| Purpose:This topic aims to explore the clinical significance and related influencing factors of TCM syndrome differentiation in the diagnosis of fallopian tube obstruction.At the same time,observe the clinical effect of Qi’ s Tongguan Formula(TGF)combined with selective salpingography and fallopian tube recanalization(SSG+FTR)on tubal obstructive infertility.Methods:1.Collect infertility patients with tubal obstruction from May 1,2020 to April 1,2021 in Shuguang Hospital and Qi Cong Traditional Chinese Medicine Studio.(1)Assign values to 146 cases of tubal infertility,type of infertility,history of pelvic inflammatory disease,history of intrauterine adhesions,number of biochemical pregnancy,low menstrual flow score,dysmenorrhea,backache,and degree of tubal obstruction Correlation analysis was performed;(2)The patients who met the inclusion criteria were randomly divided into 2 groups,73 cases in the traditional Chinese medicine group(69 cases recorded),73 cases in the control group(63 cases recorded),and the control group underwent selective salpingography and interventional resuscitation.For general surgery,the TCM group was treated with TGF on the basis of the control group for 3 months.2.Main efficacy indicators: factors related to the degree of fallopian tube obstruction.The pregnancy conditions and pregnancy time of the two groups were followed up within half a year after the treatment,and the TCM syndrome scores and the efficacy of TCM syndromes were compared between the two groups after the treatment.3.Use Excel software for data sorting,SPSS24.0 for statistical analysis,all statistical results are judged as statistically significant with P≤0.05.Results:1.Correlation analysis between the degree of fallopian tube obstruction and its influencing factors(1)Low menstrual flow is positively correlated with the degree of fallopian tube obstruction(r=0.398,P=0.016<0.05);(2)Dysmenorrhea is positively correlated with the degree of fallopian tube obstruction(r=0.298,P=0.038<0.05);(3)The number of biochemical pregnancies is positively correlated with the degree of fallopian tube obstruction(r=0.194,P=0.019<0.05);(4)The remaining indicators have no rank correlation with the number of years of infertility,type of infertility,history of pelvic inflammatory disease,history of uterine cavity operation,backache and degree of tubal obstruction.2.Observation on the clinical efficacy of Qi’s Tongguan Formula(1)Baseline: Before treatment,there was no statistical difference of age,years of infertility,type of infertility,history of uterine cavity operation,history of biochemical pregnancy and adverse pregnancy,degree of fallopian tube obstruction,and TCM syndrome scores between the two groups(P>0.05).(2)Comparison of pregnancy status of the two groups of patients after treatment:Comparison of pregnancy status within half a year after treatment.In the traditional Chinese medicine group,38 cases were pregnant half a year after treatment,the intrauterine pregnancy was 33 cases(47.83%),biochemical pregnancy 2 cases(2.9%)and 3 cases of bad pregnancy(4.3%);the control group had 18 cases were intrauterine pregnancy(28.57%),and 9 cases were biochemical pregnancy(14.29)%),7 cases of bad pregnancy(11.11%).There was no significant difference in the total pregnancy rate between the two groups of patients within six months of treatment(P>0.05),but the comparison of intrauterine pregnancy rates,biochemical pregnancy rates,and unhealthy pregnancy rates within six months of the two groups of patients was statistically significant(P<0.05);(3)Comparison of pregnancy time after treatment between the two groups: the average pregnancy time after treatment in the Chinese medicine group(2.57±1.08);the average pregnancy time after treatment in the control group(3.82±1.14),the difference was statistically significant(P<0.05);(4)Comparison of TCM syndrome scores of the two groups: the scores of TCM syndromes of the two groups after treatment were lower than before,and the scores of TCM syndromes of patients in the TCM group decreased more cleanly,and the difference was statistically significant(P<0.05),but there was no significant difference in the control group(P>0.05);compared with the TCM syndrome scores of the two groups of patients after treatment,the difference was statistically significant(P<0.05);(5)Comparison of low menstrual flow and dysmenorrhea between the two groups:the low menstrual flow scores of the two groups of patients after treatment were lower than those before treatment,and the low menstrual flow scores of patients in the Chinese medicine group decreased more significantly,and the difference between the two groups after treatment was statistically significant(P < 0.05),the score of low menstrual volume before and after treatment in the control group was statistically significant(P<0.05).After treatment,the dysmenorrhea scores of the Chinese medicine group decreased more significantly between the two groups of patients,and the difference was statistically significant(P<0.05),but there was no significant difference in the control group(P>0.05);the difference in the dysmenorrhea scores of the two groups after treatment There is statistical significance(P<0.05);(6)Comparison of the efficacy of TCM syndromes between the two groups :Comparison of the efficacy of TCM syndromes between the two groupsafter treatment,the total effective rate in the TCM group was 89.86%,and the total effective rate in the control group was 26.98%,and the difference was statistically significant.Significance(P<0.05).Conclusions:1.Low menstrual flow,dysmenorrhea,and the number of biochemical pregnancies are positively correlated with the degree of fallopian tube blockage,which can assist in judging the fallopian tube blockage of patients with TFI,guide further examinations,and serve as an indicator of efficacy observation;2.TGF combined with SSG+FTR can effectively shorten the pregnancy time,increase the intrauterine pregnancy rate,reduce the biochemical pregnancy rate and the rate of unhealthy pregnancy,and can effectively improve the low menstrual flow,the degree of dysmenorrhea and the TCM syndrome integral. |
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