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目的观察保守治疗宫外孕的临床效果。方法宫外孕患者50例随机分为观察组和对照组,各25例,观察组患者给予单次肌内注射甲氨喋呤(MTX),对照组患者给予连续5 d肌内注射MTX,比较分析两组治疗效果。结果对照组治愈率为80.00%(20/25),观察组治愈率为84.00%(21/25),差异无统计学意义(P>0.05);对照组患者出现不良发应率36.00%(9/25),高于观察组患者的16.00%(4/25),差异有统计学意义(P<0.05)。结论宫外孕患者采用单次肌内注射MTX疗效显著,且不良反应少,安全性高,值得临床推广应用。
Objective To observe the clinical effect of conservative treatment of ectopic pregnancy. Methods Fifty patients with ectopic pregnancy were randomly divided into observation group (n = 25) and control group (n = 25). Patients in the observation group received intramuscular injection of methotrexate (MTX), while those in the control group received intramuscular injection of MTX for 5 consecutive days. Group treatment effect. Results The cure rate was 80.00% (20/25) in the control group and 84.00% (21/25) in the observation group, with no significant difference (P> 0.05). In the control group, the incidence of adverse reactions was 36.00% (9 / 25), which was higher than that of the observation group (16.00%, 4/25), the difference was statistically significant (P <0.05). Conclusion Ectopic pregnancy with a single intramuscular injection of MTX significant effect, and less adverse reactions, high safety, it is worth promoting the clinical application.