[1]杨德鑫,税成愈,李 艳.活血袪瘀消癥方加减联合米非司酮治疗异位妊娠疗效及对患者血清激素水平的影响[J].陕西中医,2022,(10):1373-1375.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.011]
 YANG Dexin,SHUI Chengyu,LI Yan.Effect of Huoxue Quyu Xiaozheng recipe combined with mifepristone on serum hormone levels in patients with ectopic pregnancy[J].,2022,(10):1373-1375.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.011]
点击复制

活血袪瘀消癥方加减联合米非司酮治疗异位妊娠疗效及对患者血清激素水平的影响
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年10期
页码:
1373-1375
栏目:
临床研究
出版日期:
2022-10-05

文章信息/Info

Title:
Effect of Huoxue Quyu Xiaozheng recipe combined with mifepristone on serum hormone levels in patients with ectopic pregnancy
作者:
杨德鑫税成愈李 艳
(恩施土家族苗族自治州中心医院妇产科,湖北 恩施 445099)
Author(s):
YANG DexinSHUI ChengyuLI Yan
(Department of Obstetrics and Gynecology,Enshi Tujia and Miao Autonomous Prefecture Central Hospital,Enshi 445099,China)
关键词:
异位妊娠 活血袪瘀消癥方 米非司酮 雌二醇 孕酮
Keywords:
Ectopic pregnancy Huoxue Quyu Xiaozheng recipe Mifepristone Estradiol Progesterone
分类号:
R 714.22
DOI:
DOI:10.3969/j.issn.1000-7369.2022.10.011
文献标志码:
A
摘要:
目的:探讨活血袪瘀消癥方加减联合米非司酮对异位妊娠患者血清人绒毛膜促性腺激素(β-HCG)、雌二醇(E2)及孕酮(P)的影响。方法:选择93例异位妊娠患者,应用前瞻性研究方法随机分为观察组(n=47)和对照组(n=46)。对照组给予米非司酮规范治疗,观察组在对照组基础上给予活血袪瘀消癥方加减。比较两组临床疗效、β-HCG、E2、P、症状改善时间及住院时间。比较两组治疗期间不良反应发生情况。结果:治疗后,观察组总有效率为93.62%,优于对照组的78.26%(P<0.05)。治疗后,观察组血清β-HCG、E2、P水平低于对照组(均P<0.01)。观察组包块消失时间、阴道停止流血时间、血清β-HCG转阴时间及住院时间均较对照组短(均P<0.01)。结论:活血袪瘀消癥方可提高异位妊娠的治疗效果,改善激素水平,缩短症状改善时间和住院时间,安全性高。
Abstract:
Objective:To explore the effect of Huoxue Quyu Xiaozheng recipe combined with mifepristone on serum human chorionic gonadotropin(β-HCG),estradiol(E2),progesterone(P)levels in patients with ectopic pregnancy.Methods:Ninety-three patients with ectopic pregnancy were randomly divided into experimental group(n=47)and control group(n=46)by prospective study.The control group was given mifepristone standard treatment,the experimental group was given Huoxue Quyu Xiaozheng recipe on the basis of the control group.The clinical efficacy,β-HCG,E2,P,symptom improvement time and hospital stay were compared between the two groups.The incidence of adverse reactions during treatment was compared between the two groups.Results:After treatment,the total effective rate of the experimental group was 93.62%,which was better than 78.26% of the control group(P<0.05). The levels of β-HCG,E2 and P in the experimental group were lower than those in the control group(all P<0.01).The time of mass disappearance,vaginal bleeding cessation,serum β-HCG turning negative and hospital stay in the experimental group were shorter than those in the control group(all P<0.01).Conclusion:Huoxue Quyu Xiaozheng recipe can improve the treatment effect of ectopic pregnancy,improve hormone level,shorten the time of symptom improvement and hospital stay,with high safety.

参考文献/References:

[1] 王豫红,朱 兰.异位妊娠期待治疗的进展[J].中华医学杂志,2021,101(7):524-526.
[2] 李柯狄.经阴道彩色多普勒超声联合血清E2、β-HCG早期预测妊娠结局价值研究[J].陕西医学杂志,2020,49(6):732-735.
[3] 陈 爽.不同彩色多普勒超声检查方式在异位妊娠早期诊断中的应用研究[J].陕西医学杂志,2020,49(2):154-156,165.
[4] 邱嘉菡,袁 烁.化瘀消癥复方联合甲氨蝶呤治疗异位妊娠疗效观察[J].陕西中医,2017,38(9):1203-1204.
[5] 张永会,陈冬琼,彭强丽,等.中西医结合保守治疗异位妊娠的十年回顾性分析研究[J].现代生物医学进展,2018,18(24):4681-4685.
[6] 高丽芳.放松训练及心理护理对输卵管妊娠治疗后再次异位妊娠患者的影响[J].中国药物与临床,2021,21(16):2896-2898.
[7] 李瑞梅.针对性护理在异位妊娠治疗中的价值[J].中国药物与临床,2021,21(18):3199-3201.
[8] 谢 幸,苟文丽.妇产科学[M].8 版.北京:人民卫生出版社,2013:261.
[9] 刘敏如,欧阳惠卿.实用中医妇科学[M].上海:上海科学技术出版社,2010:189-190.
[10] 张玉珍.新编中医妇科学[M].北京:人民军医出版社,2001:433.
[11] 段泉泉,胜 利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[12] Zhang M,Qin LL.A case of retroperitoneal para-aortic ectopic pregnancy detected by sonography[J].J Clin Ultrasound,2018,46(6):412-414.
[13] Rovner P,Stickrath E,Alston M,et al.An early pregnancy unit in the United States:An effective method for evaluating first-trimester pregnancy complications[J].J Ultrasound Med,2018,37(6):1533-1538.
[14] Masselli G,Derme M,Piccioni MG,et al.To evaluate the feasibility of magnetic resonance imaging in predicting unusual site ectopicpregnancy:A retrospective cohort study [J].Eur Radiol,2018,28(6):2444-2454.
[15] 李 业,李 建,潘 玲,等.异位妊娠中西医病因病机探讨[J].中国中医药现代远程教育,2017,15(22):137-139.
[16] 张崇媛,戴方军,王文容,等.祛瘀活血止痛方辅助治疗异位妊娠疗效观察[J].陕西中医,2017,38(6):744-745.
[17] 马 堃,王凯莉,陈燕霞.从肾虚血瘀论治输卵管炎性不孕[J].中国中药杂志,2019,44(6):1099-1103.
[18] 张伟霞,梁雁玲,卢晓玲.优质护理服务对有生育要求异位妊娠手术患者负性情绪、术后疼痛与并发症的影响[J].护理实践与研究,2018,15(21):64-67.
[19] 李丽丹.ABC情绪护理对腹腔镜手术治疗异位妊娠患者负性情绪的影响[J].实用临床医药杂志,2016,20(4):118-120,136.
[20] 侯永丽,厉 健.厉健自拟杀胚消癥方治疗异位妊娠[J].中医药临床杂志,2018,30(4):650-653.
[21] 王洪玲,张 琰.早期异位妊娠患者β-HCG、E2和P水平变化及预测分析[J].现代预防医学,2019,46(1):58-61.
[22] 杜 倩,王 浜,吴晶晶.活血消癥方加减联合西药治疗异位妊娠疗效及对患者血清激素水平的影响[J].陕西中医,2021,42(4):430-433.

备注/Memo

备注/Memo:
基金项目:湖北省肿瘤精准基金资助项目(ZLJZ2020HLYB006)
更新日期/Last Update: 2022-10-09