中西医结合治疗宫外孕50例疗效观察.docxVIP

中西医结合治疗宫外孕50例疗效观察 河北省永清县人民医院妇产科065600 【摘要】目的观察化浊祛瘀消癥通络中药联合甲氨蝶吟、米非司酮胶 囊保守治疗宫外孕的临床疗效。方法对50例患者单次肌肉注射甲氨蝶吟50mg/ m2,米非司酮胶囊200mg单次顿服，同时口服化浊、祛瘀、消癥、通络中药， 每日1齐I」，连续服用8日。结果在50例，显效40例，占80%；有效3例，占 6%；无效7例，占14%。总有效率86%,随访30例，29例患侧输卵管通畅。结 论化浊祛瘀消癥通络中药联合西药保守治疗宫外孕具有较好的临床效果，值得 临床推广应用。 【关键词】宫外孕；甲氨蝶吟；米非司酮胶囊；化浊祛瘀消癥通络中 药 Clinical observation effect of traditional Chinese combine with Western Medicine in 50 cases with ectopic pregnancy Abstract: Objective To observe the effect of Huazhuo stasis eliminating disease meridians of Chinese medicine combined with methotrexate and mife prist one capsule con servative in treatme nt of patient with entopic pregnancy. Method 50 cases of patients with a single intramuscular injection of MTX 50mg / square meters, 200 mg of mifepristone capsule single orally, and oral administration of turbidity and removing blood stasis, eliminating disease, meridians of Chinese medicine, daily 1 agent, for taking 8. Results in 50 cases, 40 cases were markedly effective, acco unting for 80%, effective in 3 cases, accounti ng for 6%, in effective in 7 cases, accounting for 14%. The total effective rate was 86%, 30 cases were followed up, and 29 cases had lateral fallopia n tube pate ncy. Con elusion Huazhuo stasis eliminating disease meridians of Chinese medicine combined with western medicine conservative in treatment of ectopic pregnancy has better clinical effect, worthy of clinical application. Keywords: ectopic preg nan cy; methotrexate; Mife prist one Capsules; Huazhuo stasis and dredge meridians. 【中图分类号】R714.22 【文献标识码］A 【文章编号】2096-0867 (2016) -06-454-01 异位妊娠(ectopic pregnancy, EP)习称宫外孕，是最为最常见的妇科 急症。与2003年相比，2013年宫外孕的发生率增加了 3.56倍⑴。随着现代医 学检查方法的不断改进，多数异位妊娠患者都能得到早期诊断，从而为本病的非 手术疗法成为可能。以外的研究发现，中西医结合治疗能够较好的治疗宫外孕 [2-4] o 为了验证中西医结合治疗宫外孕的效果，笔者对2012年1月?2015年12月于我 院接受治疗的50例宫外孕患者为研究对象，取得较好的治疗效果,现报道如下。 1临床资料 1.1 一般资料观察病例均为本院确诊为宫外孕的妇科住院患者，共50 例。其中已婚38例，未婚12例；右侧输卵管妊娠28例，左侧29例；未破损期 25例，已破损期25例，包括不稳定型和包块型。 1.2诊断标准⑴：①停经6?8周(少数患者无)或伴恶心、呕吐等早 孕反应；②下腹部病变侧疼痛；③大多伴有阴道血性出血；④妇科检查：下腹部 有压痛，