和胃安胎膏外敷神阙穴联合常规疗法治疗脾胃虚弱型妊娠剧吐临床研究
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R246.3

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温州市科技局重大科技创新攻关项目(ZY2022014)


Clinical Study on Hewei Antai Ointment Applied to Shenque Point Combined with Conventional Therapy for Hyperemesis Gravidarum of Spleen-Stomach Deficiency Type
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    摘要:

    目的:观察和胃安胎膏外敷神阙穴联合常规疗法治疗脾胃虚弱型妊娠剧吐(HG) 的疗效。方法: 选取2022年7月—2024年3月浙江中医药大学附属温州市中医院收治的104例脾胃虚弱型HG患者,按随机数 字表法分为中药组及对照组各52例。对照组给予现代医学常规疗法,中药组在对照组基础上给予和胃安胎膏 外敷神阙穴疗法。比较2组临床疗效及不良反应发生率、尿酮体转阴率,比较2组治疗前后中医证候积分、恶 心呕吐妊娠专用量化表(PUQE) 评分的变化。结果:中药组临床疗效总有效率为96.15%(50/52),对照组临 床疗效总有效率为80.77% (42/52),2组比较,差异有统计学意义(P<0.05)。治疗2个疗程后,2组恶心呕 吐、疲倦乏力、食欲不振、面色萎黄、舌苔薄白中医证候积分均较治疗前下降(P<0.05),中药组上述5项中 医证候积分均低于对照组(P<0.05)。治疗后,2组PUQE量表评分均较治疗前下降,中药组低于同一时间段 对照组,差异均有统计学意义(P<0.05)。治疗2个疗程后,对照组尿酮体转阴率为75.00%(39/52),中药组 尿酮体转阴率为92.31%(48/52),2组尿酮体转阴率比较,差异有统计学意义(P<0.05)。对照组不良反应发 生率为7.69% (4/52),中药组不良反应发生率为17.31% (9/52),2组不良反应发生率比较,差异无统计学意 义(P>0.05)。结论:和胃安胎膏外敷神阙穴联合常规疗法治疗脾胃虚弱型HG疗效确切,能缓解恶心呕吐症 状,改善胃肠功能,安全性高。

    Abstract:

    Abstract: Objective: To observe the efficacy of Hewei Antai Ointment applied to Shenque (RN 8) point combined with conventional therapy in the treatment of hyperemesis gravidarum (HG) of spleen-stomach deficiency type. Methods:A total of 104 HG patients of spleen-stomach deficiency type,treated at Wenzhou Traditional Chinese Medicine Hospital of Zhejiang Chinese Medical University from July 2022 to March 2024,were selected and randomly divided into the Chinese medicine group and the control group by random number table method,with 52 cases in each group. The control group received conventional modern medical therapy, while the Chinese medicine group received Hewei Antai Ointment applied to Shenque (RN 8) point in addition to the conventional therapy. The clinical efficacy, incidence of adverse reactions,and urine ketone body negative conversion rates were compared between the two groups. Changes in traditional Chinese medicine syndrome scores and the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) scores before and after treatment were also evaluated. Results: The total clinical effective rate was 96.15% (50/52) in the Chinese medicine group, significantly higher than that of 80.77% (42/52) in the control group (P<0.05). After two treatment courses, the traditional Chinese medicine syndrome scores for nausea and vomiting, fatigue, poor appetite, sallow complexion, and thin white tongue coating were decreased in both groups when compared with those before treatment (P<0.05),and the Chinese medicine group had lower scores in these five items than the control group (P<0.05). After treatment, the PUQE scores were decreased in both groups, and the Chinese medicine group had lower scores than the control group at the same time point (P<0.05). After two treatment courses,the urine ketone body negative conversion rate was 75.00% (39/52) in the control group,and 92.31% (48/ 52) in the Chinese medicine group, differences being significant (P<0.05). The incidence of adverse reactions was 7.69% (4/52) in the control group, compared to 17.31% (9/52) in the Chinese medicine group, with no significant difference between the two groups (P>0.05). Conclusion: Hewei Antai Ointment applied to Shenque (RN 8) point combined with conventional therapy is effective in treating HG of spleen-stomach deficiency type. It can alleviate nausea and vomiting symptoms,improve gastrointestinal function,and has high safety.

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陈湘宜,张里援,张虹.和胃安胎膏外敷神阙穴联合常规疗法治疗脾胃虚弱型妊娠剧吐临床研究[J].新中医,2025,57(9):139-143

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  • 在线发布日期: 2025-05-12
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