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目的:探讨蒙西医结合保守治疗异位妊娠(ectopic pregnancy)的临床疗效,并寻找单一蒙医药治疗异位妊娠的有效方法。方法:对48例异位妊娠患者随机分为对照组、观察组,每组24例,对照组采用氨甲蝶呤与米非司酮联合治疗,观察组采用西药联合蒙成药〈沙棘十七味散〉治疗。分别在治疗第1、2、3、5周复查B超、化验等相关检查,根据检查结果进行疗效分析。结果:第3周复查观察组治愈率54.17%、显效率37.50%,对照组治愈率37.50%、显效率25.00%;第5周复查观察组治愈率87.50%,对照组治愈率62.50%,两组之间的差异具有统计学意义(P<0.05)。结论:观察组的治愈率、显效率明显高于对照组。因此蒙西医联合治疗异位妊娠具有提高疗效、缩短疗程、减少并发症等优点,值得临床推广。
Objective: To investigate the clinical curative effect of conservative treatment of ectopic pregnancy by Mongolian medicine and western medicine, and to find an effective way to treat ectopic pregnancy with monotherapy. Methods: 48 cases of ectopic pregnancy were randomly divided into control group, observation group, 24 cases in each group. The control group was treated with combination of methotrexate and mifepristone. The observation group was treated with western medicine plus sedative San> treatment. Respectively in the treatment of 1, 2, 3, 5 weeks review of B-, laboratory tests and other related tests, according to the results of the examination for efficacy analysis. Results: In the third week, the cure rate of observation group was 54.17%, the effective rate was 37.50%, the cure rate of the control group was 37.50%, the effective rate was 25.00%; the cure rate of the observation group was 87.50% in the fifth week, and the cure rate of the control group was 62.50% The difference was statistically significant (P <0.05). Conclusion: The cure rate and markedly effective rate in the observation group were significantly higher than those in the control group. Therefore, the combination of Mongolian medicine and Western medicine treatment of ectopic pregnancy with improved efficacy, shorten the course of treatment, reduce complications and other advantages, it is worth clinical promotion.