中西医结合治疗症状不典型早期输卵管妊娠临床效果

Therapeutic Effect of Integrated Traditional Chinese and Western Medicine on Early Atypical Tubal Pregnancy with Symptoms

目的:探讨中西医结合对症状不典型早期输卵管妊娠的治疗效果与经阴道彩色多普勒超声的应用。方法:选择症状不典型早期输卵管妊娠患者46例,按照随机数字的方法分为两组,对照组和观察组,每组23例患者,对照组给予西医手术治疗,观察组在对照组基础上服用中药治疗,对治疗的效果进行分析。结果:经过治疗后,对照组的血β-HCG水平从(1 078.58±281.36)U/L降低到(481.57±53.57)U/L,观察组的血β-HCG水平从(1 053.91±216.27)U/L降低到(389.17±47.51)U/L,与治疗前相比,数据差异均具有统计学意义(t=9.997,14.397,P<0.05),在治疗后的组间比较中,血β-HCG水平为观察组低于对照组,数据差异均具有统计学意义(t=6.189,P<0.05),观察组β-HCG水平恢复正常的时间短于对照组,数据差异具有统计学意义(t=4.245,P<0.05),观察组的治疗效果优于对照组,数据差异具有统计学意义(z=-3.450,P<0.05),完成治疗2个月后,对照组的输卵管通畅率为52.17%(12/23),观察组的输卵管通畅率为82.61%(19/23),数据差异具有统计学意义(χ^2=4.847,P<0.05),两组在治疗过程中所出现的各项不良反应发生率的数据差异均不具有统计学意义(χ^2=0.168,1.022,1.022,0.357,P>0.05)。结论:使用中西医联合的方法治疗症状不典型早期输卵管妊娠,可以缩短恢复时间,提升治疗效果,安全性良好。

Objective:To explore the therapeutic effect of integrated traditional Chinese and Western medicine on early atypical tubal pregnancy with symptoms and transvaginal color Doppler ultrasound.Methods:A total of 46 patients with atypical early tubal pregnancy who were selected. According to the method of random numbers, they were divided into a control group and an observation group,23 patients in each group. The patients in the control group were treated with western medicine. The patients in the observation group were treated with traditional Chinese medicine on the basis of the control group. The effect of the treatment was compared.Result:After treatment, the blood β-HCG level of the control group decreased from(1078.58±281.36)U/L to(481.57±53.57)U/L, and the blood β-HCG level of the observation group reduced from(1053.91±216.27)U/L to(389.17±47.51)U/L. Data differences were statistically significant(t=9.997, 14.397,P<0.05) compared with that pre-treatment. In the comparison between groups after treatment, the blood β-HCG level was lower in the observation group than that in the control group, and the data was statistically significant(t=6.189, P<0.05). The length of time when the β-HCG level returned to normal in the observation group was shorter than that of the control group and the difference was statistically significant(t=4.245, P<0.05). The treatment effect of the observation group was better than that of the control group, and the data was statistically significant(z=-3.450, P<0.05). After two months treatment, the fallopian tube patency rate was 52.17%(12/23) in the control group, and the tubal patency rate was 82.61%(19/23) in the observation group. The data was statistically significant(χ^2=4.847,P<0.05). There were no statistically significant differences in the incidence of adverse events between the two groups during the treatment(χ^2=0.168, 1.022, 1.022, 0.357,P>0.05). Conclusion:The combination of traditional Chinese and Western medicine in the treatment of atypical early tubal pregnancy can shorten the recovery time, improve the therapeutic effect and has good safety.