中药穴位贴敷联合西药治疗痰湿阻滞型妊娠恶阻临床研究
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R271.41

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2021年度金华市中医药科技计划项目(金卫〔2020〕104号)


Clinical Study on Chinese Medicine Acupoint Application Combined with Western Medicine for Pernicious Vomiting During Pregnancy of Phlegm-Damp Obstruction Type
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    摘要:

    目的:观察中药穴位贴敷联合西药治疗痰湿阻滞型妊娠恶阻的临床疗效。方法:选取60 例痰湿阻 滞型妊娠恶阻患者,根据随机数字表法分为治疗组和对照组各30 例。对照组予以西药对症治疗,治疗组在对 照组基础上给予中药穴位贴敷治疗,2 组均治疗7 d。比较2 组临床疗效,治疗前后改良妊娠期恶心呕吐专用 量表(PUQE)、妊娠恶心呕吐生活质量量表(NVPQOL) 评分,以及尿酮体转阴和住院时间。结果:治疗后, 治疗组临床疗效总有效率93.33%,高于对照组70.00%,差异有统计学意义(P<0.05)。2 组改良PUQE、 NVPQOL 评分均较治疗前降低,治疗组改良PUQE、NVPQOL 评分均低于对照组,差异均有统计学意义(P< 0.05)。治疗组尿酮体转阴及住院时间均短于对照组,差异均有统计学意义(P<0.05)。结论:中药穴位贴敷 联合西药治疗痰湿阻滞型妊娠恶阻可提高临床疗效,减轻患者的呕吐症状,提高其生活质量,缩短住院时间。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine acupoint application combined with western medicine for pernicious vomiting during pregnancy of phlegm- damp obstruction type. Methods: A total of 60 cases of patients with pernicious vomiting during pregnancy of phlegm- damp obstruction type were selected and divided into the treatment group and the control group according to the random number table method, with 30 cases in each group. The control group was treated with symptomatic treatment of western medicine, and the treatment group was additionally treated with Chinese medicine acupoint application based on the treatment of the control group. Both groups were treated for 7 days. The scores of modified Pregnancy-Unique Quantification of Emesis (PUQE) and Nausea and Vomiting of Pregnancy-Specific Quality of Life (NVPQOL) before and after treatment,clinical effects, urinary ketone body turning negative and hospitalization time were compared between the two groups. Results:After treatment,the total clinical effective rate was 93.33% in the treatment group,higher than that of 70.00% in the control group, the difference being significant (P<0.05). The scores of modified PUQE and NVPQOL in the two groups were decreased when compared with those before treatment,and the scores of modified PUQE and NVPQOL in the treatment group were lower than those in the control group,differences being significant (P<0.05). The urinary ketone body turning negative and hospitalization time in the treatment group were shorter than those in the control group,differences being significant (P< 0.05). Conclusion: Based on symptomatic treatment of western medicine, the application of Chinese medicine acupoint application for pernicious vomiting during pregnancy of phlegm- damp obstruction type can enhance clinical effects, relieve the symptom of vomiting, improve quality of life, and shorten hospitalization time.

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左海红,程文君,郜丽晓,施灵美.中药穴位贴敷联合西药治疗痰湿阻滞型妊娠恶阻临床研究[J].新中医,2023,55(16):164-168

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  • 在线发布日期: 2023-08-31
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