异位妊娠15例中西医结合治疗剖析.docVIP

异位妊娠15例中西医结合治疗剖析 　　中图分类号：R714.22 　　文献标识码： A 　　文章编号： 1672-3783(2008)-9-0025-02? 　　【摘 要】目的 观察中西医结合治疗异位妊娠的效果。方法 30例符合保守治疗条件的异位妊娠患者分为A、B两组，A组15例，三种药物联合应用，即米非司酮150 mg，一次顿服，MTX 20mg静注×5天，同时服用中药一天，B组15例单用MTX 20 mg静注×5天，两组用药7天后测血(β-hCG)值观察其下降情况。结果 用药7天后A组血β-hCG为(235．9±93．7)IU／L，显著低于B组(301．9±71．6)IU／L，两者比较差异有显著性(P0．01)。A组血β-hCG值下降≥30％者有13例，占86．67％，B组血β-hCG值下降≥30％者有5例，占47．62％，A组治疗异位妊娠的成功率明显高于B组，两者比较差异有显著性(P0．01)。结论 三种药物联合治疗异位妊娠安全、有效、疗效高，适用于生命体征平稳无剧烈腹痛、血β-hCG2000 IU／L，异位妊娠包块最大直径6 cm非破裂型异位妊娠，肝、肾和凝血功能正常是其适应症，可作为临床首选治疗方案。? 　　【关键词】异位妊娠 中西医结合 治疗分析 　　 　　15 Cases of Ectopic Pregnancy in Treatment of Integrative Medicine? 　　HU Yu-chuan? 　　The First Peoples Hosptial of Liangshan Yi? 　　Autonormous Prefectcur,Liangshan 615000 Sichuan China 　　【Abstract】Objective To observe the integrated treatment of ectopic pregnancy results.Methods 30 cases with the conservative treatment of ectopic pregnancy are divided into A、B group，A group of 15 cases，combine three drugs，that is mifepristone 150 mg，once a day，MTX 20mg intravenous×5 days，while taking Chinese medicines one days，B group of 15 cases with MTX 20 mg intravenous ×5 days，after two groups take medicines for 7 days，the drug blood test(β -hCG) observed decline in value.Results Group A medication after seven days of blood β-hCG for (235.9 ± 93.7)IU / L， was significantly lower than in group B (301.9 ± 71.6)IU / L，the difference is significant(P 0.01).13 cases in A group of blood β-hCG ≥ 30% decline， accounting for 86.67%，5 cases in B groupblood β-hCG decline in the value ≥ 30%，accounting for 47.62%，A group of successful treatment of ectopic pregnancy was significantly higher than B group，the difference was significant(P 0.01).Conclusion Three drugs in the treatment of ectopic pregnancy is safe、effective、high-effect，applied to the vital signs stable without severe abdominal pain，bloodβ-hCG 2000 IU / L，ectopic pregnancy mass maximum diameter 6 cm，non-ruptured ectopic pregnancy，liver、kidney and blood coagulation are the normal indicati