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目的:探讨异位妊娠采用甲氨蝶呤配合米非司酮辅以中草药实施保守治疗的临床效果。方法:将84例异位妊娠患者随机分为42例观察组和42例对照组,仅使用米非司酮治疗对照组,观察组采用米非司酮配合甲氨蝶呤并辅以中草药治疗,对两组患者的治疗效果进行对比,观察两组患者盆腔包块消失的时间、血液β-HCG恢复正常的时间、患者的住院时间,并进行对比。结果:治疗有效率,观察组为88.1%,对照组为71.4%,观察组显著高于对照组,比较具有统计学差异(P<0.05)。两组患者盆腔包块消失时间、血液β-HCG恢复正常的时间以及住院时间,观察组少于对照组,比较具有统计学差异(P<0.05),观察组治疗效果好于对照组。结论:宫外孕患者采用甲氨蝶呤配合米非司酮辅以中草药进行治疗,临床效果显著,值得进行推广。
Objective: To investigate the clinical efficacy of methotrexate combined with mifepristin plus traditional Chinese herbal medicine in conservative treatment of ectopic pregnancy. Methods: Eighty-four patients with ectopic pregnancy were randomly divided into observation group (42 cases) and control group (42 cases). Mifepristone alone was used in the control group. Mifepristone combined with methotrexate and Chinese herbal medicine were used in the observation group. The therapeutic effect of the two groups of patients were compared, the time of disappearance of pelvic mass in two groups, the recovery time of blood β-HCG, the length of hospital stay and the comparison were observed. Results: The effective rate of treatment was 88.1% in the observation group and 71.4% in the control group, which was significantly higher in the observation group than in the control group (P <0.05). The disappearance time of pelvic mass, time of returning normal blood β-HCG and hospital stay in observation group were lower than those in control group (P <0.05). The treatment effect in observation group was better than that in control group. Conclusion: Methotrexate combined with mifepristone supplemented with Chinese herbal medicine for treatment of patients with ectopic pregnancy, the clinical effect is significant, it is worth promoting.