当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
30期
107-108
,共2页
异位妊娠%甲氨蝶呤(MTX)%米非司酮%中药
異位妊娠%甲氨蝶呤(MTX)%米非司酮%中藥
이위임신%갑안접령(MTX)%미비사동%중약
Eetopic pregnancy%Methotrexate%Mifepristone%Traditional Chinese medicine
目的：观察甲氨蝶呤（MTX）联合米非司酮及中药保守治疗异位妊娠的疗效，比较中西医结合与西医单纯治疗的临床效果差异。方法选取2011年10月-2013年1月共收治的符合保守治疗的44例异位妊娠，其中对照组22例，采用MTX+米非司酮治疗，治疗组22例，在对照组的基础上加用中药治疗。结果对照组痊愈率和患侧输卵管造影通畅率分别为（81%）、（50%），治疗组痊愈率和患侧输卵管造影通畅率分别为（86%）、（77.27%）。两组痊愈率比较差异无统计学意义(P>O．05)。但治疗组血β-hCG转阴时间、平均住院时间、包块消失时间较对照组缩短，患侧输卵管造影通畅率治疗组明显高过对照组，差异具有统计学意义(P<O．05)。结论 MTX联合米非司酮及中药保守治疗异位妊娠，临床疗效确切，值得临床推广。
目的：觀察甲氨蝶呤（MTX）聯閤米非司酮及中藥保守治療異位妊娠的療效，比較中西醫結閤與西醫單純治療的臨床效果差異。方法選取2011年10月-2013年1月共收治的符閤保守治療的44例異位妊娠，其中對照組22例，採用MTX+米非司酮治療，治療組22例，在對照組的基礎上加用中藥治療。結果對照組痊愈率和患側輸卵管造影通暢率分彆為（81%）、（50%），治療組痊愈率和患側輸卵管造影通暢率分彆為（86%）、（77.27%）。兩組痊愈率比較差異無統計學意義(P>O．05)。但治療組血β-hCG轉陰時間、平均住院時間、包塊消失時間較對照組縮短，患側輸卵管造影通暢率治療組明顯高過對照組，差異具有統計學意義(P<O．05)。結論 MTX聯閤米非司酮及中藥保守治療異位妊娠，臨床療效確切，值得臨床推廣。
목적：관찰갑안접령（MTX）연합미비사동급중약보수치료이위임신적료효，비교중서의결합여서의단순치료적림상효과차이。방법선취2011년10월-2013년1월공수치적부합보수치료적44례이위임신，기중대조조22례，채용MTX+미비사동치료，치료조22례，재대조조적기출상가용중약치료。결과대조조전유솔화환측수란관조영통창솔분별위（81%）、（50%），치료조전유솔화환측수란관조영통창솔분별위（86%）、（77.27%）。량조전유솔비교차이무통계학의의(P>O．05)。단치료조혈β-hCG전음시간、평균주원시간、포괴소실시간교대조조축단，환측수란관조영통창솔치료조명현고과대조조，차이구유통계학의의(P<O．05)。결론 MTX연합미비사동급중약보수치료이위임신，림상료효학절，치득림상추엄。
Objective To observe the therapeutic effect of methotrexate (MTX) combined with mifepristone and traditional Chinese medicine in the treatment of ectopic pregnancy, clinical effect difference with western medicine combined treatment of traditional Chinese and Western medicine simple comparison. Methods 44 cases of patients with ectopic pregnancy in ourhospital in October 2011 to January 2013 accorded with conservative treatment criterion,44 cases were divided into two groups.including 22 cases in the contrast group, the contrast group (22 cases of patients)was treated with MTX combined with mifeprlston , the treatment group of 22 cases, treated with traditional Chinese medicine on the basis of contrast group. Results The curative rate of the contrast group and the tube patency rate of the affected side were (81%), (50%), the curative rate of the treatment group and the tube patency rate of the affected side were (86%), (77.27%).There was no difference between the curative rate of two groups. (P>0.05). The time ofβ-hCG return to normal level and hospitalization and mass disappeared in treatment group was shorter than contrast group,the tube patency rate of the affected side in treatment group is higher than contrast group ,there was a signiifcant difference between the two groups (P<0.05). ConclusionThe combination of MTX with mifepristone and traditional Chinese medicine in treating ectopic pregnancy have a clinical curative effect, it is worth of the clinical promotion.
