行气活血消癥方辅助米非司酮治疗异位妊娠临床研究
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R714.22

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Clinical Study on Xingqi Huoxue Xiaozheng Prescription Assisting Mifepristone for Ectopic Pregnancy
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    摘要:

    目的:观察行气活血消癥方辅助米非司酮治疗异位妊娠的临床疗效及对血清人绒毛膜促性腺激素(β-HCG) 水平的影响。方法:选取异位妊娠患者60 例,按随机数字表法分为对照组和观察组各30 例。对照组给予米非司酮治疗,观察组在对照组基础上辅以行气活血消癥方治疗。比较2 组临床疗效、症状改善时间、血清β-HCG 及炎性因子水平。结果:观察组临床总有效率(96.67%) 高于对照组(76.67%)(P<0.05);观察组β-HCG 转阴时间、腹痛消失时间、阴道止血时间及子宫包块消失时间均短于对照组(P<0.05)。治疗前,2 组血清β-HCG、孕酮、白细胞介素-6(IL-6)、C-反应蛋白(CRP) 水平比较,差异无统计学意义(P>0.05)。2 组治疗后血清β-HCG、孕酮、IL-6、CRP 水平均低于治疗前,且观察组各项指标均低于对照组(P<0.05)。结论:行气活血消癥方辅助米非司酮治疗异位妊娠疗效显著,有利于促进患者症状改善,降低激素水平,减轻机体炎症反应。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xingqi Huoxue Xiaozheng prescription assisting mifepristone for ectopic pregnancy and its effect on serum β-human chorionic gonadotropin(β-HCG) levels. Methods:A total of 60 cases of patients with ectopic pregnancy were divided into the control group and the observation group according to the random number table method,with 30 cases in each group. The control group was treated with mifepristone,and the observation group was additionally treated with Xingqi Huoxue Xiaozheng prescription based on the treatment of the control group. The clinical effects,the improvement time of symptoms,and the levels of serum β- hCG and inflammatory factors in the two groups were compared. Results:The total effective rate was 96.67% in the observation group,higher than that of 76.67% in the control group(P<0.05). The time of β- HCG turning negative,disappearing of abdominal pain and blocks,and stopping bleeding in vagina in the observation group was shorter than that in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of serum β-HCG,progesterone,interleukin-6(IL-6) and C-reactive protein(CRP) between the two groups(P>0.05). After treatment,the levels of serum β-HCG,progesterone,IL-6 and CRP in the two groups were lower than those before treatment,and the levels in the observation group were lower than those in the control group(P<0.05). Conclusion:Xingqi Huoxue Xiaozheng prescription assisting mifepristone has a significant curative effect in treating ectopic pregnancy,and is helpful to promote the improvement of symptoms,reduce levels of hormone, and relieve inflammatory responses in the body.

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杜鹃,王利平.行气活血消癥方辅助米非司酮治疗异位妊娠临床研究[J].新中医,2022,54(7):132-135

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  • 在线发布日期: 2022-04-12
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