中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
117-119
,共3页
异位妊娠%甲氨蝶呤%米非司酮%护理效果
異位妊娠%甲氨蝶呤%米非司酮%護理效果
이위임신%갑안접령%미비사동%호리효과
Ectopic Pregnancy%Methotrexate%Mifepristone%Clinical Efficacy
目的：探讨甲氨蝶吟与米非司酮的联合应用与单纯应用甲氨蝶吟对异位妊娠的临床治疗效果及护理方法。方法将该院2013年1月-2014年12月收治120例异位妊娠患者随机分为对照组和观察组各60例，两组均给予单次50 mg/m2肌肉注射甲氨蝶吟并服用米非司酮50 mg，连续给药6 d。对照组使用常规护理方式进行护理，观察组在常规护理基础上使用精心护理方式进行护理。观察两组患者的常规指标变化，比较治疗前后包块大小、血β-HCG含量，对比住院时间长短。结果观察组患者治疗后包块大小明显小于对照组、血β-HCG水平明显低于对照组，平均住院时间明显短于对照组；观察组患者发生不良反应率为8%，对照组为11%，组间比较差异无统计学意义。结论在异位妊娠的治疗上选用甲氨蝶呤与米非司酮联合治疗可以显著提高临床疗效，精心的护理可明显降低药物的不良反应，保障患者的恢复，是临床上值得广泛推广治疗方法。
目的：探討甲氨蝶吟與米非司酮的聯閤應用與單純應用甲氨蝶吟對異位妊娠的臨床治療效果及護理方法。方法將該院2013年1月-2014年12月收治120例異位妊娠患者隨機分為對照組和觀察組各60例，兩組均給予單次50 mg/m2肌肉註射甲氨蝶吟併服用米非司酮50 mg，連續給藥6 d。對照組使用常規護理方式進行護理，觀察組在常規護理基礎上使用精心護理方式進行護理。觀察兩組患者的常規指標變化，比較治療前後包塊大小、血β-HCG含量，對比住院時間長短。結果觀察組患者治療後包塊大小明顯小于對照組、血β-HCG水平明顯低于對照組，平均住院時間明顯短于對照組；觀察組患者髮生不良反應率為8%，對照組為11%，組間比較差異無統計學意義。結論在異位妊娠的治療上選用甲氨蝶呤與米非司酮聯閤治療可以顯著提高臨床療效，精心的護理可明顯降低藥物的不良反應，保障患者的恢複，是臨床上值得廣汎推廣治療方法。
목적：탐토갑안접음여미비사동적연합응용여단순응용갑안접음대이위임신적림상치료효과급호리방법。방법장해원2013년1월-2014년12월수치120례이위임신환자수궤분위대조조화관찰조각60례，량조균급여단차50 mg/m2기육주사갑안접음병복용미비사동50 mg，련속급약6 d。대조조사용상규호리방식진행호리，관찰조재상규호리기출상사용정심호리방식진행호리。관찰량조환자적상규지표변화，비교치료전후포괴대소、혈β-HCG함량，대비주원시간장단。결과관찰조환자치료후포괴대소명현소우대조조、혈β-HCG수평명현저우대조조，평균주원시간명현단우대조조；관찰조환자발생불량반응솔위8%，대조조위11%，조간비교차이무통계학의의。결론재이위임신적치료상선용갑안접령여미비사동연합치료가이현저제고림상료효，정심적호리가명현강저약물적불량반응，보장환자적회복，시림상상치득엄범추엄치료방법。
Objective Armour ammonia butterfly Yin and mifepristone combined with simple application armour ammonia butterfly sing the clinical therapeutic effect of ectopic pregnancy and nursing methods. Methods To our hospital between January 2013 and December 2013, 120 patients with ectopic pregnancy were randomly divided into control group and observation group and control group, 60 cases in the two groups were given a single 50 mg/m2 intramuscular methotrexate butterfly Yin and taking mifepristone 50 mg, continuous dosing 6 d. The control group using conventional nursing care in the form of group on the basis of conventional nursing use carefully nursing manner. Observed two groups of patients with conventional index changes, compared before and after treatment package block size and blood beta HCG levels, length of hospitalization. Results Observation group of patients after treatment package block sizes are much smaller than the control group, blood beta HCG levels significantly lower than the control group, the average hospitalization time obviously shorter than the control group;Observation group of patients with adverse reaction rate was 8%, the control group was 11%, there was no statistically significant difference between groups compare. Conclusion In the treatment of ectopic pregnancy to choose combination treatment with methotrexate and mifepristone can significantly improve the clinical curative effect, careful nursing can obviously reduce the adverse reaction of drugs, to ensure the patient's recovery, is worth popularizing widely clinical treatment.
