The Clinical Study Of Conservative Treating Ectopic Pregnancy With Traditional Chinese And Methotrexate Medicine

Objective:Through to purely(MTX) treats the extrauterine pregnancy with the armor ammonia pterin treatment and the traditional Chinese medicine union armor ammonia pterin the clinical influence contrast,including clinical curative effect, the Serumβ- HCG drops to the time which normal needs,the pelvic cavity package of block absorption time,the rectum womb falls the concave product fluid absorption time,the MTX use treatment course and the medicine side reaction contrast;the revelation traditional Chinese medicine union armor ammonia pterin treatment extrauterine pregnancy superiority,provides the clinical research for extrauterine pregnancy's conservative treatment.Method:This research basis integrates 75 example tubal pregnancy who the standard the Wuhan Chinese medicine hospital in January, 2006 - December,2008 will admit to take the object of study.Divides into two groups 75 example tubal pregnancy patient,Treatment group, 35 cases with MTX 0.4mg /(kg·d),add 500ml of 5%glucose infusion, the first day for 5 days for one course of treatment.MTX infusion beginning on the third day of oral medicine,day time,temporary permit addition and subtraction,ectopic pregnancy mass medication until totally absorbed.Control group,40 cases of simple use of NTX trea tment,Ways lbid.Observes two groups of clinical curative effects,the serumβ- HCG drops to the normal time,the extrauterine pregnancy package of block reduction and the womb rectum falls the concave product fluid absorption situation,the MTX use treatment course,the medicine side reaction situation.Results:(1)The treatment group 35 examples,cure 33 examples,the cure rate 94.3%;The control group 40 examples,cure 31 examples, the cure rate 77.5%,two group of cure rate comparison difference have the significance(P＜0.05).(2)The serumβ- HCG drops to the normal time comparison,the treatment group institute uses the time for 17.03±10.25,the control group for 25.96±11.23,two group of comparison differences has the significance(P＜0.05).(3)The extrauterine pregnancy package of block reduction situation comparison,the treatment group institute uses the time for 26.44±8.76,the control group for 38.31±10.81,two group of comparison differences has the significance(P＜0.05).(4)The womb rectum falls the concave product fluid absorption situation comparison,the treatment group institute needs the time for 10:67±4.52,the control group for 17.28±3.21,two group of comparison differences has the significance(P＜0.05).(5)The MTX use treatment course's comparison,the treatment group uses MTX the treatment course to be short in the control group,two group of comparison differences have the significance(P＜0.05).(6)The medicine side reaction's comparison,in the control group each kindp of side reaction's clinical manifestation is higher than the treatment group.Conclusion:The traditional Chinese medicine united the MTX conservative treatment extrauterine pregnancy not only to raise the cure rate,but also sped up infection's absorption,reduced the treatment course,reduced the medicine side reaction,restoration patient's reproduction function and health maximum limit.