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目的探讨中西药结合保守治疗异位妊娠患者的临床效果。方法选取2015年1月至2017年1月于广东省佛山市南海区罗村医院就诊的115例异位妊娠患者作为研究对象,按治疗方法不同分为西药组患者55例(甲氨蝶呤联合米非司酮)、联合组患者60例(甲氨蝶呤、米非司酮联合中药汤剂),比较两组患者临床治疗效果、各项临床指标及不良反应发生情况。结果联合组患者治疗的总有效率为93.3%,明显高于西药组的78.2%,差异有统计学意义(P<0.05);联合组患者治愈时间、住院时间、妊娠包块消失时间、血β人绒毛膜促性腺激素(β-HCG)值恢复正常时间、腹痛消失时间及阴道流血缓解时间均明显短于对照组,差异均有统计学意义(均P<0.05);西药组(20.0%)与联合组(6.7%)患者不良反应发生率比较,差异有统计学意义(P<0.05)。结论中西药保守疗法治疗异位妊娠临床效果显著,可有效促进患者各项临床症状康复,缩短治愈时间、住院时间等,且不良反应发生率较低。
Objective To investigate the clinical efficacy of traditional Chinese and western medicine combined conservative treatment of ectopic pregnancy patients. Methods A total of 115 patients with ectopic pregnancy treated in Luocun Hospital, Nanhai District, Foshan City, Guangdong Province from January 2015 to January 2017 were selected as study subjects. According to the different treatment methods, 55 cases were divided into western medicine group (methotrexate combination Mifepristone), combined group of 60 patients (methotrexate, mifepristone combined with Chinese medicine decoction), the clinical efficacy of the two groups were compared, the clinical indicators and adverse reactions. Results The total effective rate of the combination group was 93.3%, which was significantly higher than that of the western medicine group (78.2%), the difference was statistically significant (P <0.05); the cure time, hospitalization time, disappearance of pregnancy mass, blood β The recovery time of human chorionic gonadotropin (β-HCG), the disappearance of abdominal pain and the time of vaginal bleeding were significantly shorter than those of the control group (all P0.05) Compared with the combined group (6.7%), the difference was statistically significant (P <0.05). Conclusions The conservative treatment of traditional Chinese and western medicine has significant clinical effect on ectopic pregnancy, which can effectively promote the recovery of various clinical symptoms, shorten the cure time and hospitalization time, and the incidence of adverse reactions is low.