论文部分内容阅读
目的:探讨桂枝茯苓胶囊辅助西药保守治疗异位妊娠的临床疗效。方法:80例异位妊娠患者随机分为观察组和对照组各40例。对照组采用米非司酮25 mg/次,口服,1次/12 h,连用3 d,总量150 mg;甲氨蝶呤(MTX)50 mg.m-2,总量分两侧臀部深部im 1次。观察组加服桂枝茯苓胶囊,口服,9粒/次,2次/d。共4周。监测血人绒毛膜促性腺激素(β-HCG)水平及包块变化情况,记录β-HCG降至正常及包块消失所需时间。结果:观察组保守成功35例(90.0%)优于对照组的29例(72.5%)(P<0.05);观察组血β-HCG平均恢复时间(14.5±7.7)d,少于对照组的(18.4±8.5)d(P<0.05);观察组3周内包块缩小32例,优于对照组的21例(P<0.05);观察组2周内临床症状消失34例,优于对照组的23例(P<0.05)。结论:桂枝茯苓胶囊配合甲氨蝶呤和米非司酮保守治疗异位妊娠,提高了保守治疗成功率,且临床使用安全。
Objective: To investigate the curative effect of Guizhi Fuling Capsule on the conservative treatment of ectopic pregnancy. Methods: 80 cases of ectopic pregnancy were randomly divided into observation group and control group of 40 cases. The control group was treated with mifepristone 25 mg / time, orally, once / 12 h for 3 days, with a total amount of 150 mg and methotrexate (MTX) 50 mg.m-2, im 1 times. Observation group plus service Guizhi Fuling capsule, oral, 9 capsules / time, 2 times / d. A total of 4 weeks. The level of human chorionic gonadotropin (β-HCG) and the changes of mass were monitored. The time required for β-HCG to be normal and the mass to disappear was recorded. Results: The conservative success rate of observation group was 35 (90.0%) better than that of control group (72.5%) (P <0.05). The average recovery time of serum β-HCG in observation group was 14.5 ± 7.7 days, (18.4 ± 8.5) d (P <0.05). In the observation group, 32 cases were reduced in 3 weeks, which was superior to 21 cases in the control group (P <0.05). In the observation group, clinical symptoms disappeared in 2 weeks Of 23 cases (P <0.05). Conclusion: Guizhi Fuling capsule combined with methotrexate and mifepristone conservative treatment of ectopic pregnancy, improve the success rate of conservative treatment, and clinical safe use.