宫外孕2号方合失笑散加味联合米非司酮在异位妊娠保守治疗中的作用  

Effect of Gongwaiyun Prescription Ⅱ and Modified Shixiaosan Combine with Mifepristone in the Conservative Treatment of Ectopic Gestation

作　　者：袁秋云 YUAN Qiuyun(Heyuan Hospital of Traditional Chinese Medicine,Heyuan 517000,China)

机构地区：[1]河源市中医院

出　　处：《中外医学研究》2019年第32期133-134,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究给予异位妊娠保守治疗患者宫外孕2号方合失笑散加味联合米非司酮的临床效果。方法:回顾性纳入2015年12月31日-2018年12月31日实施宫外孕2号方合失笑散加味联合米非司酮的异位妊娠患者43例的临床资料作为研究组,同期选取实施米非司酮的异位妊娠患者43例的临床资料作为对照组。观察两组临床疗效及血清β-hGG、孕酮水平。结果:研究组治疗总有效率为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05);研究组治疗后第7天血清β-hGG及孕酮水平下降幅度均较对照组明显,差异均有统计学意义(P<0.05);研究组血清β-hGG及孕酮水平下降至正常时间均短于对照组,差异均有统计学意义(P<0.05)。结论:宫外孕2号方合失笑散加味联合米非司酮在异位妊娠保守治疗中可有效加快血清β-hGG及孕酮水平下降幅度,缩短血清β-hGG及孕酮水平下降至正常时间,提高临床疗效。Objective:To study the clinical effect of Gongwaiyun PrescriptionⅡand modified Shixiaosan combine with Mifepristone in the conservative treatment of ectopic gestation.Method:The clinical data of 43 ectopic gestation patients who received Gongwaiyun PrescriptionⅡand modified Shixiaosan combine with Mifepristone from December 31,2015 to December 31,2018 were retrospectively included as the study group,and the clinical data of 43 ectopic gestation patients treated with Mifepristone were selected as the control group.The clinical effect,levels of serumβ-hGG and progesterone were investigated between the two groups.Result:The total effective rate in the study group was 95.35%,which was higher than 79.07%of the control group,and the difference was statistically significant(P<0.05).On the 7th day after treatment,the descend range of serumβ-hGG and progesterone in the study group were significantly than those of the control group,and the differences were statistically significant(P<0.05).Levels of serumβ-hGG and progesterone dropped to normal time in the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Gongwaiyun PrescriptionⅡand modified Shixiaosan combine with Mifepristone can effectively accelerate the descend range of serumβ-hGG and progesterone levels,shorten serumβ-hGG and progesterone drop to normal time,and increase the clinical effect.

关 键 词：异位妊娠 米非司酮 中医 

分 类 号：R71[医药卫生—妇产科学]