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米非司酮联合甲氨蝶呤治疗异位妊娠的临床疗效
引用本文:罗兢蓉. 米非司酮联合甲氨蝶呤治疗异位妊娠的临床疗效[J]. 中国继续医学教育, 2021, 0(6): 142-146
作者姓名:罗兢蓉
作者单位:宜都市第一人民医院妇产科
摘    要:目的 分析米非司酮联合甲氨蝶呤治疗异位妊娠的临床效果及不良反应.方法 研究本院2017年9月—2019年9月收治的84例异位妊娠患者,随机分组(每组42例),参照组给予甲氨蝶呤治疗,试验组给予米非司酮联合甲氨蝶呤治疗,对比两组治愈率、包块直径、血β-hCG、血β-hCG复常时间、不良反应发生情况.结果 试验组治愈率(9...

关 键 词:异位妊娠  米非司酮  甲氨蝶呤  治疗效果  人绒毛膜促性腺激素  不良反应

Clinical Efficacy of Mifepristone Combined With Methotrexate in the Treatment of Ectopic Pregnancy
LUO Jingrong. Clinical Efficacy of Mifepristone Combined With Methotrexate in the Treatment of Ectopic Pregnancy[J]. China Continuing Medical Education, 2021, 0(6): 142-146
Authors:LUO Jingrong
Affiliation:(Department of Obstetrics and Gynaecology,Yidu First People's Hospital,Yidu Hubei 443300,China)
Abstract:Objective To analyze the clinical effects and adverse reactions of mifepristone combined with methotrexate in the treatment of ectopic pregnancy.Methods 84 ectopic pregnant patients admitted to our hospital from September 2017 to September 2019 were randomly divided into groups(42 cases per group),the reference group was treated with methotrexate,and the experimental group was given mifepristone combined with methotrexate treatment,comparison of cure rate,mass diameter,blood β-hCG,blood β-hCG normalization time,and adverse reactions between the two groups.Results The cure rate in the experimental group(97.62%)was significantly higher than that in the reference group(66.67%).After 2 courses of treatment in the experimental group,the diameter and blood β-hCG of the experimental group were significantly lower than those in the reference group,the recovery time of serum β-hCG in the experimental group was significantly shorter than the reference group,P<0.05(all differences were statistically significant).The incidence of adverse reactions in the experimental group(7.14%)was compared with the reference group(4.76%),P>0.05.Conclusion Mifepristone combined with methotrexate can significantly improve the cure rate of ectopic pregnancy and promote the normalization of blood β-hCG,and the combined use does not increase adverse reactions.
Keywords:ectopic pregnancy  mifepristone  methotrexate  treatment effect  human chorionic gonadotropin  adverse reaction
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