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目的:观察活血消癥汤联合西药治疗宫外孕的临床疗效。方法:选取120例宫外孕患者,随机分为对照组和观察组各60例。对照组给予米非司酮片合注射用甲氨蝶呤治疗,同时给予抗炎、止血等对症处理,观察组在对照组治疗基础上加用活血消癥汤。统计并比较2组保守治疗成功率,记录2组包块消失、腹痛消失、阴道出血停止及血人绒毛膜促性腺激素(β-HCG)恢复时间。结果:观察组保守治疗成功率为88.33%,高于对照组的68.33%,差异有统计学意义(P<0.01)。观察组包块消失、腹痛消失、阴道出血停止及血β-HCG恢复时间均短于对照组,差异均有统计学意义(P<0.01)。结论:活血消癥汤联合西药治疗宫外孕,能进一步促进包块消散和血β-HCG恢复,减轻疼痛和控制阴道出血,提高保守治疗成功率。
Objective: To observe the clinical efficacy of Huoxue Xiaozheng Decoction combined with western medicine in the treatment of ectopic pregnancy. Methods: 120 cases of ectopic pregnancy were selected and randomly divided into control group and observation group of 60 cases. The control group was given mifepristone tablets combined injection of methotrexate treatment, given anti-inflammatory, hemostatic and other symptomatic treatment, the observation group in the control group based on the use of Huoxue Xiaozheng Tang. The success rates of conservative treatment were compared and statistically analyzed. The disappearance of two masses, the disappearance of abdominal pain, the termination of vaginal bleeding and the recovery time of human chorionic gonadotropin (β-HCG) were recorded. Results: The success rate of conservative treatment in observation group was 88.33%, higher than 68.33% in control group, the difference was statistically significant (P <0.01). The observation group disappeared mass, abdominal pain disappeared, vaginal bleeding stopped and blood β-HCG recovery time were shorter than the control group, the difference was statistically significant (P <0.01). Conclusion: Huoxue Xiaozheng Decoction combined with Western medicine in the treatment of ectopic pregnancy can further promote mass dissipation and blood β-HCG recovery, relieve pain and control vaginal bleeding, and improve the success rate of conservative treatment.