Clinical Observation On Treatment Of Pelvic Inflammatory Infertility In Damp-heat Stasis Type After Oral Administration Combined With External Application Of Traditional Chinese Medicine

ObjectiveTo observe the clinical effect of oral administration of anti-pelvic inflammation decoction combined with external application of TCM envelop in patients with damp-heat stasis type after pelvic inflammatory infertility laparoscopic operation.Methods90 patients of pelvic inflammatory infertility diagnosed as damp-heat stasis after laparoscopic surgery were randomly divided into three groups: Group A(oral administration of anti-pelvic inflammation decoction + external application of TCM envelop)with 30 cases,Group B(oral administration of anti-pelvic inflammation decoction)with 30 cases,Group C(Hysteroscopy)with 30 cases.To observe the TCM syndrome score,local symptom improvement after two menstrual cycles and pregnancy rate within half a year in three groups.Results1.General information: there was no statistically significant difference in age,course of infertility,grade of disease degree,degree of patency of fallopian tube,TCM syndrome score before treatment,small abdominal pain,lumbosacral swelling pain before treatment,and lower integration(P>0.05),suggesting comparability.2.The three groups were all effective in improving TCM syndrome score.The differences between the three groups after TCM syndrome integration treatment were statistically significant(P<0.05).Pairwise comparison showed that group A was better than group C,and group B was better than group C,with statistically significant differences(P<0.05).There was no significant difference between group A and group B(P>0.05).3.Comparison of symptom improvement: there were statistically significant differences between the three groups before and after treatment of small abdominal pain,lumbosacral swelling pain and lumbosacral swelling(P<0.05).Three groups of treatment to improve the small abdominal pain,lumbosacral swelling pain,belt conditions are effective;After treatment of small abdominal pain,lumbosacral swelling pain and lower integration,the differences were statistically significant(P<0.05).In pairwise comparison,group A was better than group C,and group A was better than group B,with statistically significant differences(P<0.05).There was no significant difference between group B and group C(P>0.05).4.There was no statistically significant difference in the degree of tubal patency in the number of pregnancies(P>0.05).5.Comparison of pregnancy rates: the pregnancy rates of the three groups were 31%,10.7%,and 7.1%,respectively.The differences between the three groups were statistically significant(P<0.05).In pairwise comparison,group A was superior to group C,and the difference was statistically significant(P<0.05).There was no statistically significant difference between group A and group B and between group B and group C(P>0.05).6.Comparison of total effective rate: the total effective rate of the three groups was96.5%,92.9% and 92.9% respectively.In pairwise comparison among the three groups,group A was better than group C,and group A was better than group B,with statistically significant difference(P<0.05).There was no statistically significant difference between group B and group C(P>0.05).Conclusion1.After the laparoscopy surgery,the group of oral administration of anti-pelvic inflammation decoction combined with external application of TCM envelop was improved in symptoms of abdominal pain,lumbosacral distension,sub-band abnormalities,etc.compared with the laparoscopy group.2.After the laparoscopy surgery,the TCM syndrome score of the group of oral administration of anti-pelvic inflammation decoction combined with external application of TCM envelop and the group of oral administration of anti-pelvic inflammation decoction was higher than the laparoscopy group.3.After the laparoscopy surgery,the pregnancy rate of the group of oral administration of anti-pelvic inflammation decoction combined with external application of TCM envelop was higher than the laparoscopy group.