中西结合治疗子宫瘢痕妊娠的临床观察
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摘要
目的分析讨论对子宫瘢痕妊娠患者使用甲氨蝶呤、米非司酮和化瘀消癥汤同步治疗的具体效果和实际价值。方法选取本院2015年1月—2018年1月子宫瘢痕妊娠患者56例,根据入院先后将其均分为两组,每组28例,对照组给予患者甲氨蝶呤和米非司酮;观察组在上述基础上再给予化瘀消癥汤。比较两组患者总有效率。结果观察组和对照组总有效率依次为92.85%和64.29%,观察组明显高于对照组,P <0.05。结论对子宫瘢痕妊娠患者使用甲氨蝶呤、米非司酮和化瘀消癥汤同步治疗疗效显著,可有效消除瘢痕包块,恢复生育能力,使患者恢复健康。
Objective To explore the practical value of Methotrexate, Mifepristone plus Huayu Xiaozheng decoction in cesarean scar pregnancy(CSP). Methods 56 CSP patients treated from January 2015 to January 2018 in our hospital were selected. Patients were equally assigned to two groups according to the registration number, 28 cases in each group. The control group was treated with methotrexate and mifepristone; on the basis of the former, the observation group was treated with Huayu Xiaozheng decoction. The total effective rate was probed. Results The total effective rates of the observation group and the control group were 92.85% and 64.29%, respectively. The observation group was significantly higher than the control group, P < 0.05. Conclusion The methotrexate, mifepristone plus Huayu Xiaozheng decoction can remarkably relieve the scar, recover the fertility and promote the fast recovery.
Objective To explore the practical value of Methotrexate, Mifepristone plus Huayu Xiaozheng decoction in cesarean scar pregnancy(CSP). Methods 56 CSP patients treated from January 2015 to January 2018 in our hospital were selected. Patients were equally assigned to two groups according to the registration number, 28 cases in each group. The control group was treated with methotrexate and mifepristone; on the basis of the former, the observation group was treated with Huayu Xiaozheng decoction. The total effective rate was probed. Results The total effective rates of the observation group and the control group were 92.85% and 64.29%, respectively. The observation group was significantly higher than the control group, P < 0.05. Conclusion The methotrexate, mifepristone plus Huayu Xiaozheng decoction can remarkably relieve the scar, recover the fertility and promote the fast recovery.
引文
[1]张斌斌,武丽红,丁丽珍.甲氨蝶呤灌注及子宫动脉栓塞联合清宫术对子宫瘢痕妊娠患者的疗效观察[J].中国药师,2016,19(8):1529-1531.
[2]杨卉.甲氨蝶呤、米非司酮联合化瘀消癥汤治疗子宫瘢痕妊娠的临床分析[J].影像研究与医学应用,2017,1(3):205-206.
[3]马艳,孙玉琴,刘羽. 31例介入合并甲氨蝶呤治疗子宫瘢痕妊娠的分析[J].安徽医科大学学报,2014,49(1):125-127.
[4]张长虹,王晖.多种方法在治疗剖宫产术后子宫瘢痕妊娠中的应用[J].蚌埠医学院学报,2014,39(3):339-342.
[5]石莹,廖予妹,王茹娜,等.天花粉蛋白与甲氨蝶呤治疗子宫瘢痕妊娠的疗效比较的多中心研究[J].中国生化药物杂志,2014,34(7):93-95.
[6]杨玉侠,刘士梅,石琳,等.自拟中药方联合甲氨蝶呤及米非司酮治疗内生型早期子宫瘢痕妊娠的疗效观察[J].临床合理用药杂志,2014,7(19):64-65.
[7]汤慕群,李展妹,张泳珊,等.甲氨蝶呤妊娠囊内注射联合米非司酮口服在子宫瘢痕妊娠治疗中的应用[J].海南医学,2017,28(13):2179-2180.
[8]刘彦肖,赵彦婷,郝国荣,等. 3种不同治疗方案对剖宫产术后子宫瘢痕妊娠患者预后的影响[J].中国医药导报,2016,13(35):84-87.
[9]林娟,闫咨儒.甲氨蝶呤介入治疗剖宫产术后子宫瘢痕妊娠的临床观察[J].中国药房,2016,27(36):5098-5099.
[10]常立功,张娜,赵盛光,等. B超引导清宫术联合甲氨蝶呤与米非司酮治疗子宫瘢痕妊娠的效果观察[J].中国妇幼保健,2018,33(6):1278-1281.
[11]汪建华,王为民.米非司酮联合甲氨蝶呤治疗剖宫产术后子宫瘢痕妊娠的临床效果观察[J].中国基层医药,2017,24(17):2643-2646.
[12]彭月享,黄敏,曹辉,等.甲氨蝶呤、米非司酮联合化瘀消癥汤治疗子宫瘢痕妊娠的临床观察[J].中国药房,2016,27(21):2921-2923.
[2]杨卉.甲氨蝶呤、米非司酮联合化瘀消癥汤治疗子宫瘢痕妊娠的临床分析[J].影像研究与医学应用,2017,1(3):205-206.
[3]马艳,孙玉琴,刘羽. 31例介入合并甲氨蝶呤治疗子宫瘢痕妊娠的分析[J].安徽医科大学学报,2014,49(1):125-127.
[4]张长虹,王晖.多种方法在治疗剖宫产术后子宫瘢痕妊娠中的应用[J].蚌埠医学院学报,2014,39(3):339-342.
[5]石莹,廖予妹,王茹娜,等.天花粉蛋白与甲氨蝶呤治疗子宫瘢痕妊娠的疗效比较的多中心研究[J].中国生化药物杂志,2014,34(7):93-95.
[6]杨玉侠,刘士梅,石琳,等.自拟中药方联合甲氨蝶呤及米非司酮治疗内生型早期子宫瘢痕妊娠的疗效观察[J].临床合理用药杂志,2014,7(19):64-65.
[7]汤慕群,李展妹,张泳珊,等.甲氨蝶呤妊娠囊内注射联合米非司酮口服在子宫瘢痕妊娠治疗中的应用[J].海南医学,2017,28(13):2179-2180.
[8]刘彦肖,赵彦婷,郝国荣,等. 3种不同治疗方案对剖宫产术后子宫瘢痕妊娠患者预后的影响[J].中国医药导报,2016,13(35):84-87.
[9]林娟,闫咨儒.甲氨蝶呤介入治疗剖宫产术后子宫瘢痕妊娠的临床观察[J].中国药房,2016,27(36):5098-5099.
[10]常立功,张娜,赵盛光,等. B超引导清宫术联合甲氨蝶呤与米非司酮治疗子宫瘢痕妊娠的效果观察[J].中国妇幼保健,2018,33(6):1278-1281.
[11]汪建华,王为民.米非司酮联合甲氨蝶呤治疗剖宫产术后子宫瘢痕妊娠的临床效果观察[J].中国基层医药,2017,24(17):2643-2646.
[12]彭月享,黄敏,曹辉,等.甲氨蝶呤、米非司酮联合化瘀消癥汤治疗子宫瘢痕妊娠的临床观察[J].中国药房,2016,27(21):2921-2923.