中药穴位贴敷疗法联合静脉补液治疗肝胃不和型妊娠恶阻
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(泉州市中医院,福建 泉州 362200)

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倪娇芳,女,主治医师,主要研究方向是中医妇科学。

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R 714

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Acupoint Application of Traditional Chinese Medicine Combined with Intravenous Rehydration in the Treatment of Dysfunctional Pregnancy with Disharmony between Liver and Stomach
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(Quanzhou Hospital of Traditional Chinese Medicine, Fujian Quanzhou 362200)

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    摘要:

    〔摘 要〕 目的:探讨中药穴位贴敷联合静脉补液治疗肝胃不和型妊娠恶阻患者疗效及对焦虑自评量表(SAS)、 抑郁自评量表(SDS)评分的影响。方法:选取泉州市中医院 2019 年 1 月至 2021 年 12 月期间收治的 80 例肝胃不和 型妊娠恶阻患者,随机分为两组,其中 40 例患者接受静脉补液治疗为对照组,40 例患者接受中药贴敷联合静脉补液 治疗为观察组。比较两组患者的疗效和复发情况,两组患者进食量、妊娠恶心呕吐专用量表(PUQE)、SAS、SDS 评分、 中医临床症状积分和尿酮体水平。结果:观察组患者治疗总有效率为 95.00 %,高于对照组的 80.00 %,差异具有统 计学意义(P < 0.05);观察组患者的复发率为 5.00 %,明显低于对照组的 22.50 %,差异具有统计学意义(P < 0.05); 治疗 2 d 后,观察组患者进食量明显大于对照组,差异具有统计学意义(P < 0.05);治疗后两组患者的尿酮体、 临床症状积分均较治疗前降低,且治疗后观察组患者的尿酮体、临床症状积分均低于对照组,差异具有统计学意义 (P < 0.05);治疗后两组患者的 PUQE、SAS、SDS 评分均较治疗前降低,且治疗后观察组患者的 PUQE、SAS、 SDS 评分均低于对照组,差异具有统计学意义(P < 0.05)。结论:中药穴位贴敷联合静脉补液治疗可有效减轻肝胃 不和型妊娠恶阻的临床症状,缓解患者焦虑和抑郁状态。

    Abstract:

    〔Abstract〕 Objective To explore the efficacy of acupoint application of traditional Chinese medicine (TCM) combined with intravenous rehydration in the treatment of pregnancy with disharmony between liver and stomach and its effect on the score of self_x0002_rating anxiety scale (SAS) and self-rating depression scale (SDS). Methods 80 cases of dysfunctional pregnancy with disharmony between liver and stomach treated in Quanzhou Hospital of Traditional Chinese Medicine from January 2019 to December 2021 were selected, they were randomly divided into two groups. Among them, 40 patients received intravenous rehydration treatment as the control group, and 40 patients received acupoint application of TCM combined with intravenous rehydration treatment as the observation group.The curative effect and recurrence of the two groups were compared, the food intake of the two groups after two days treatment were compared pregnancy–unique quantification of emesis and nausea (PUQE), SAS, SDS score, TCM clinical symptom score and urinary ketone body level were compared. Results The total effective rate of the observation group (95.00%) was higher than that of the control group (80.00%) (P < 0.05), and the recurrence rate (5.00%) was much lower than that of the control group (22.50%) (P < 0.05). Two days after treatment, the food intake of the observation group was significantly higher than that of the control group (P < 0.05). After treatment, the urinary ketone body and clinical symptom scores of the two groups were lower than those before treatment, and the urinary ketone body and clinical symptom scores of the observation group were lower than those of the control group after treatment, the differences were statistically significant (P < 0.05). After treatment, the PUQE, SAS and SDS scores of the two groups were lower than those before treatment, and the PUQE, SAS and SDS scores of the observation group were lower than those of the control group, the differences were statistically significant (P < 0.05). Conclusion Acupoint application of traditional Chinese medicine combined with intravenous rehydration can effectively reduce the clinical symptoms of liver stomach disharmony and malignant obstruction of pregnancy, alleviate patients' anxiety and depression state.

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  • 收稿日期:2022-02-22
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  • 在线发布日期: 2022-08-11
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