目的研究桃红四物汤辩证加减联合西药保守治疗异位妊娠的临床疗效。方法选择在医院治疗的异位妊娠患者80例随机分为接受桃红四物汤辩证加减联合米非司酮保守治疗的观察组和米非司酮保守治疗的对照组各40例,观察两组患者治疗后的疾病相关情况、应激状态以及远期妊娠情况。结果观察组疼痛缓解时间(5.32±0.72)h、阴道出血量(38.23±5.03)ml、卧床时间(2.32±0.31)d、住院时间(4.53±0.59)d以及外周血糖水平(4.56±1.54)mmol/L、HAMD评分(15.18±3.32)、HAMA(14.36±4.23)、NRS(3.12±1.58)均明显低于对照组;外周血胰岛素水平(14.12±2.53)IU/ml以及妊娠率(82.5%)、宫内妊娠率(77.5%)明显高于对照组。结论桃红四物汤辩证加减联合西药保守治疗能够改善治疗效果和远期生育结局、缓解应激状态,具有积极的临床价值。 Objective To study the clinical efficacy of Taohong Siwu decoction combined with traditional Chinese medicine in the conservative treatment of ectopic pregnancy. Methods Eighty patients with ectopic pregnancy who were treated in hospital were randomly divided into two groups: observation group receiving conservative treatment of Taohong Siwu Decoction combined conservatively with mifepristone, and control group receiving conservative treatment with mifepristone. Patient-treated disease-related conditions, stress status and long-term pregnancy status. Results The pain relieving time (5.32 ± 0.72) h, vaginal bleeding volume (38.23 ± 5.03) ml, bed rest time (2.32 ± 0.31) days, hospital stay time (4.53 ± 0.59) d and peripheral blood glucose level (4.56 ± 1.54) / L, HAMD score (15.18 ± 3.32), HAMA (14.36 ± 4.23) and NRS (3.12 ± 1.58) were significantly lower than those in the control group; peripheral blood insulin levels were 14.12 ± 2.53 IU / ml and pregnancy rates were 82.5% , Intrauterine pregnancy rate (77.5%) was significantly higher than the control group. Conclusion Taohong Siwu decoction combined with conservative treatment of traditional Chinese medicine can improve the therapeutic effect and long-term reproductive outcome, relieve the stress state, and has a positive clinical value.