耳穴压豆联合穴位贴敷治疗妊娠期呕吐临床研究
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R714.24+1

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Clinical Study on Auricular Point Pressing with Beans Combined with Point Applica⁃ tion for Emesis During Pregnancy
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    摘要:

    目的:观察耳穴压豆联合穴位贴敷治疗妊娠期呕吐的临床效果。方法:纳入126 例妊娠期呕吐孕 妇为研究对象,采用随机数字表法分为研究组与对照组各63 例。2 组均行常规静脉补液治疗,在此基础上, 对照组给予奥美拉唑联合盐酸异丙嗪治疗,研究组给予耳穴压豆联合穴位贴敷治疗,观察2 组临床疗效、中医 证候评分、临床指标改善时间及复发率。结果:研究组总有效率为95.24%,高于对照组84.13%,2 组比较, 差异有统计学意义(P<0.05)。治疗前,2 组恶心呕吐、厌食、头晕、耳鸣、口干舌燥、五心烦热、腰膝酸软 等中医证候评分比较,差异无统计学意义(P>0.05);治疗后,2 组上述各项中医证候评分均较治疗前降 低(P<0.05),且研究组中医证候评分均低于对照组(P<0.05)。治疗后,研究组电解质恢复、尿酮体转阴及 呕吐缓解时间均短于对照组,差异有统计学意义(P<0.05)。治疗结束后随访2 周,研究组复发率为4.88%, 对照组为23.08%,2 组比较,差异有统计学意义(P<0.05)。结论:耳穴压豆联合穴位贴敷治疗妊娠期呕吐与 常规西药治疗比较,能有效提高临床疗效,改善患者临床症状,加速机体康复,减少复发率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of auricular point pressing with beans combined with point application for emesis during pregnancy. Methods:A total of 126 cases of women with emesis during pregnancy were selected as the study objects and were divided into the study group and the control group according to the random number table method, with 63 cases in each group. Both groups were treated with routine intravenous rehydration; the control group was additionally treated with Omeprazole combined with Promethazine Hydrochloride, and the study group was additionally treated with auricular point pressing with beans combined with point application. The clinical effects,traditional Chinese medicine (TCM) syndrome scores,improvement time of clinical indexes and recurrence rates in the two groups were observed. Results: The total clinical effective rate was 95.24% in the study group, better than that of 84.13% in the control group, the difference being significant (P<0.05). Before treatment, there was no significant difference between the two groups in the scores of TCM syndromes including nausea and emesis, dizziness, anorexia, tinnitus, dry mouth and tongue, burning sensation of five centers, and soreness and weakness of waist and knees (P>0.05). After treatment,TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05), and the TCM syndrome scores in the study group were lower than those in the control group (P<0.05). After treatment, the recovery time of electrolyte,the negative conversion time of urine acetone bodies and the remission time of emesis in the study group were shorter than those in the control group,the difference being significant (P<0.05). In 2 weeks of follow-up after treatment,the recurrence rate was 4.88% in the study group and 23.08% in the control group, the difference being significant (P<0.05). Conclusion: Compared with routine western medicine treatment, auricular point pressing with beans combined with point application for emesis during pregnancy can more effectively improve the clinical effect, the clinical symptoms of patients,promote body rehabilitation and reduce the recurrence rate.

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王春回,叶双.耳穴压豆联合穴位贴敷治疗妊娠期呕吐临床研究[J].新中医,2023,55(4):178-181

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  • 在线发布日期: 2023-02-24
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