中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
46-48
,共3页
甲氨蝶呤%米非司酮%宫外孕Ⅱ号方%β-hCG%宫外孕
甲氨蝶呤%米非司酮%宮外孕Ⅱ號方%β-hCG%宮外孕
갑안접령%미비사동%궁외잉Ⅱ호방%β-hCG%궁외잉
Methotrexate%Mifepfistone%EPII Decoction%β-hCG%Ectopic pregnancy
目的：探讨米非司酮联合甲氨蝶呤和宫外孕Ⅱ号方在治疗不同血β-hCG（人绒毛膜促性腺激素）值宫外孕中的疗效。方法：选取211例宫外孕住院患者，将患者随机分为A组和B组，并根据血β-hCG≤1000 U/L和1000 U/L<β-hCG≤2000 U/L两种浓度进行分层，A组服用甲氨蝶呤和宫外孕Ⅱ号方，B组服用甲氨蝶呤和宫外孕Ⅱ号方以及米非司酮。根据患者β-hCG值转阴时间、腹痛消失时间、包块消失时间来评估各组患者的治疗效果。结果：血β-hCG≤1000 U/L时，两组治疗效果比较差异无统计学意义（P>0.05）。血1000 U/L<β-hCG≤2000 U/L时，两组治愈率、β-hCG值转阴时间、腹痛消失时间、包块消失时间比较差异均有统计学意义（P<0.05）。结论：甲氨蝶呤联合中西药治疗宫外孕疗效显著。
目的：探討米非司酮聯閤甲氨蝶呤和宮外孕Ⅱ號方在治療不同血β-hCG（人絨毛膜促性腺激素）值宮外孕中的療效。方法：選取211例宮外孕住院患者，將患者隨機分為A組和B組，併根據血β-hCG≤1000 U/L和1000 U/L<β-hCG≤2000 U/L兩種濃度進行分層，A組服用甲氨蝶呤和宮外孕Ⅱ號方，B組服用甲氨蝶呤和宮外孕Ⅱ號方以及米非司酮。根據患者β-hCG值轉陰時間、腹痛消失時間、包塊消失時間來評估各組患者的治療效果。結果：血β-hCG≤1000 U/L時，兩組治療效果比較差異無統計學意義（P>0.05）。血1000 U/L<β-hCG≤2000 U/L時，兩組治愈率、β-hCG值轉陰時間、腹痛消失時間、包塊消失時間比較差異均有統計學意義（P<0.05）。結論：甲氨蝶呤聯閤中西藥治療宮外孕療效顯著。
목적：탐토미비사동연합갑안접령화궁외잉Ⅱ호방재치료불동혈β-hCG（인융모막촉성선격소）치궁외잉중적료효。방법：선취211례궁외잉주원환자，장환자수궤분위A조화B조，병근거혈β-hCG≤1000 U/L화1000 U/L<β-hCG≤2000 U/L량충농도진행분층，A조복용갑안접령화궁외잉Ⅱ호방，B조복용갑안접령화궁외잉Ⅱ호방이급미비사동。근거환자β-hCG치전음시간、복통소실시간、포괴소실시간래평고각조환자적치료효과。결과：혈β-hCG≤1000 U/L시，량조치료효과비교차이무통계학의의（P>0.05）。혈1000 U/L<β-hCG≤2000 U/L시，량조치유솔、β-hCG치전음시간、복통소실시간、포괴소실시간비교차이균유통계학의의（P<0.05）。결론：갑안접령연합중서약치료궁외잉료효현저。
Objective:To investigate the effects of mifepristone combined with methotrexate and EPII Decoction in the treatment of ectopic pregnancy in different concentration of bloodβ-hCG.Method:211 cases of ectopic pregnancy were ramdomly divided into group A and group B and layered according to the bloodβ-hCG≤1000 U/L and 1000 U/L<β-hCG≤2000 U/L.Group A were treated with methotrexate and EPII Decoction,and B groups were treated with EPII Decoction and mifepristone and methotrexate. The treatment effect of two groups were evaluated according toβ-hCG value clearance time,pain disappearing time,mass disappearance time.Result:In bloodβ-hCG≤1000 U/L,the difference of treatment effect was no significant between two groups(P>0.05).In 1000 U/L<β-hCG ≤ 2000 U/L,there were significant between two groups in therapeutic effect(P<0.05).Conclusion:Methotrexate combined with Chinese and Western medicine in the treatment of ectopic pregnancy is effective.
