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新乡市第二人民医院妇产科
纸质出版日期:2017,
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[1]刘莉娜,武伟琦,皇甫雨静.甲氨蝶呤联合米非司酮治疗早期异位妊娠的临床疗效[J].保健医学研究与实践,2017,14(03):49-51.
Liu Lina, Wu Weiqi, Huangfu Yujing. Effect of methotrexate combined mifepristone on early ectopic pregnancy[J]. Health Medicine Research and Practice, 2017,14(3):49-51.
目的观察并分析甲氨蝶呤联合米非司酮治疗早期异位妊娠的临床疗效。方法选取2014年4月-2016年3月于新乡市某医院就诊的100例早期异位妊娠患者为研究对象。按照随机数字表将患者分为对照组与研究组
每组50例。对照组患者采用肌肉注射甲氨蝶呤进行治疗
研究组患者采用肌肉注射甲氨蝶呤联合口服米非司酮进行治疗。治疗2个疗程后
比较2组患者的治疗效果、住院时间、血人绒毛膜促性腺激素(HCG)水平恢复至正常所需时间及不良反应发生情况。结果研究组患者治疗有效率(90.0%)高于对照组(72.0%)
差异有统计学意义(P<0.05);研究组患者住院时间及血HCG水平恢复至正常所需时间分别为(10.5±3.2)d及(7.6±2.3)d
短于对照组的(14.9±4.7)d及(12.6±3.5)d
差异有统计学意义(P<0.05);研究组患者不良反应发生率低于对照组
但差异无统计学意义(P>0.05)。结论甲氨蝶呤联合米非司酮治疗早期异位妊娠可提高治疗有效率
缩短患者住院时间及血HCG恢复至正常所需时间
效果显著
值得临床推广应用。
Objective To observe and analyze the effect of methotrexate combined mifepristone on early ectopic pregnancy.Methods From April 2014 to March 2016 atotal of 100 patients with early ectopic pregnancy were selected as the research objects.And the objects were divided into control group and research group
50 cases in each group
according to random number table.The control group was treated by injection of methotrexate into muscle
but the research group was treated with intramuscular methotrexate combined oral mifepristone.After 2courses of treatment
the clinical effect
length of stay(LOS)
time required for human chorionic gonadotropin(HCG)level back to normal and adverse reactions.Results The effective rate of research group was90.0% which was higher than the control group(72.0%)
the difference was statistically significant(P <0.05);LOS and time required for HCG level back to normal were(10.5±3.2)d and(7.6±2.3)d
which were shorter than(14.9±4.7)d and(12.6±3.5)d of control group
and the difference was statistically significant(P<0.05);the incidence of adverse reactions of research group was lower
but there was no significant difference between 2groups(P>0.05).Conclusion Treating early ectopic pregnancy with methotrexate combined mifepristone could improve efficacy and reduce the LOS and time needed for HCG level back to normal
worthy of clinical application and popularization.
甲氨蝶呤米非司酮早期异位妊娠
MethotrexateMifepristoneEarly ectopic pregnancy
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