have the same effect.Conclusion:The oral medication、the external application method and the enema method with traditional Chinese medicine on treatment of tubal infertility all can improve the rate of pregnancy and relieve clinical symptom.And the oral medication+external application method with traditional Chinese medicine is effective、safe and simple,which is a better way and can be widely popularized and applied in the clinic.