温和灸联合基础补液治疗妊娠剧吐临床研究
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R714.24+1

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Clinical Study on Gentle Moxibustion Combined with Basic Fluid Replacement for Hyperemesis Gravidarum
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    摘要:

    目的:观察温和灸联合基础补液治疗妊娠剧吐的临床疗效。方法:纳入产科就诊的85例妊娠剧吐患者进行研究,根据治疗方式不同分为观察组45例和对照组40例,观察组给予温和灸联合基础补液,对照组仅给予基础补液,治疗1个疗程,观 察 2 组临床疗效,中医证候积分,焦虑、压力情况、妊娠结局及并发症。结果:观察组总有效率82.2% (37/45) 高于对照组的57.5%(23/40),差异有统计学意义(P<0.05)。治疗前,2组恶心呕吐、精神疲乏、头晕目眩证候积分比较,差异无统计学意义(P>0.05)。治疗后,恶心呕吐、精神疲乏、头晕目眩证候积分均降低,且观察组低于对照组,差异有统计学意义 (P<0.05)。治疗前,2组焦虑、压力得分比较,差异无统计学意义(P>0.05)。治疗后,焦虑、压力得分均降低,与对照组比较,观察组更低,差异有统计学意义(P<0.05)。2组自然早产、小于胎龄儿及先兆子痫比较,差异无统计学意义(P>0.05)。2组酸中毒、肝功能衰竭及电解质失衡发生率比较,差异无统计学意义(P>0.05)。结论:温和灸联合基础补液治疗妊娠剧吐疗效显著,可有效改善临床症状,缓解患者焦虑、压力状态,且不影响妊娠结局,安全性较高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of gentle moxibustion combined with basic fluid replacement for hyperemesis gravidarum. Methods: A total of 85 cases of patients with hyperemesis gravidarum who were diagnosed in Department of Obstetrics were studied and divided into the observation group and the control group based on different treatments,45 and 40 cases in each group respectively. The observation group was given gentle moxibustion combined with basic fluid replacement,and the control group was given basic fluid replacement. Both groups were treated for one course. The clinical effect, Chinese medicine syndrome scores, anxiety, stress, pregnancy outcome, and complications were observed in the two groups. Results:The total effective rate was 82.2%(37/45) in the observation group,higher than that of 57.5% (23/40) in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of syndrome scores of nausea and vomiting,lassitude of spirit and lack of strength, and dizziness between the two groups(P>0.05). After treatment,the scores of nausea and vomiting,lassitude of spirit and lack of strength,and dizziness in the two groups were decreased,and the scores above in the observation group were lower than those in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of scores of anxiety and stress between the two groups(P>0.05). After treatment, scores of anxiety and stress in the two groups were decreased,and the scores above in the observation group were lower than those in the control group,the difference being significant(P<0.05). When compared the rate of spontaneous premature delivery,small for gestational age infant and preeclampsia,there was no significant difference being found between the two groups(P>0.05). There was no significant difference being found in the comparison of the incidence of acidosis,the liver failure, and electrolyte imbalance between the two groups(P>0.05). Conclusion: In the treatment of hyperemesis gravidarum,the therapy of gentle moxibustion combined with basic fluid replacement has significant curative effect,which can effectively improve clinical symptoms and relieve status of anxiety and stress with high safety. Besides,it will exert no effect on pregnancy outcome.

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汪婷婷,柯雪爱.温和灸联合基础补液治疗妊娠剧吐临床研究[J].新中医,2021,53(1):124-128

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  • 在线发布日期: 2021-01-11
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