首页|桃红四物汤加味结合甲氨蝶呤对异位妊娠患者的影响

桃红四物汤加味结合甲氨蝶呤对异位妊娠患者的影响

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目的:探讨桃红四物汤加味结合甲氨蝶呤对异位妊娠患者的影响。方法:回顾性选取2018年1月—2022年12月北京怀柔医院收治的 80 例异位妊娠患者作为研究对象。根据治疗方案的不同将其分为对照组(38 例)及联合组(42 例)。对照组给予甲氨蝶呤注射液,联合组在对照组基础上给予桃红四物汤加味治疗。比较两组临床疗效,时间指标及治疗前、治疗 15 d后血清学指标,生殖潜能。结果:联合组临床疗效优于对照组,总有效率高于对照组,差异有统计学意义(P<0。05)。联合组包块吸收时间和血清β-绒毛膜促性腺激素(β-human chorionic gonadotophin,β-hCG)恢复正常时间均明显早于对照组,差异有统计学意义(P<0。05)。治疗 15 d后,两组抗米勒管激素(anti-Müllerian hormone,AMH)水平降低,谷丙转氨酶(alanine transaminase,ALT)及血清尿素氮(blood urea nitrogen,BUN)水平均升高,联合组AMH水平高于对照组,ALT及BUN水平均低于对照组,差异有统计学意义(P<0。05)。联合组随访 1 年再次宫内妊娠率明显高于对照组,未孕率明显低于对照组,差异有统计学意义(P<0。05)。结论:桃红四物汤加味结合甲氨蝶呤能够提高异位妊娠疗效,促进患者包块缩小及血清β-hCG下降,有助于减轻卵巢功能及肝肾功能损伤,并提高患者生殖潜能。
Effect of Modified Taohong Siwu Decoction Combined with Methotrexate on Patients with Ectopic Pregnancy
Objective:To investigate the effect of modified Taohong Siwu Decoction combined with Methotrexate on patients with ectopic pregnancy.Method:A total of 80 patients with ectopic pregnancy admitted to Beijing Huairou Hospital from January 2018 to December 2022 were retrospectively selected as the study objects.They were divided into control group(38 cases)and combined group(42 cases)according to different treatment plans.The control group was given Methotrexate Injection,and the combined group was given modified Taohong Siwu Decoction on the basis of control group.The clinical efficacy,time index,serological index before treatment and after 15 d of treatment and reproductive potential of the two groups were compared.Result:The clinical efficacy of the combined group was better than that of the control group,and the total effective rate was higher than that of the control group,the differences were statistically significant(P<0.05).The mass absorption time and the recovery time of serum β-human chorionic gonadotophin(β-hCG)in combined group were significantly earlier than those in control group,and the differences were statistically significant(P<0.05).After 15 d of treatment,anti-Mullerian hormone(AMH)levels decreased,alanine transaminase(ALT)and blood urea nitrogen(BUN)levels increased in both groups,the AMH level in combined group was higher than that in control group,and the ALT and BUN levels were lower than those in control group,the differences were statistically significant(P<0.05).The rate of re-intrauterine pregnancy in the combined group was significantly higher than that in the control group at 1 year follow-up,and the rate of non-pregnancy was significantly lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Taohong Siwu Decoction combined with Methotrexate can improve the efficacy of ectopic pregnancy,promote the reduction of mass and serum β-hCG in patients,help to reduce the damage of ovarian function and liver and kidney function,and improve the reproductive potential of patients.

Taohong Siwu DecoctionMethotrexateEctopic pregnancyReproductive potentialSerum index

胡玉芳

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北京怀柔医院 北京 101400

桃红四物汤 甲氨蝶呤 异位妊娠 生殖潜能 血清指标

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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