穴位艾灸联合耳穴压豆治疗妊娠剧吐临床研究
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R714.25;R246.3

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Clinical Study on Point Moxibustion Combined with Auricular Point Pressing with Beans for Hyperemesis Gravidarum
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    摘要:

    目的:观察穴位艾灸联合耳穴压豆治疗妊娠剧吐的临床疗效。方法:选取100 例妊娠剧吐患者为研究对象,按随机数字表法分为观察组和对照组各50 例。对照组给予静脉补液治疗,观察组在此基础上给予穴位艾灸联合耳穴压豆治疗,2 组均治疗7~10 d。比较2 组临床疗效、症状评分、妊娠剧吐评分(HGS)、胃动素水平、β-人绒毛膜促性腺激素(β-HCG) 水平、尿酮体转阴时间及电解质指标水平。结果:观察组总有效率为98.00%,高于对照组的80.00%(P<0.05)。治疗后,2 组呕吐、恶心、进食障碍评分均较治疗前降低(P<0.05),观察组上述3 项症状评分均低于对照组(P<0.05)。治疗后,2 组HGS及β-HCG 水平均较治疗前降低(P<0.05),胃动素水平均较治疗前升高(P<0.05);观察组HGS 及β-HCG 水平均低于对照组(P<0.05),胃动素水平高于对照组(P<0.05);观察组尿酮体转阴时间短于对照组(P<0.05)。治疗后,2 组血钾、血钠水平均较治疗前升高(P<0.05),观察组血钾、血钠水平均高于对照组(P<0.05);2 组二氧化碳结合力均较治疗前降低(P<0.05),观察组二氧化碳结合力低于对照组(P<0.05)。结论:穴位艾灸联合耳穴压豆治疗妊娠剧吐,可显著改善患者的临床症状及电解质失衡状况,促进胃肠运动,降低复发率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of point moxibustion combined with auricular point pressing with beans for hyperemesis gravidarum. Methods:A total of 100 cases of patients with hyperemesis gravidarum were selected as the study objects, and divided into the observation group and the control group according to the random number table method,50 cases in each group. The control group was given intravenous fluid replacement,and the observation group was additionally given point moxibustion combined with auricular point pressing with beans based on the treatment of the control group. The treatment lasted from seven to ten days. The clinical effect, symptom scores, hyperemesis gravidarum score (HGS), and the time of urine ketone body turning to negative, as well as levels of motilin, β- human chorionic gonadotropin(β- HCG), and electrolyte indexes were compared between the two groups. During the first two week after treatment. Results:The total effective rate was 98.00% in the observation group,higher than that of 80.00% in the control group(P<0.05). After treatment, symptom scores of vomiting, nausea, and eating disorder in the two groups were decreased when compared with those before treatment(P<0.05),and the three symptom scores above in the observation group were significantly lower than those in the control group(P<0.05). After treatment,the levels of HGS and β-HCG in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of motilin were increased (P<0.05). After treatment,the levels of HGS and β-HCG in the observation group were lower than those in the control group (P<0.05),the level of motilin was higher(P<0.05),and the time of urine ketone body turning to negative was shorter(P< 0.05). After treatment,the levels of serum potassium and serum sodium in the two groups were increased when compared with those before treatment(P<0.05),and the two levels in the observation group were higher than those in the control group (P<0.05); carbon dioxide binding force in the two groups was decreased when compared with that before treatment(P< 0.05), and the carbon dioxide binding force in the observation group was lower than that in the control group(P<0.05). Conclusion: In the treatment of hyperemesis gravidarum, the therapy of point moxibustion combined with auricular point pressing with beans can significantly improve clinical symptoms and electrolyte imbalance,promote gastrointestinal motility, and reduce recurrence rate.

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甘雅丽,叶伟娟,张丽香.穴位艾灸联合耳穴压豆治疗妊娠剧吐临床研究[J].新中医,2021,53(2):152-155

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  • 在线发布日期: 2021-01-27
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