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纸质出版日期:2016
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袁烁, 宋阳, 卢如玲, 等. 中西医结合药物治疗输卵管妊娠正虚血瘀证[J]. 中国实验方剂学杂志, 2016,22(6):149-153.
YUAN Shuo, SONG Yang, LU Ru-ling, et al. Integrated Chinese and Western Medicine for Vitality-deficiency and Blood Stasis Type Tubal Pregnancy[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(6): 149-153.
袁烁, 宋阳, 卢如玲, 等. 中西医结合药物治疗输卵管妊娠正虚血瘀证[J]. 中国实验方剂学杂志, 2016,22(6):149-153. DOI: 10.13422/j.cnki.syfjx.2016060149.
YUAN Shuo, SONG Yang, LU Ru-ling, et al. Integrated Chinese and Western Medicine for Vitality-deficiency and Blood Stasis Type Tubal Pregnancy[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(6): 149-153. DOI: 10.13422/j.cnki.syfjx.2016060149.
目的: 探讨中西医结合治疗输卵管妊娠正虚血瘀证的临床疗效。 方法: 通过多中心临床随机对照研究
将300例符合纳入标准的输卵管妊娠正虚血瘀证患者随机分成西药组和中西组
其中西药组予米非司酮片150 mg口服
中西组在西药基础上加服汤剂"宫外孕Ⅰ号方加味"
并配合中成药内服
外敷
ivgtt的综合疗法。观察2组有效率
血清绒毛膜促性腺激素β-亚基(β-HCG)下降50%及90%的时间
盆腔包块缩小50%及盆腔积液减少50%的时间
实际用药时间及腹痛消失时间。 结果: 中西组临床总有效率为81.33%
西药组临床总有效率为71.33%
两组比较差异具有统计学意义(P<0.05)。中西组血清β-HCG下降50%及90%的时间
盆腔包块缩小50%及盆腔积液减少50%的时间
实际用药时间均短于西药组(P<0.05)。 结论: 对于符合 "输卵管妊娠中西医结合治疗方案" 辨证为正虚血瘀证的输卵管妊娠
以中西医结合治疗临床疗效可靠
可有效缩短本病的治疗时间。
Objective: To discuss the efficacy of integrated Chinese and western medicine for vitality-deficiency and blood stasis type tubal pregnancy. Method: In this multicenter randomized controlled clinical study
a total of 300 patients of vitality-deficiency and blood stasis type tubal pregnancy were randomly divided into two groups:150 patients in the western medicine group were treated with mifepristone 150 mg po
once a day for 5 days. Based on the treatment of the western medicine group
150 patients in the integrated Chinese and western medicine group (integrated group) were also treated with ‘Modified Gongwaiyun No.1 Recipe’
and combined with Chinese patent drug for oral use
external use and intravenous drip. Effective rate of the both groups were detected. Time of serum Human chorionic gonadotropin-β(β-HCG) declining by more than 50% and 90%
time of the pelvic mass and pelvic effusion reducing by more than 50%
time of using medication and time of abdominal pain disappearing were calculated. Result: There were statistically significant differences in the total clinical effective rate between two groups (81.33% in integrated group VS 71.33% in western medicine group
P<0.05). Time of serum β-HCG declining by more than 50% and 90%
time of the pelvic mass and pelvic effusion reducing by more than 50%
and time of using medication in integrated group were shorter than those in western medicine group (P<0.05). Conclusion: Integrated Chinese and western medicine treatment was effective and reliable for tubal pregnancy (vitality-deficiency and blood stasis type)
and it can also shorten the treatment course of tubal pregnancy.
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