摘要
目的探讨中西医结合保守治疗异位妊娠临床效果。方法将84例异位妊娠患者按数字法随机分为观察组(46例)和对照组(38例)。对照组给予米非司酮150mg空腹顿服,1次/d,连服3d。氨甲蝶呤50mg/m2肌内注射,1次/d。观察组在对照组治疗方案基础上配合中药宫外孕1号口服,水煎服500mL口服,每日1剂,7d为1个疗程。观察两组治疗效果。结果观察组保守成功率为93.48%(43/46),对照组保守成功率为81.58%(31/38),两组比较差异具有统计学意义(P<0.05)。观察组血β-HCG下降至正常的时间,腹痛及阴道流血症状缓解时间、包块缩小或消失时间明显少于对照组(P<0.05)。结论采用中西医结合保守治疗异位妊娠能够明显缓解腹痛及阴道流血症状,使包块显著缩小或消失,不良反应小,临床效果疗效显著,值得临床应用。
Objective To explore the clinical effect of integrative medicine conservative treatment of ectopic pregnancy. Methods All 84 cases with ectopic pregnancy were enrolled and divided into observation group （n = 46）, and control group （n = 38）. Control group were treated with mifepristone 150 mg fasting Dayton clothing, day 1, even for 3 days. Methotrexate 50 mg/m 2 intramuscular injection, once a day. Observation group treatment programs： based on Chinese medicine, were given oral Shuijianbi 500 mL one day, 7 day was a course of treatment. Results The conservative success rate in observation group was 93.48% （43/46）, the conservative success rate in the control group was 81.58% （31/38）. The two groups had a significant difference （P〈0.05）. Blood β-HCG dropped to normal, abdominal pain and vaginal bleeding symptoms, mass shrink or disappear time in the observation group was significantly less than that in the control group （P〈0.05）. Conclusion Integrative conservative treatment of ectopic pregnancy can significantly alleviate the abdominal pain and vaginal bleeding symptoms, mass significantly shrink or disappear, adverse reactions, has significant clinical effect, worthy of clinical application.
出处
《当代医学》
2013年第6期147-148,共2页
Contemporary Medicine
关键词
异位妊娠
中西医结合
保守治疗
Ectopic pregnancy
Integrative medicine
Conservative treatment
