39中药保留灌肠联合金黄散外敷治疗湿热瘀结型输卵管阻塞性不孕症患者的临床效果观察梁芸菊▲，杨申花，郑进福（广东省丰顺县中医院 妇产科，广东 梅州 514300）【摘要】目的 探究湿热瘀结型输卵管阻塞性不孕症应用中药保留灌肠联合金黄散外敷治疗的临床效果。
方法 选取80例湿热瘀结型输卵管阻塞性不孕症患者，按照随机排列法分为对照组与试验组，每组40例。
对照组患者予以常规西医治疗，试验组患者在对照组基础上加用中药保留灌肠联合金黄散外敷治疗。
比较两组患者入院时、治疗后中医证候积分、舒适状况量表（GCQ ）评分及随访6个月妊娠率。
结果 入院时，两组患者中医证候积分比较，差异无统计学意义（P ＞0.05）；治疗后，两组中医证候积分均较入院时降低，且试验组降低程度大于对照组，差异具有统计学意义（P ＜0.05）。
入院时，两组患者GCQ 评分比较，差异无统计学意义（P ＞0.05）；治疗后，两组患者GCQ 评分均较入院时升高，且试验组升高程度大于对照组，差异具有统计学意义（P ＜0.05）。
试验组患者妊娠25例（62.50%），未妊娠15例（37.50%）；对照组患者妊娠16例（40.00%），未妊娠24例（60.00%），试验组患者妊娠率明显高于对照组，差异具有统计学意义（χ2=4.053，P ＜0.05）。
结论 中药保留灌肠联合金黄散外敷治疗湿热瘀结型输卵管阻塞性不孕症，能够显著改善患者临床症状，提升其舒适度及妊娠率，值得临床推广与应用。
【关键词】输卵管阻塞；湿热瘀结型；金黄散；不孕症；中药保留灌肠Clinical eff ect observation of traditional Chinese medicine retention enema combined with external application of Jinhuang powder on Tubal Obstructive Infertility of dampness heat stasis typeLiang Yunju, Yang Shenhua, Zheng Jinfu(Department of Obstetrics and Gynecology, Fengshun County Hospital of Traditional Chinese Medicine, Meizhou 514300, China)【Abstract 】Objective To explore the effect of retention enema with traditional Chinese medicine and external application of Jinhuang powder in the treatment of Tubal Obstructive Infertility of damp heat stasis type. Methods Eighty patients with tubal obstructive infertility of damp-heat stasis syndrome were randomly divided into control group and the experimental group, with 40 cases in each group. Patients in the reference group were treated with conventional western medicine, and patients in the experimental group were additionally treated with traditional Chinese medicine retention enema combined with external application of golden yellow powder on the basis of reference group. The TCM syndrome score, GCQ score and pregnancy rate at 6 months were compared between the two groups at admission and after treatment. Results On admission, there was no significant difference in TCM syndrome scores between the two groups (P ＞0.05). After treatment, TCM syndrome scores in both groups were lower than those on admission, and the degree of reduction in the experimental group was greater than that in the reference group, the difference was statistically signifi cant (P ＜0.05). At admission, there was no signifi cant difference in GCQ scores between 2 groups (P ＞0.05). After treatment, GCQ score in 2 groups was higher than that on admission, and the degree of increase in the test group was higher than that in the reference group, the difference was statistically significant (P ＜0.05). In the trial group, 25 patients (62.50%) were pregnant and 15 patients (37.50%) were not pregnant. In the control group, 16 cases (40.00%) were pregnant and 24 cases (60.00%) were not pregnant. The pregnancy rate in the test group was signifi cantly higher than that in thecontrol group, the difference was statistically signifi cant (χ2=4.053, P ＜0.05). Conclusion Traditional Chinese medicine retention enema combined with external application of golden yellow powder in the treatment of dampness-heat stasis type tubal obstructive infertility can signifi cantly improve the clinical symptoms of patients, improve their comfort and pregnancy rate, which is worthy of clinical promotion and application.通信作者： 梁芸菊，E-mail：****************40【Key words】Oviduct obstruction; Damp-heat stasis type; Golden yellow; Infertility; Traditional chinese medicineretention enema不孕症是临床常见妇科疾病，对患者身心健康造成严重影响。
