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目的:观察宫外孕方辅助治疗异位妊娠的疗效。方法:46例异位妊娠患者随机分为两组。对照组23例,给予甲氨蝶呤注射液联合米非司酮片治疗;观察组23例,在对照组基础上加服宫外孕方加减。比较两组患者血人绒毛膜促性腺激素β(β-HCG)降至5 U.L-1的时间、甲氨蝶呤的肌注次数及临床疗效。结果:观察组治愈率95.45%,对照组的86.36%;血β-HCG降至5 U.L-1的时间观察组较对照组短;甲氨蝶呤肌肉注射次数少于对照组;两组比较,差异有统计学意义(P<0.05)。结论:宫外孕方能明显提高异位妊娠保守治疗的治愈率,缩短治愈时间,减少甲氨蝶呤的使用量。
Objective: To observe the efficacy of ectopic pregnancy and adjuvant treatment of ectopic pregnancy. Methods: 46 cases of ectopic pregnancy were randomly divided into two groups. Control group, 23 cases were given methotrexate injection combined with mifepristone tablets treatment; observation group of 23 cases, on the basis of the control group plus ectopic pregnancy prescription addition and subtraction. The time between two groups of patients with blood human chorionic gonadotropin beta (β-HCG) dropped to 5 U.L-1, the number of intramuscular injection of methotrexate and clinical efficacy. Results: The cure rate was 95.45% in the observation group and 86.36% in the control group. The observation group was shorter than the control group when the blood β-HCG was reduced to 5 UL-1. The number of intramuscular injection of methotrexate was less than that of the control group. The difference was statistically significant (P <0.05). Conclusion: Ectopic pregnancy can significantly improve the cure rate of conservative treatment of ectopic pregnancy, shorten the cure time and reduce the use of methotrexate.