冯存玲

摘  要：目的  分析药自拟杀胚汤加灌肠方联合西药治疗异位妊娠临床的效果。方法  选取2019年8月～2020年6月平原县第一人民医院收治的94例异位妊娠患者为研究对象，采用随机单双数法分为对照组（47例，采用药物常规治疗）和观察组（47例，采用药物联合自拟杀胚汤加灌肠方治疗），对比两种不同方案的治疗效果。结果  观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）;观察组包块缩小或消失时间、腹痛消失时间、血β-HCG下降至正常时间、阴道流血缓解时间均短于对照组，差异有统计学意义（P<0.05）。结论  采用自拟杀胚汤加灌肠方联合西药治疗异位妊娠，不仅可提升治疗效果，而且可缩短包块缩小时间。

关键词：异位妊娠;自拟杀胚汤;灌肠方;包块缩小

中图分类号：R714.22    文献标识码：A    文章编号：1009-8011（2021）-18-0001-03

Abstract： Objective  To analyze the effect of western medicine combined with self-made Shapei Decoction plus enema in the treatment of ectopic pregnancy. Methods  Ninety-four patients with ectopic pregnancy admitted to our hospital from August 2019 to June 2020 were selected as the research objects. They were randomly divided into the control group（47 cases， treated with conventional western medicine） and the observation group（47 cases， treated with western medicine combined with self-made Shapei Decoction plus enema prescription）. The effects of two different treatment methods were compared. Results  The total effective rate of the observation group was higher than that of the control group， the difference was statistically significant（P<0.05）. The time for mass reduction or disappearance in the observation group， disappearance of abdominal pain， time for blood β-HCG to decrease to normal， and time for relief of vaginal bleeding were shorter than those in the control group， the differences were statistically significant （P<0.05）. Conclusion  For patients with ectopic pregnancy， the combination of western medicine and self-made Shapei Decoction plus enema can not only improve the total effective rate of disease treatment， but also reduce the time of mass reduction and other indicators.

Keywords： Ectopic pregnancy; Self-made Shapei decoction; Enema prescription; Mass reduction

异位妊娠也可称之为宫外孕，主要是指受精卵于子宫体腔外着床，为妇产科常见的急腹症，病情严重时甚至会诱发孕妇死亡。近年来，随着盆腔感染以及盆腹腔手术史等因素的影响，使异位妊娠发病率逐年提升，可严重威胁女性患者的生殖健康。随着医学诊疗技术的发展，经人绒毛膜促性腺激素（human choronic gonadotrophin，HCG）检测、B超检查等即可早期诊断异位妊娠，但选择何种有效的治疗方式是临床面临的挑战。常规药物治疗以甲氨蝶呤为主，虽然可获得有效的治疗效果，但无法有效清除盆腔包块，若包块遗留时间较长则会引发生殖道感染[1]。有研究指出，在常规西药治疗基础上联合自拟杀胚汤加灌肠进行治疗可有效提升治療效果，缩短包块消失时间[2]。本研究旨在分析常规西药物联合自拟杀胚汤加灌肠方治疗异位妊娠患者的效果。

1  资料与方法

1.1  一般资料

选取2019年8月～2020年6月平原县第一人民医院收治的94例异位妊娠患者为研究对象，采用随机单双数法分为对照组和观察组，每组47例。……