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ID:46805078
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时间:2019-11-28
《超声引导下甲氨蝶呤局部注射在异位妊娠治疗中的效果观察》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、超声引导下甲氨蝶吟局部注射在异位妊娠治疗中的效果观察【摘要】日的:研究超声引导下甲氨蝶吟局部注射在异位妊娠治疗中的效果。方法:将46例患者按随机对照法分为试验组(n=23)和对照组(n二23),对照组采用甲氨蝶吟静脉滴注,试验组采用超声引导甲氨蝶吟局部注射,且两组患者同时口服米非司酮,比较两组患者治疗后的临床效果、血B-hCG下降率及不良反应发生情况。结果:试验组有效率优于对照组,包块缩小>30%例数多于对照组,平均住院时间及不良反应发生率均少于对照组,两组上述指标比较差异具有统计学意义(P〈0・05);两组治疗后血0-hCG较治疗前均下降,试验组下降较为明显(P〈0.05)。结论:
2、超声引导下甲氨蝶吟局部注射治疗异位妊娠取得较好效果,有效减少不良反应,利于患者早日康复。【关键词】超声;甲氨蝶吟;局部注射;异位妊娠EffectObservationofUltrasoundGuidedMethotrexateLocalInjectionintheTreatmentofEctopicPregnancy/SUNShi-mei.//MedicalInnovationofChina,2013,10(35):122-123[Abstract]Objective:Tostudytheeffectforultrasoundguidedmethotrexatelocalinject
3、ioninthetreatmentofectopicpregnancy.Method:46patientswererandomlydividedintotwogroups,namelytheexperimentalgroup(n=23)andthecontrolgroup(n=23)accordingtotherandomizedcontrolledmethod,thecontrolgroupwastakenwithmethotrexateinfusion,andtheexperimentolgroupwastakenwithultrasoundguidedmethotrexatel
4、ocalinjection,andthetwogroupsalltookoralmifepristoneatthesametime・Theclinicaleffectsbetweenthetwogroupsaftertreatment,theblood(3-hCGdeclinerateandbadreactionwerecompared.Result:Thecurerateofpatientsintheexperimentalgroupwasbettorthanthecontrolgroup,massnarrowing>30%morethanthecontrolgroup,theav
5、eragehospitalizationtimeandincidencerateofadversereactionwaslessthaninthecontrolgroup,theseindicatorsbetweenthetwogroupshadstatisticalsignificance(P<0.05);thebloodB-hCGwasdecreasedcomparedwithbeforetreatmentinthetwogroupsofpatientsaftertreatment,theexperimentalgroupdecreasedmoreobviously(P<0.05
6、)•Conclusion:Theultrasoundguidedmethotrexatelocalinjectioninthetreatmentofectopicpregnancyhasachievedgoodeffect,andcanreduceadversereactionforpatients.[Keywords]Ultrasound;Methotrexate;Localinjection;EctopicpregnancyFirst-author?saddress:HuizeCountyPeople'sHospital,Huize654200,Chinadoi:10.3969/
7、j.issn.1674-4985.2013.35.058异位妊娠是妇科较为常见的急腹症,是育龄女性的常见病、多发病,是指受精卵在子宫体腔外肴床,又称宫外孕[1]。异位妊娠的常见部位有输卵管、卵巢、宫颈、腹腔等,其屮输卵管最为常见。目前,较为常用的异位妊娠治疗方法是药物治疗、手术治疗及期待疗法,3种治疗方法有各口的优缺点,药物治疗可有效的保留生育功能,避免手术带来的较大创伤[2],患者及家属乐于接受。本文采用超声引导甲氨蝶吟局部注射治疗异位妊娠,取得较好临床
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