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目的:观察B超诊断的陈旧性宫外孕以化瘀消靡汤保留灌肠治疗的效果。方法:76例患者随机分为2组,对照组给予桂枝茯苓丸治疗;观察组给予化瘀消靡汤保留灌肠治疗;疗程3周。观察2组治疗后包块直径、积液深度、临床疗效、血液流变学变化。结果:总有效率观察组97.50%,对照组80.56%,2组比较,差异有统计学意义(P<0.05)。2组治疗前盆腔包块直径、盆腔积液比较,差异无统计学意义(P>0.05),2组治疗后盆腔包块直径、盆腔积液均有缩小,与本组治疗前比较,差异有统计学意义(P<0.05),治疗后盆腔包块直径、盆腔积液观察组与对照组比较,差异有统计学意义(P<0.05)。治疗后观察组血液流变学各项指标与对照组比较,差异均有统计学意义(P<0.05)。结论:化瘀消靡汤保留灌肠对陈旧性宫外孕患者的盆腔积液与血肿吸收有促进作用,疗效显著,无不良反应,值得临床推广应用。
OBJECTIVE: To observe the effect of B-ultrasound diagnosis of old ectopic pregnancy with retention enema and enema. Methods: 76 patients were randomly divided into two groups. The control group was treated with Guizhi Fuling pill. The observation group was treated with Huayu Xiaomei Decoction for retention enema. The course of treatment was 3 weeks. The diameter, effusion depth, clinical curative effect and hemorrheological changes of the two groups were observed after treatment. Results: The total effective rate was 97.50% in the observation group and 80.56% in the control group. There was significant difference between the two groups (P <0.05). There was no significant difference in pelvic mass and pelvic effusion between the two groups before treatment (P> 0.05). After treatment, pelvic mass pelvic diameter and pelvic fluid volume decreased in both groups, and there was significant difference between the two groups before treatment Statistical significance (P <0.05). After treatment, pelvic mass diameter, pelvic fluid observation group and control group, the difference was statistically significant (P <0.05). After treatment, the indexes of hemorheology in observation group were significantly different from those in control group (P <0.05). Conclusion: The retention enema of Huayu Xiaomei Decoction can promote pelvic effusion and hematoma absorption in patients with obsolete ectopic pregnancy with significant curative effect and no adverse reactions, which deserves clinical application.