甲氨蝶呤联合米非司酮治疗早期异位妊娠97例疗效观察

Clinical observation of treatment by Methotrexate combined with mifepristone in 97 cases of ectopic pregnancy

目的探讨甲氨蝶呤联合米非司酮治疗早期异位妊娠的疗效及安全性。方法选取早期异位妊娠患者97例,按照随机数字表法分为观察组49例,对照组48例。对照组:甲氨蝶呤50 mg静脉推注1次/d,连用5 d,次日用甲酰四氢叶酸钙6 mg肌内注射解毒。观察组:甲氨蝶呤20 mg静脉推注1次/d,连用5 d;米非司酮50 mg,空腹口服,每12 h用1次,连用6次,总量300 mg。结果观察组治愈43例,对照组治愈34例,观察组优于对照组,有显著性差异(P<0.05)。两组治疗后血β-HCG及盆腔包块体积均较治疗前降低,观察组降低幅度优于对照组(P<0.05)。治疗后观察组血β-HCG及盆腔包块体积均优于对照组,差异有统计学意义(P<0.05)。组间不良反应发生率比较无显著性差异(P>0.05)。结论联合应用甲氨蝶呤与米非司酮对于早期未破裂异位妊娠疗效显著,不良反应发生率低,适宜基层医疗单位推广应用。

Objective To investigate the methotrexate therapy joint mifepristone influences early ectopic pregnancy,safety and efficacy.Methods The patients with early ectopic pregnancy 97 an example,and according to the random number tables were divided into the observation group 49 cases and control 48 cases.The control group： methotrexate 50 mg intravenous qd,repeat for 5 d,and the next day the four hydrogen folic acid calcium with formex 6 mg muscle injection detoxification.The observation group： methotrexate 20 mg intravenous qd,repeat for 5 d,Get 50 mg,hollow oral,every 12 h with 1,6 times act,and the amount of 300 mg.Results The observation group cure 43 cases and control 34 cases were cured,the observation group better than control group,significant difference（P 0.05）.The two groups after treating blood beta HCG bag piece and pelvic cavity volume before treatment which was reduced,reduction of the observation group was better than control group（P 0.05）.After treatment,the observation group blood beta HCG bag piece and pelvic cavity volume is better than the control group,the difference was statistically significant（P 0.05）.Adverse reaction rate between groups there were no significant difference（P 0.05）.Conclusion Combined application methotrexate for early mifepristone influences and unruptured ectopic pregnancy curative effect is distinct,adverse reaction rate low,appropriate application basic-level medical units.