中医芳香疗法治疗脾胃虚弱型妊娠恶阻临床研究  

Clinical Study on Chinese Medicine Aromatherapy for Pernicious Vomiting During Pregnancy of Deficiency of Spleen-Stomach Type

作　　者：郑妍 沈瑛红 江雪娟 ZHENG Yan;SHEN Yinghong;JIANG Xuejuan(Affiliated Hospital of Integrated Traditional Chinese and Western Medicine of Zhejiang Chinese Medical University,Hangzhou Zhejiang)

机构地区：[1]浙江中医药大学附属中西医结合医院,浙江杭州310003

出　　处：《新中医》2025年第3期156-161,共6页New Chinese Medicine

基　　金：杭州市医药卫生科技项目(A20230132)。

摘　　要：目的:观察中医芳香疗法治疗脾胃虚弱型妊娠恶阻的疗效。方法:选取2023年1月—2023年12月浙江中医药大学附属中西医结合医院收治的148例脾胃虚弱型妊娠恶阻患者,按随机数字表法分为观察组及对照组各74例。2组均给予妊娠恶阻常规治疗方案,观察组在此基础上佩戴中药芳香手环实施中医芳香疗法,对照组佩戴普通布艺手环。2组连续治疗5 d。比较2组临床疗效,比较2组治疗前后中医症状评分、恶心呕吐妊娠专用评估量表(PUQE)评分、血清胃动素、尿酮体转阴率、血清β-人绒毛膜促性腺激素(β-HCG)水平的变化。结果:观察组临床疗效总有效率为86.49%(64/74),对照组临床疗效总有效率为59.46%(44/74),2组比较,差异有统计学意义(P<0.05)。治疗后,2组中医症状评分均较治疗前下降(P<0.05),观察组中医症状评分低于对照组(P<0.05)。治疗后,2组PUQE评分均较治疗前下降(P<0.05),观察组PUQE评分低于对照组(P<0.05)。治疗后,2组血清胃动素均较治疗前上升(P<0.05),观察组血清胃动素高于对照组(P<0.05)。治疗后,观察组尿酮体转阴率为83.78%(62/74),对照组尿酮体转阴率为60.81%(45/74),观察组尿酮体转阴率高于对照组,差异有统计学意义(P<0.05)。治疗后,2组血清β-HCG水平均较治疗前上升(P<0.05),2组组间比较,差异无统计学意义(P>0.05)。结论:中医芳香疗法治疗脾胃虚弱型妊娠恶阻疗效较好,有助于缓解妊娠恶阻症状,提升尿酮体转阴率。Objective:To observe the therapeutic effect of Chinese medicine aromatherapy on pernicious vomiting during pregnancy of deficiency of spleen-stomach type.Methods:A total of 148 patients with pernicious vomiting during pregnancy of deficiency of spleen-stomach type admitted to the Affiliated Hospital of Integrated Traditional Chinese and Western Medicine of Zhejiang Chinese Medical University from January 2023 to December 2023 were randomly divided into an observation group and a control group,with 74 cases in each group.Both groups were given conventional treatment for pernicious vomiting during pregnancy.The observation group wore Chinese medicine aromatic wristbands on this basis to implement Chinese medicine aromatherapy,while the control group wore ordinary cloth wristbands.The two groups were treated continuously for five days.Clinical effects were compared between the two groups.The changes in traditional Chinese medicine symptom scores,scores of the Pregnancy Unique Quantification of nausea and vomiting,serum motilin,conversion rates of urine ketone body,and levels of serumβ-human chorionic gonadotropin(β-HCG)were compared between the two groups before and after treatment.Results:The total effective rate of clinical efficacy in the observation group was 86.49%(64/74),while the total effective rate of clinical efficacy in the control group was 59.46%(44/74),with the difference being significant(P<0.05).After treatment,the traditional Chinese medicine symptom scores in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,both groups showed a decrease in PUQE scores when compared with those before treatment(P<0.05),with the observation group having a lower PUQE score than the control group(P<0.05).After treatment,both groups showed an increase in serum motilin levels when compared with those before treatment(P<0.05),with the observation group having higher serum motilin level

关 键 词：妊娠恶阻 脾胃虚弱型 中医芳香疗法 胃动素 尿酮体转阴率 

分 类 号：R271.14[医药卫生—中医妇科学]