甲氨蝶呤配伍中药治疗输卵管妊娠后再孕的效果及护理方法

Effect of Methotrexate Combined with Traditional Chinese Medicine in the Treatment of Tubal Pregnancy after Pregnancy and Nursing Method

目的:针对甲氨蝶呤与中药进行配伍治疗对于输卵管妊娠之后再次怀孕产生的效果以及护理干预方式进行探究和总结。方法:随机从江西省宜春市中医院在2013年5月到2014年5月期间临床确诊为输卵管妊娠症状的女性患者当中择取100名,将其按照随机的方式分成A组以及B组两组(n=50),对两组均行以相同的甲氨蝶呤以及常规性的护理干预,对A组加以行心理干预以及配伍中药治疗。随访2年,对照分析两组整体治疗效果。结果:经过不同的治疗方式以及护理干预,A组患者在2年内发生输卵管再次妊娠的概率明显低于B组,对比存在P<0.05;另外,宫内妊娠概率上,A组显著高于B组,对比存在P<0.05。结论:甲氨蝶呤与中药进行配伍治疗,并辅以适当的心理护理干预,能够在最大程度上降低再次发生输卵管妊娠的概率,同时提升宫内妊娠的概率,因此,值得进行更加广泛的推广和临床应用。

Objective： To explore the effect of methotrexate combined with traditional Chinese medicine on pregnancy after tubal pregnancy and nursing intervention. Methods： 100 cases of clinically diagnosed tubal pregnancy women with symptoms in Yichun Hospital of Traditional Chinese Medicine of Jiangxi Province from May 2013 to May 2014 were randomly divided into A group and B group（n=50 in each group）. both of the two groups were treated with the same methotrexate and routine nursing intervention, while based on this, A group also accepted psychological intervention and traditional Chinese medicine treatment. Follow up for 2 years, the overall treatment effect is analyzed. Results： After different treatment and nursing intervention For 2 years, fallopian tube pregnancy probability in group A were was significantly lower than group B（P〈0.05）.In addition, intrauterine pregnancy probability in group A was significantly higher than that of group B（P〈0.05）. Conclusions： The combination therapy with methotrexate and traditional Chinese medicine, and supplemented with appropriate psychological nursing intervention dramatically reduced the recurrence of tubal pregnancy probability, and improved the intrauterine pregnancy probability and therefore, it is worth promotion and clinical application.