中药在异位妊娠保守治疗中的疗效观察

目的：观察用中药联合甲氨蝶呤（MTX）及米非司酮治疗异位妊娠的效果。方法：A组，MTX单次肌注并口服米非司酮及中药，B组，MTX单次肌注并仅口服米非司酮，比较两组的治疗效果。结果：A组治愈率为95．9％，B组为54．1％；A组与B组比较，血β—HCG降至正常所需的时间明显缩短，包块缩小快，再次宫内妊娠率高，两组间差异有统计学意义（P〈0．05）。结论：在传统的MTX等药物保守治疗异位妊娠中加服中药可促进疗效，提高再次宫腔妊娠率，减少MTX的重复用量而减轻药物毒副作用，值得推广。

Observation on the curative effect of traditional Chinese medicine in the conservative treatment for ectopic pregnancy

Objective： To observe the effect of traditional Chinese medicine combining with methotrexate （MTX） and mifepristone in the treatment of ectopic pregnancy. Methods： Group A, single intramuscular injection of MTX and oral intake of mifepristone and traditional Chinese medicine; Group B, single intramuscular injection of MTX and only oral intake of mifepristone. The curative effects of two groups were compared. Results： The cure rate of group A was 95.9% and group B was 54.1%. The time needed by the drop of blood β-HCG to the normal value in group A was obviously shorter than that in group B and the reduction of block was more quickly and rate of reintrauterine-pregnancy was higher in group A comparing with group B. The differences in the two groups had statistic significance （P〈0.05）. Conclusion： It could facilitate the curative effect, improve the rate of again intrauterine pregnancy and reduce the drug by-reaction of repeated use of MTX that the traditional Chinese medicine is added besides the traditional MTX drug conservative treatment for ectopic pregnancy, which is valuable for popularization.