三联疗法治疗异位妊娠66例

目的:观察中西医结合药物治疗异位妊娠临床疗效。方法:采用中西医结合三联疗法,即中药汤剂口服,联合甲氨蝶呤和米非司酮同时治疗的方法。中药汤剂水煎100mL,日3次口服;甲氨蝶呤0.4mg/(kg.d),肌注,5天为1个疗程,在治疗的第4天和第7天测血清β-HCG,若下降<15%则需要重复治疗;米非司酮25mg,日2次口服,连服3天,在第4天测β-HCG,若下降<15%,则停药3天后要重复疗程。结果:成功59例,失败7例,成功率为89.1%。结论:中西医结合药物治疗异位妊娠取得良好的临床疗效,可广泛应用于临床。

Clinical Observation of 66 Patients with Ectopic Pregnancy Treated by Combination of Traditional Chinese with Western Medicine

Objective：To observe curative effect of 66 patients with eetopic pregnancy treated by combination of Traditional Chinese with Western medicine. Methods ： Apply trigeminy treatment： decoction of traditional Chinese medicine, amethopterin, mifepristone. Water Decoction of Chinese herbal 100ml, taken orally 3 times every day; amethopterin 0.4mg/（ kg·d ） , 5 days constituting one course, measure blood serum β - HCG at 4th and 7th day after treatment, if descent 〈 15%, and need retreatment ;mifepristone 25mg,taken orally 2 times every day, taken orally 3 days continuously, measure blood serum β - HCG at 4th day after treatment,if descent 〈 15%, and need retreatment after drug withdrawal. Results：59 cases were success, 7 eases were failure, achievement ratio is 89.1%. Conclusion：There is significant curative effect that patients with eetopie pregnancy were treated by combination of Traditional Chinese with Western medicine.