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目的:探讨米非司酮配伍宫外孕Ⅰ号方加味及宫外孕Ⅱ号方加味治疗异位妊娠的临床效果。方法:自2007年1月～2010年8月海南省三亚市中医院妇产科收治的60例异位妊娠患者,予米非司酮50 mg口服,每12 h 1次,3天为1个疗程,同时予宫外孕Ⅰ号方加味口服,每日1剂,水煎成200 ml,分2次饭后内服,1周为1个疗程。病情平稳后改为宫外孕Ⅱ号方加味,每日1剂,水煎成200 ml,分2次饭后内服,1周为1个疗程。结果:60例患者治愈51例,占85%,疗程2～4周,9例患者在保守治疗期间因腹痛加重,有活动性内出血改为手术治疗。部分患者服用米非司酮有头晕、恶心、乏力,症状轻,少数患者服用宫外孕Ⅰ号方加味、宫外孕Ⅱ号方加味有轻度白细胞降低。结论:应用米非司酮配伍宫外孕Ⅰ号方加味及宫外孕Ⅱ号方加味治疗异位妊娠,效果良好。
Objective: To investigate the clinical effect of mifepristone combined with ectopic pregnancy Ⅰ prescription and ectopic pregnancy Ⅱ prescription to treat ectopic pregnancy. Methods: From January 2007 to August 2010, 60 patients with ectopic pregnancy admitted to the obstetrics and gynecology department of Sanya City Hospital of Hainan Province were given 50 mg of mifepristone once a day for 12 days and 1 for 3 days Course of treatment, at the same time to ectopic pregnancy No. 1 flavored oral, 1 day, decoction into 200 ml, 2 times after oral administration, 1 week for a course of treatment. After the disease was stable, it was changed to ectopic pregnancy on the 2nd party. One day, water was decocted into 200 ml, divided into 2 times and taken orally for 1 week. Results: 60 patients were cured in 51 cases, accounting for 85%, the course of treatment was 2 to 4 weeks. Nine patients were treated with abdominal pain due to aggravated abdominal pain during conservative treatment. Some patients taking mifepristone have dizziness, nausea, fatigue, mild symptoms, a small number of patients taking ectopic pregnancy No. I-plus, ectopic pregnancy on the 2nd party mild leukopenia. Conclusion: The application of mifepristone with ectopic pregnancy Ⅰ plus prescription and ectopic pregnancy Ⅱ party flavored treatment of ectopic pregnancy, the effect is good.