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ID:33005411
大小:1.47 MB
页数:29页
时间:2019-02-19
《异位妊娠药物保守治疗成败的相关因素分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中山大学硕士学位论文异位妊娠药物保守治疗成败的相关因素分析1.GeneralIr怕rmationJanuary2005—2007yeari11December,thepatientsliVeiIlhosp“aladmissionVitalsignswerestable,blood,hVeraIldkidney如nctioIl,liVerandkidney血nction、Ⅳasnorn=lalandthereiscoIlserVatiVetreatmenti11patientsw“htherequir.ern
2、entsof332casesofectopicpregnancy.Age19·42years01d,median27-year·old.111eaVeragenunlberofpregnancies(1.7士0.4)tiIlles,111eaVeragenumberofdaysmenopause(57.3士0.3)days.2.Obsen,ationandtreatmentprogr锄s向rthetreatmentofmethotrexate(MTX)50mgwithasillgle血raInuscular
3、蜘ectionof50mgtabletsofrnjfepristoneorallyt、析ceadaythreedays,南racourseonthe7t11.InthetreatmentofAnicle4andAnicle7,theValueofmeaSlJringSemmhCG,hCG,SuchaLsiftheblooddoesnotdecreaseafter7daysordecreaSc<15%,givenrepeatedi11traI】帆scular蛳ectionofMTX50nlg.Treatmen
4、t,applicationofB·modeultraSon0鲈aphyandbloodhCGforcarea11dattentiontopatient’sconditionchangesa11ddn唱to)【icity.RecordsofanpatientsadmittedtohoSpitalaRer(1)changesiIlVitalsigIls;(2)caSesofa_bdomiIlalpaill;(3)ofeachbloodValuethedeterrlliIlationofhCG(4)bloodWB
5、C,liVer锄dkidney向nctiontests;(5)BsupersituationobSerVedmass.3.Withre蠡玎encet0theseVentheditionofPeople’sHeahhPublishiIlgHouse,”ObstetricsandGynecology,”the仃eatmentofectopicpregnancyfailurecriteria:(1)dmgtreatmentofbloodonthel4thdidnot蠡llorrisei11hCG(2)progre
6、ssion-疳eeimpmVementiIlabdomillalpailloreVensigIlificaIltlyi11creaSeddbdomillalpamorsyrnmonlSoftubalrupture,suI’ge巧isneeded.ThetreatmemofectopicpregmncysuccessCriteria:(1)drugtreatmemonthe14thcoIlSecutivedeclhlei11hCGblood3V中山大学硕士学位论文异位妊娠药物保守治疗成败的相关因素分析till
7、lesnegatiVe(2)111itigationordisappea眦1ceofabdomillalpaill(3)toreduceVagillalbleedillg.4.statisticalMethodsInfbm僦ioncoUatedbythecommuollsVariablesllSiI玛ttest,non-norrmlVariablesus崦rankSumtest,cksificationVariablesuSillg贮test,P8、r眦1tipleflactorS.StatisticalamlysisofaUstatisticals0Rwarewereusedtodealwithspssl3.O.RESULTS1success如lpregnancygroupandthe白ilureofgroupmeetiIlgs,productionmeetmgs,age,motherhoodtiIllesthenuIIIberofdaysofabdoII
8、r眦1tipleflactorS.StatisticalamlysisofaUstatisticals0Rwarewereusedtodealwithspssl3.O.RESULTS1success如lpregnancygroupandthe白ilureofgroupmeetiIlgs,productionmeetmgs,age,motherhoodtiIllesthenuIIIberofdaysofabdoII
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