广州中医药大学第一附属医院
纸质出版:2016
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[1]郜洁,胡昀昀,黄艳茜,邓高丕.中西医结合药物治疗输卵管妊娠疗效的影响因素分析[J].中医杂志,2016,57(16):1388-1392.
GAO Jie, HU Yunyun, HUANG Yanxi, et al. Analysis of Influencing Factors of Curative Effect of Chinese Medicine Combined with Western Medicine for Fallopian Pregnancy[J]. Journal of Traditional Chinese Medicine2016, 57(16): 1388-1392.
[1]郜洁,胡昀昀,黄艳茜,邓高丕.中西医结合药物治疗输卵管妊娠疗效的影响因素分析[J].中医杂志,2016,57(16):1388-1392. DOI: 10.13288/j.11-2166/r.2016.16.011.
GAO Jie, HU Yunyun, HUANG Yanxi, et al. Analysis of Influencing Factors of Curative Effect of Chinese Medicine Combined with Western Medicine for Fallopian Pregnancy[J]. Journal of Traditional Chinese Medicine2016, 57(16): 1388-1392. DOI: 10.13288/j.11-2166/r.2016.16.011.
目的探讨中西医结合药物治疗输卵管妊娠疗效的影响因素。方法回顾分析广州中医药大学第一附属医院自2014年1月至2015年6月因输卵管妊娠住院行中西医结合药物治疗的输卵管妊娠患者202例
根据药物治疗是否成功分为成功组130例(占64.4%)和失败组72例(占35.6%)。记录两组患者阴道流血天数、妊娠频次、人工流产史、分娩频次、剖腹产史、有无盆腔积液、异位妊娠频次、其他腹部手术史、β人绒毛促性腺激素(β-h CG)值、孕酮(P)值、治疗前休克指数(SI)、K值、停经天数、腹痛天数、自然流产频次、B超下包块最大径
采用单因素分析及非条件Logistic回归分析
探讨影响治疗输卵管妊娠疗效的可能相关因素。结果两组自然流产频次、SI、log
2
β-h CG、log
2
P、K值比较差异有统计学意义(P
<
0.05)。人工流产史(OR=3.569
95%CI=1.253
1
0.161)、log
2
β-h CG水平(OR=2.139
95%CI=1.548
2
.956)是影响药物治疗输卵管妊娠的独立因素。当β-h CG
>
1578.5 IU/L时中西医结合药物治疗疗效不佳。结论影响中西医结合药物治疗输卵管妊娠的主要影响因素是人工流产史、log
2
β-h CG水平。
Objective To explore the influencing factors of curative effect of Chinese medicine combined with western medicine for fallopian pregnancy. Methods A retrospective analysis of 202 cases of fallopian pregnancy
treated with Chinese medicine combined with western medicine in First Affiliated Hospital of Guangzhou University of Chinese Medicine from January of 2014 to June of 2015
was conducted. These patients were divided into the success group( 130 cases
64. 4%) and the failure group( 72 cases
35. 6%) according to whether medication treatment was successful or not. It was recorded that all the patients’ vaginal bleeding days
frequency of pregnancy
history of induced abortion
delivery frequency
history of cesarean section
pelvic fluid or not
frequency of ectopic pregnancy
other history of abdominal surgery
βhuman chorionic gonadotropin( β-h CG)
progesterone
shock index before treatment( SI)
K value
menolipsis days
days of abdominal pain
frequency of spontaneous abortion
and the maximum diameter of the mass under B ultrasound. Possible influencing factors in treating fallopian pregnancy were explored with single factor analysis and unconditional logistic regression analysis. Results There were significant differences in frequency of spontaneous abortion
SI
log
2
β-h CG
log
2
P and K value between the two groups( P
<
0. 05). History of induced abortion( OR = 3. 569
95% CI = 1. 253
10. 161) and log
2
β-h CG level( OR = 2. 139
95% CI = 1. 548
2
. 956) were independent influencing factors of medication for fallopian pregnancy. When β-h CG
>
1578. 5 IU / L
the effect of Chinese medicine combined with western medicine was poor. Conclusion Induced abortion history and log
2
β-h CG level are main influencing factors of Chinese medicine combined with western medicine in the treatment of fallopian pregnancy.
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