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目的观察女性不孕症患者手术后辅助治疗效果,探讨有效、适用的辅助治疗手段和方法。方法将2008年6月-2010年6月湖南省妇幼保健院收治的191例女性不孕症术后患者随机分为4组:辅助治疗1组44例,采用超短波辅助治疗;辅助治疗2组47例,采用自制藤药腹部外敷辅助治疗;辅助治疗3组48例,采用超短波和自制藤药腹部外敷辅助治疗;对照组52例,仅单独手术治疗。1年后电话随访,失访8例,进入调查的共183例,其中辅助治疗1组42例,2组46例,3组46例,对照组49例,对4组女性不孕症术后患者的妊娠率进行比较。结果不同的辅助治疗方式对1年后是否妊娠的影响差异有统计学意义(P均<0.01),其中,给予手术后辅助超短波理疗和藤药腹部外敷患者1年后妊娠率比单独手术后妊娠率提高了24.40%。结论为女性不孕症术后患者实施超短波辅助治疗,并在其出院时指导使用藤药腹部外敷,能改善盆腔的血液循环,预防术后再次粘连,更有效的促进康复,提高了手术效果。
Objective To observe the effect of postoperative adjuvant therapy in women with infertility and to explore effective and suitable adjuvant therapy methods and methods. Methods A total of 191 female infertility patients who were admitted to Hunan Maternal and Child Health Care Hospital from June 2008 to June 2010 were randomly divided into 4 groups: adjuvant therapy group 1 (44 cases), ultrashort wave adjuvant therapy and adjuvant therapy group 2 For example, the self-made external application of rattan abdomen adjuvant therapy; adjuvant treatment of 48 cases in 3 groups, using ultrashort wave and homemade external application of rattan abdomen adjuvant therapy; control group of 52 patients, only a single surgical treatment. One year after the telephone follow-up, 8 patients were lost to enter the investigation of a total of 183 cases, including adjuvant treatment of a group of 42 cases, 2 cases of 46 cases, 46 cases of 3 cases, 49 cases of control group, 4 groups of female infertility postoperative Patient’s pregnancy rates were compared. Results There was significant difference in the effect of different adjuvant therapy on pregnancy after one year (P all <0.01). Among them, the rate of pregnancy after 1 year was higher in patients with post-surgery assistant ultrashort wave therapy and rattan abdomen than in post-operation pregnancy The rate increased by 24.40%. Conclusion The application of ultrashort wave adjuvant therapy for postoperative patients with female infertility and guidance on the application of rape drug in the abdomen during discharge can improve pelvic blood circulation, prevent postoperative adhesions again, promote the rehabilitation more effectively and improve the operation effect.