CAJ | 학술논문

目的探讨输卵管妊娠行保守性手术后，进行中医综合治疗护理对患侧输卵管通畅度的影响。方法将57例输卵管妊娠行保守性手术后有强烈生育要求的患者随机分为对照组29例和观察组28例。对照组给予抗感染、止血治疗及常规的护理；观察组在此基础上加用中医综合治疗护理：即术后当日起给予丹参注射液静脉滴注，次日予冬青灌肠液保留灌肠，术后第1次月经干净1d行丹参注射液子宫输卵管通液。结果观察组28例，输卵管通畅20例（71.4％);对照组29例，输卵管通畅13例（44.8％);观察组输卵管通畅患者比例高于对照组，疗效显著优于对照组，差异有显著性（P＜0.05）。结论中医综合治疗护理能提高输卵管妊娠保守手术后输卵管通畅率，为改善此类患者的生殖功能提供了行之有效的治疗护理方法。
목적 탐토수란관임신행보수성수술후，진행중의종합치료호리대환측수란관통창도적영향。방법 장57례수란관임신행보수성수술후유강렬생육요구적환자수궤분위대조조29례화관찰조28례。대조조급여항감염、지혈치료급상규적호리；관찰조재차기출상가용중의종합치료호리：즉술후당일기급여단삼주사액정맥적주，차일여동청관장액보류관장，술후제1차월경간정1d행단삼주사액자궁수란관통액。결과 관찰조28례，수란관통창20례（71.4％);대조조29례，수란관통창13례（44.8％);관찰조수란관통창환자비례고우대조조，료효현저우우대조조，차이유현저성（P＜0.05）。결론 중의종합치료호리능제고수란관임신보수수술후수란관통창솔，위개선차류환자적생식공능제공료행지유효적치료호리방법。
Objectives To explore the effects of Chinese medicine integrated care treatment for tubal functional recovery after tubal pregnancy conservative surgery. Methods 57 cases of tubal pregnancy who had conservative surgery were randomly divided into two groups, 28 cases for the observation group, and 29 cases as control group, conventional anti-inflammatory hemostasis therapy were used in both groups, besides this, traditional Chinese medicine plus comprehensive treatment and care in many ways were added in observation group. That is, from the day with operation, given Danshen injection intravenous drip, the next day with ammopiptanthus enema fluid retention enema, on the first clean period day after the menses Danshen hydrotubation injection was given. Results After experiment, there were 20 cases found to have good tubal function (71.4％) in observation group with 28 cases. While only 13 cases found to have good tubal function (44.8％) in 29 cases of control group. The efficacy of the observation group was significantly more superior to that of the control group (P＜0.05). Conclusion The integrated traditional Chinese medicine treatment and care interventions can improve tubal function, providing an effective curative and nursing way for strengthening their reproductive function.