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目的:总结中西医结合保守治疗宫外孕的临床经验,进一步提高临床疗效。方法:收集我院2010年5月~2013年5月治疗的76例宫外孕患者,随机分成对照组和观察组各38例,对照组给予抗炎、止血同时口服非司酮50㎎,2次/d,连服7~10d,观察组在对照组的基础上加用中药治疗,其方剂为:紫草20g,赤芍15g,金银花15g、丹参15g、蒲黄10g,没药9g、乳香9g、桃仁9g、三七粉6g(冲服),莪术6g三棱6g,连用15~20d。结果:观察组通过西医结合保守治疗,显效29例,有效8例,无效1例,总有效率为97.4%,对照组单纯用西药治疗显效17例,有效12例,无效9例,总有效率为76.3%,两组比较有显著性差异(P<0.05),观察组包块消失时间为(18.6±7.8)d,β-HCG下降时间为(19.6±9.6)d,对照组包块消失时间为(32.1±9.1)d,β-HCG下降时间为(32.1±9.2)d,两组比较有显著性差异(P<0.05)。结论:中西医结合保守治疗宫外孕疗效显著,包块消失时间快、β-HCG下降时间快,值得临床推广。
Objective: To summarize the clinical experience of conservative treatment of ectopic pregnancy with integrated traditional Chinese and western medicine to further improve clinical efficacy. Methods: 76 cases of ectopic pregnancy treated in our hospital from May 2010 to May 2013 were randomly divided into control group and observation group of 38 cases. The control group was given anti-inflammatory, d, and even for 7 ~ 10d, the observation group in the control group based on the use of Chinese medicine treatment, the prescriptions are: Lithospermum 20g, red peony root 15g, honeysuckle 15g, Salvia 15g, Puhuang 10g, myrrh 9g, frankincense 9g, Peach kernel 9g, notoginseng powder 6g (Chongfu), Curcuma 6g triangular 6g, once every 15 ~ 20d. Results: The observation group was treated conservatively by western medicine, with 29 cases markedly effective, 8 effective and 1 ineffective, with a total effective rate of 97.4%. In the control group, 17 cases were treated with western medicine alone, 12 cases were effective and 9 cases were ineffective. The total effective rate Was 76.3%, there was significant difference between the two groups (P <0.05). The disappearance time of the mass in the observation group was (18.6 ± 7.8) days, the decline time of β-HCG was (19.6 ± 9.6) (32.1 ± 9.1) days, the decline time of β-HCG was (32.1 ± 9.2) days, there was a significant difference between the two groups (P <0.05). Conclusion: The conservative treatment of traditional Chinese and Western medicine treatment of ectopic pregnancy significant effect, rapid disappearance of mass, β-HCG decline faster, worthy of clinical promotion.