异位妊娠保守治疗方案的优化与临床分析
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异位妊娠保守治疗方案的优化与临床分析
商文金;胡玉玲;杨国华
【期刊名称】《中国医药导刊》
【年(卷),期】2015(017)004
【摘 要】目的:评价甲氨蝶呤配伍中药、米非司酮配伍中药和米非司酮联合甲氨蝶呤配伍中药保守治疗异位妊娠的临床疗效.方法:回顾性分析2011年6月~2014年10月我院妇科确诊为异位妊娠并有保守治疗指征的患者360例,将其随机分成三组,米非司酮+中药组108例;甲氨蝶呤+中药组117例;甲氨蝶呤+米非司酮+中药135例.结果:米非司酮+中药组成功率为72.22%(78/108);甲氨蝶呤+中药组成功率为84.61%(99/117);甲氨蝶呤+米非司酮+中药成功率为95.56%(129/135).结论:甲氨蝶呤联合米非司酮配伍中药疗法用于保守治疗异位妊娠优于其他两种治疗方案,方法简便,疗效高,疗程短,副作用小,可保留生育功能,患者易于接受,是药物保守治疗异位妊娠的首选可靠治疗方法.%Objective: To evaluate the
compatibility of traditional Chinese medicine methotrexate,mifepristone
combined with traditional Chinese medicine and mifepristone combined
with methotrexate and traditional Chinese medicine conservative
treatment of ectopic pregnancy clinical effect.Methods:Retrospective
analysis of 2011 June to 2014 October in our hospital were diagnosed as
ectopic pregnancy and gynecological conservative treatment 360 cases of
fingersyndrome patients,divided into three groups randomly,mifepristone
plus traditional Chinese medicine group of 108 cases; methotrexate plus
traditional Chinese medicine group of 117 cases;135 cases of methotrexate and mifepristone in combination with traditional Chinese
medicine.Results:Mifepristone plus traditional Chinese medicine
composition of power of 72.22% (78/108); methotrexate plus traditional
Chinese medicine composition of power of 84.61% (99/117); the success
rate of methotrexate and mifepristone plus traditional Chinese medicine
was 95.56% (129/135).Conclusion:Combination of methotrexate and
mifepristone combined with traditional Chinese medicine therapy for
treatment of ectopic pregnancy is better than the other two kinds
oftreatment,the method is simple,high curative effect,short course of
treatment,the side effect is small,can preserve the fertility,the patient is
easy to accept,is the drug of choice and reliabletreatment method of
conservative treatment for ectopic pregnancy.
【总页数】3页(P351-352,355)
【作 者】商文金;胡玉玲;杨国华
【作者单位】北京市通州区妇幼保健院妇科,北京 101100;北京市通州区妇幼保健院妇科,北京 101100;北京市通州区妇幼保健院妇科,北京 101100
【正文语种】中 文
【中图分类】R271
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