[1]冯广月,周荣生.活血消癥杀胚方治疗剖宫产切口瘢痕妊娠疗效研究*[J].陕西中医,2020,(12):1727-1730.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.012]
 FENG Guangyue,ZHOU Rongsheng..Clinical effect of Huoxue Xiaozheng Shapei prescription on patients withcesarean section incision scar pregnancy[J].,2020,(12):1727-1730.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.012]
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活血消癥杀胚方治疗剖宫产切口瘢痕妊娠疗效研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年12期
页码:
1727-1730
栏目:
临床研究
出版日期:
2020-12-05

文章信息/Info

Title:
Clinical effect of Huoxue Xiaozheng Shapei prescription on patients withcesarean section incision scar pregnancy
作者:
冯广月周荣生
合肥市第三人民医院妇产科(合肥 230000)
Author(s):
FENG GuangyueZHOU Rongsheng.
Department of Obstetrics and Gynecology,Third People's Hospital of Hefei City(Hefei 230000)
关键词:
剖宫产切口瘢痕妊娠 活血消癥杀胚方 人绒毛膜促性腺激素 月经复潮时间 不良反应
Keywords:
Cesarean section incision scar pregnancy Huoxue Xiaozheng Shapei prescription Human chorionic gonadotropin Time of menstruation recovery Adverse reactions
分类号:
R619
DOI:
DOI:10.3969/j.issn.1000-7369.2020.12.012
文献标志码:
A
摘要:
目的:探究活血消癥杀胚方治疗剖宫产切口瘢痕妊娠临床疗效。方法:纳入剖宫产切口瘢痕妊娠患者60例,随机分为两组。对照组患者采取甲氨蝶呤联合米非司酮治疗,观察组患者在对照组治疗基础上联合活血消癥杀胚方治疗,比较患者治愈率、中医症状积分、包块消失时间及阴道出血时间、住院时间、人绒毛膜促性腺激素恢复正常时间、月经复潮时间、不良反应情况、患者对本次治疗满意程度。结果:治疗后两组患者中医症状积分均降低,观察组患者治疗后停经、早孕反应、少腹隐痛、阴道出血、舌红苔薄、脉弦滑等中医症状积分均低于对照组,差异有统计学意义(P<0.05)。观察组患者阴道出血时间、包块消失时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者β-HCG水平恢复正常时间及月经复潮时间均短于对照组,差异有统计学意义(P<0.01)。观察组患者不良反应率3.33%,低于对照组23.33%。观察组患者治疗满意度97.01%,高于对照组患者的76.67%。对照组治愈率为96.67%,观察组为100.00%。结论:剖宫产切口瘢痕妊娠患者应用活血消癥杀胚方治疗,效果较好,患者恢复较快。
Abstract:
Objective:To explore the clinical effect of Huoxue Xiaozheng Shapei prescription for treating cesarean section incision scar pregnancy.Methods:A total of 60 cases of cesarean section incision scar pregnancy patients were divided into two groups.The control group were treated with methotrexate combined with mifepristone,while the observation group were treated with Huoxue Xiaozheng Shapei pescription on the basis of the treatment in the control group.Compare patients' cure rate,TCM symptoms score bag piece disappear time and vaginal bleeding time,length of hospital stay,human chorionic gonadotropin levels back to normal time,menstrual recovery time,adverse reactions,patients of the treatment satisfaction.Results:After treatment,the TCM symptom scores of the two groups decreased,and the TCM symptom scores of the observation group were lower than those in the control group,such as amenorrhea,early pregnancy reaction,epigastric pain,vaginal bleeding,Shehong Taibai,Maixuan Hua.The difference was statistically significant(P<0.05).The time of vaginal bleeding,mass disappearance and length of hospital stay in the observation group were shorter than those in the control group,difference statistically significant(P<0.05).The recovery time of β-HCG level and menstrual recovery time in the observation group was shorter than that in the control group,difference statistically significant(P<0.01).The rate of adverse reaction in the observation group was 3.33%,lower than that in the control group 23.33%.The treatment satisfaction of the patients in the observation group was 97.01%,which was higher than that in the control group 76.67%.The cure rate was 96.67% in control group and 100.00% in observation group.Conclusion:The effect of Huoxue Xiaozheng Shapei prescription on cesarean section incision scar pregnancy is better and the recovery of the patients is faster.

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备注/Memo

备注/Memo:
*安徽省卫生和计划生育委员会中医药科研项目(2016ZY04)
更新日期/Last Update: 2020-12-11