论文部分内容阅读
目的：观察中药、氨甲喋呤（ＭＴＸ）、中药与氨甲喋呤联合用药治疗异位妊娠的疗效及适应范围。方法：中药验方随症加减，每日一剂，５ｄ为一疗程；ＭＴＸ每日静点２０ｍｇ，连用５ｄ为一个疗程，两个疗程间隔５ｄ；联合用药方法及疗程不变。结果：３种治疗方法中以联合治疗疗效最优，差异有显著性（Ｐ＜０．０５），同时表明，血βｈＣＧ滴定度越高，疗效越差，（Ｐ＜０．０１）。结论：对早期异位妊娠，包块≤３ｃｍ，腹腔无活动性出血，血ｈＣＧ＜２０００ＩＵ／Ｌ的病例，中药加ＭＴＸ是安全、有效、无损伤的药物治疗方法。
Objective: To observe the curative effect and adaptability of traditional Chinese medicine, methotrexate (MTX), traditional Chinese medicine combined with methotrexate in the treatment of ectopic pregnancy. Methods: Prescription of Chinese medicine with the addition and subtraction, a daily dose, 5d for a course of treatment; MTX daily static point of 20mg, 5d for a course of treatment, two courses interval of 5d; combination of medication and treatment unchanged. Results: Among the three treatment methods, the combination therapy showed the best effect (P <0.05). At the same time, the higher blood β-hCG titer was, the worse the curative effect was (P <0.01). Conclusion: For early ectopic pregnancy, mass ≤3cm, no active abdominal bleeding, blood hCG <2000IU / L cases, Chinese medicine plus MTX is safe, effective, non-invasive drug treatment.