桂枝茯苓消癥汤联合西药治疗未破损型异位妊娠临床观察

摘要/Abstract

摘要： 目的观察中药桂枝茯苓消癥汤联合西药甲氨蝶呤、米非司酮治疗未破损型异位妊娠的临床疗效。方法选取2021年1月~2021年10月曲靖市妇幼保健院收入住院的包块未破损型异位妊娠患者96例,按照随机数表法分为对照组（n=48）与观察组（n=48）;对照组给予西药甲氨蝶呤和米非司酮治疗,观察组给予甲氨蝶呤、米非司酮联合中药桂枝茯苓消癥汤治疗,比较两组治疗效果。结果观察组总有效率显著高于对照组总有效率,差异有统计学意义（P<0.05）,观察组血β-hCG下降大于1/2的时间、血β-hCG转阴的时间、异位妊娠包块吸收大于1/2的时间和住院治疗时间均短于对照组,差异有统计学意义（P<0.05）。结论桂枝茯苓消癥汤联合西药甲氨蝶呤和米非司酮治疗未破裂型异位妊娠临床疗效显著,能显著降低血β-hCG值,加速异位妊娠包块吸收,较快改善临床症状,提高临床治愈率,缩短病程,减少药物的不良反应。

关键词: 异位妊娠, 桂枝茯苓消癥汤, 甲氨蝶呤, 米非司酮

Abstract: Objective To observe the clinical efficacy of Guizhi Fuling Xiaozheng decoction combined with western medicine methotrexate and mifepristone in the treatment of undamaged ectopic pregnancy. Method 96 patients with intact ectopic pregnancy in Qujing maternal and child health hospital from January 2021 to October 2021 were randomly divided into treatment group and control group; The control group was treated with methotrexate and mifepristone, and the treatment group was treated with methotrexate and mifepristone combined with Guizhi Fuling Xiaozheng decoction.The therapeutic dffects of the two groups were compared. Result The total effective rate in the treatment group was significantly higher than in the control group (P<0.05) β- Time and blood when hCG decreased more than 1/2 β- The time of hCG turning negative, the time of absorption reduction of ectopic pregnancy mass more than 1/2 and the time of hospitalization in the control group were shorter than those in the control group (P<0.05). Conclusion Guizhi Fuling Xiaozheng decoction combined with western medicine methotrexate and mifepristone has a significant clinical effect in the treatment of unruptured ectopic pregnancy and can significantly reduce blood pressure β- HCG value, accelerate the absorption of ectopic pregnancy mass, quickly improve clinical symptoms, improve clinical cure rate, shorten the course of disease, and reduce the tadverse effects of drugs.

Key words: Ectopic pregn, Guizhi Fuling Xiaozheng decoction, methotrexate, mifepristone

中图分类号:

R193

周芸丽, 冯琳, 胡艺潇, 高慧芬. 桂枝茯苓消癥汤联合西药治疗未破损型异位妊娠临床观察[J]. 中华养生保健, 2022, 40(13): 4-7.

ZHOU Yun-li, Feng Lin. Clinical Observation of Guizhi Fuling Xiaozheng Decoction Combined with Western Medicine in the Treatment of Undamaged Ectopic Pregnancy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(13): 4-7.

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