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目的 研究 MTX肌肉注射辅以口服中药 (治疗组 )治疗异位妊娠的临床效果。方法 采用比较的方法,对照组共两组:单纯 MTX肌注组 29例; 0. 4 mg/kg,每日肌注 1次, 5日一个疗程,间隔 5日后进行第 2疗程共进行两个疗程。单纯口服中药组 27例,每日只口服一剂中药。治疗组 30例;单纯 MTX肌注后第 2日开始每日口服一剂中药。结果 对照组中单纯 MTX肌注组,有效例数 24例,所占百分比 82. 76%,治疗后血β-HCG恢复正常时 (d)24. 12± 10. 09,平均住院日 20. 47± 7. 26。单纯口服中药组:有效例数 17例,所占百分比 62. 96%,治疗后血β-HCG恢复正常时 (d)27. 63± 11. 17,平均住院日 35. 12± 8. 83。治疗组:有效例数 26例,所占百分比 86. 67%,治疗后血β-HCG恢复正常时 (d)15. 79± 9. 46平均住院日 13. 01± 4. 03。治疗组与对照组有效 P<0. 01;治疗后血β-HGC恢复正常时(d)比较P<0.05,比较P<0.05;平均住院比较P<0.01。结论567 肌肉注射辅以口服中药/治疗组2 治疗异位妊娠效果优于对照组。
Objective To study the clinical effect of intramuscular injection of MTX supplemented with oral traditional Chinese medicine (treatment group) in the treatment of ectopic pregnancy. Methods A comparative study was conducted in two groups: 29 cases in the MTX group alone; 0. 4 mg / kg, intramuscular injection once a day, one course on the 5th and the second course after 5 days. Course of treatment. Simple oral Chinese medicine group of 27 cases, only a single oral dose of traditional Chinese medicine. Treatment group, 30 cases; MTX alone after the first day of oral administration of a dose of Chinese medicine. Results In MTX group, the number of effective cases was 24 cases (82. 76%), the serum β-HCG returned to normal after treatment (d) was 24.12 ± 10.0, the average length of stay was 20. 47 ± 7. 26. In the simple oral traditional Chinese medicine group, the effective number of cases was 17, accounting for 62. 96%. After the treatment, the blood β-HCG returned to normal (d) 27.63 ± 11.17 and the average length of stay was 35.12 ± 8.83. Treatment group: the effective number of cases in 26 cases, the percentage of 86.67%, after treatment, blood β-HCG returned to normal (d) 15.79 ± 9.46 average length of stay 13. 01 ± 4. 03. The treatment group and the control group were effective P <0.01; after treatment, blood β-HGC returned to normal (d) compared with P <0.05, P <0.05; average hospitalization was P <0.01. Conclusion 567 intramuscular injection of oral medicine / treatment group 2 treatment of ectopic pregnancy better than the control group.