自拟宫外孕方治疗输卵管妊娠的临床疗效观察

发布时间：2018-10-19 12:23

【摘要】：目的:使用导师自拟宫外孕方,以活血化瘀,消ve化积,理气止痛之法,治疗输卵管妊娠,观察两组患者4周后短期的临床疗效、4周后中医的证候疗效,并持续监测,观察血β-HCG下降至正常值以下所需时间,输卵管妊娠包块完全消失所需时间,探讨自拟宫外孕方口服治疗输卵管妊娠的临床价值,为临床提供用药依据。方法:将选取符合输卵管妊娠诊断及纳入标准的80例病例,以随机的方式分为两组(治疗组、对照组)。治疗组予每日服用自拟宫外孕方,对照组予红金消结胶囊口服。记录两组每周血β-HCG值及输卵管妊娠包块大小;观察并统计4周后短期的临床疗效、4周后中医的证候疗效;记录每周血β-HCG下降值及输卵管包块大小,直至血β-HCG下降至正常、输卵管包块完全消失。结果:1.4周后的短期临床疗效、中医证候的改善情况两组进行对比分析,治疗组与对照组之间有显著差(P0.01);说明治疗组在短期治疗效果及改善中医症候方面效果优于对照组。2.两组患者治疗后血β-HCG值降至正常所需的时间比较,治疗组所需时间与对照组相比更短,两组间差异有统计学意义(P0.01);说明治疗组在使血β-HCG值降至正常值所需天数上治疗效果优于对照组。3.输卵管妊娠包块完全消失所需的时间比较,治疗组输卵管妊娠包块消失更快,两组间差异有统计学意义(P0.01).说明治疗组在使包块消失所需天数上治疗效果优于对照组。结论:用自拟宫外孕方治疗输卵管妊娠患者能收到确切疗效,能有效改善临床症状和体征,使血β-HCG尽快恢复正常,促进输卵管妊娠包块吸收。安全可靠,高效价廉。
[Abstract]:Objective: To observe the short-term clinical curative effect after 4 weeks in two groups of patients, observe the curative effect of traditional Chinese medicine after 4 weeks, and continuously monitor after 4 weeks of tubal pregnancy by using the method of promoting blood circulation, removing blood stasis, eliminating eve and relieving pain by using a mentor. Objective: To observe the time needed for the complete disappearance of tubal pregnancy and discuss the clinical value of oral treatment of tubal pregnancy by extrauterine ectopic pregnancy, and to provide the basis for clinical application. Methods: 80 cases with tubal pregnancy diagnosis and inclusion criteria were randomly divided into two groups (treatment group, control group). The treatment group was orally taken from the pseudo-ectopic pregnancy group and the control group was given to Hongjin Xiaojie capsule for oral administration. Two groups were recorded for each week's blood flow-rate value and the size of the tubal pregnancy bag; the short-term clinical efficacy after 4 weeks was observed and counted; the therapeutic effect of traditional Chinese medicine after 4 weeks was recorded; the weekly blood count-rate decrease value and the size of the tubal bag block were recorded until the blood flow rate-INR was decreased to normal, and the block of the fallopian tube was completely disappeared. Results: Compared with the control group, there was a significant difference between the treatment group and the control group (P0.01). Compared with the control group, the time required for the treatment group was shorter than that in the control group (P <0.01). There was no significant difference between the two groups (P <0.01). The effect of treatment group on the number of days required for the disappearance of the block was superior to that of the control group. Conclusion: The patients with tubal pregnancy treated with pseudo-ectopic pregnancy can receive definite curative effect, can effectively improve the clinical symptoms and signs, make the blood flow rate-normal resume normal as soon as possible, and promote the absorption of tubal pregnancy bag block. safe and reliable, high efficiency and low cost.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R714.22

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