[精品]异位妊娠15例中西医结合治疗分析

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1、异位妊娠15例中西医结合治疗分析异位妊娠15例中西医结合治疗分析中图分类号：R714.22文献标识码：A文章编号：1672-3783(2008)-9-0025-02❷【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150mg,一次顿服，MTX20mg静注X5天，同时服用屮药一天，B组15例单用MTX20mg静注X5天，两组用药7天后测血(B-hCG)值观察其下降情况。结果用药7天后A组血B-hCG为(235.9土93.7)IU/L,显著低于B组(301.

2、9±71,6)IU/L,两者比较差异有显著性(P〈0・01)oA组血B-hCG值下降230%者有13例，占86.67%,B组血B-hCG值下降230%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(P〈0・01)o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3-hCG<2000IU/L,异位妊娠包块最大直径〈6chi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。❷【关键词】异位妊娠中西医结合治疗分析15CasesofEctopicPregnanc

3、yinTreatmentofIntegrativeMedicine❷HUYu-chuan❷TheFirstPeople，sHosptialofLiangshanYi❷AutonormousPrefectcur,Liangshan615000SichuanChina[Abstract]ObjectiveToobservetheintegratedtreatmentofectopicpregnancyresults・Methods30caseswiththeconservativetreatmentofectopicpregnancyaredivid

4、edintoA、Bgroup,Agroupof15cases,combinethreedrugs,thatismifepristone150mg,onceaday,MTX20mgintravenousX5days,whileLakingChinesemedicinesonedays,Bgroupof15caseswithMTX20mgintravenousX5days,aftertwogroupstakemedicinesfor7days,thedrugbloodtest(&-hCG)observeddeclineinvalue.ResultsG

5、roupAmedicationaftersevendaysofbloodP-hCGfor(235.9±93.7)IU/L,wassignificantlylowerthaningroupB(301.9±71.6)IU/L,thedifferenceissignificant(P<0.01).13casesinAgroupofbloodB-hCG230%decline,accountingfor86.67%,5casesinBgroupblood0-hCGdeclineinthevalue230%,accountingfor47.62%,Agrou

6、pofsuccessfultreatmentofectopicpregnancywassignificantlyhigherthanBgroup,thedifferencewassignificant(P〈0.01).ConclusionThreedrugsinthetreatmentofectopicpregnancyissafe>effective、high-effect,appliedtothevitalsignsstablewithoutsevereabdominalpain,bloodP-hCG<2000IU/L,ectopicpreg

7、nancymassmaximumdiameter<6cm,non-rupturedectopicpregnancy,liver>kidneyandbloodcoagulationarethenormalindications,canselectedasafirstchoiceoftreatmento❷[Keywords]EctopicPregnancy；IntegrativeMedicine；TreatmentAnalysis对15例异位妊娠(EP)的患者采用米非司酮、甲氨喋吟、中药治疗，结果报道如下：❷1资料与方法❷1.1研究对象❷1.1.1选

8、择病例原则(1)生命体征平稳，无活动性腹腔出血征象;(2)附件区包块最大直径W6cm；(3)血P-hCG<2000IU/L；⑷肝肾功能正