化癥消胚汤治疗未破裂输卵管妊娠的临床价值  

Clinical Value of Huazhengxiaopei Decoction in the Treatment of Unruptured Tubal Pregnancy

作　　者：刘晓琰 LIU Xiaoyan(Department of Gynaecology and Obstetrics, Tai’an SecondHospital of Chinese Medicine, Tai’an Shandong 271000, China)

机构地区：[1]山东省泰安市中医二院妇产科,山东泰安271000

出　　处：《中国继续医学教育》2019年第10期153-155,共3页China Continuing Medical Education

摘　　要：目的探讨化癥消胚汤治疗未破裂型输卵管妊娠的临床价值。方法选择2016年1月—2017年7月本院收治的异位妊娠但妊娠病灶未破裂出血者80例,按照随机数字法分为两组,各40例,对照组行常规西医西药治疗,观察组在对照组基础上使用化癥消胚汤治疗。治疗后,统计生殖激素水平、杀胚率、包块完全吸收时间、输卵管通畅率。对所有入组者均通过电话随访1年,比较两组治疗后性生活恢复时间、妊娠前每月性生活频率。统计治疗后1年内患者妊娠情况。结果观察组治疗后性生活恢复时间早于对照组(P <0.05),妊娠前每月性生活频率多于对照组(P <0.05)。治疗后,观察组E2及PRL及激素水平均高于对照组(P <0.05)。观察组杀胚率及输卵管通畅率均高于对照组(P <0.05)。观察组自然妊娠率高于对照组,未妊娠率低于对照组(P <0.05)。结论针对未破裂型输卵管妊娠者,在西医西药基础上联合使用化癥消胚汤,能更好的改善治疗后患者性功能,促进雌孕激素恢复,具有较高的杀胚率及输卵管通畅率,有利于治疗后正常妊娠。Objective To investigate the clinical value of Huazhengxiaopei decoction in the treatment of unruptured tubal pregnancy. Methods 80 cases with ectopic pregnancy but no rupture of pregnancy in our hospital from January 2016 to July 2017 were randomly divided into two groups. The control group received routine Western medicine treatment. The observation group was treated with Huazheng Xiaoembryo Decoction on the basis of the control group. After treatment, the levels of reproductive hormones, embryocidal rate, total mass absorption time and tubal patency rate were counted. All the participants were followed up by telephone for one year. The time of sexual life recovery after treatment, the frequency of sexual life per month before pregnancy were compared between the two groups. The pregnancy status of the patients within 1 year after treatment was counted. Results The recovery time of sexual life in the observation group was earlier than that in the control group(P < 0.05), and the frequency of sexual life per month was higher than that in the control group(P < 0.05). After treatment, the E2, PRL and hormone levels in the observation group were higher than those in the control group(P < 0.05). The embryo killing rate and tubal patency rate in the observation group were higher than those in the control group(P < 0.05). the natural pregnancy rate in the observation group was higher than that in the control group, and the non-pregnancy rate was lower than that in the control group(P < 0.05). Conclusion For the unruptured tubal pregnancy, the combination of Western medicine and western medicine on the basis of the Western medicine can better improve the sexual function of the patient after treatment, promote the recovery of estrogen and progesterone, and have a high germicidal rate and tubal patency rate, conducive to normal pregnancy after surgery.

关 键 词：化癥消胚汤 未破裂型 输卵管妊娠 中医中药治疗 杀胚率 输卵管通畅率 

分 类 号：R714[医药卫生—妇产科学]