首页|和胃固妊汤联合和胃安胎膏外敷神阙穴对肝胃不和型妊娠剧吐临床分析

和胃固妊汤联合和胃安胎膏外敷神阙穴对肝胃不和型妊娠剧吐临床分析

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目的 分析和胃固妊汤联合和胃安胎膏外敷神阙穴对肝胃不和型妊娠剧吐的临床运用价值。方法 选取医院2017年2月-2021年9月收治的86例肝胃不和型妊娠剧吐患者,随机分为联合组、对照组,各43例,均行常规西医治疗及和胃安胎膏神阙穴外敷,联合组加用和胃固妊汤。对比两组患者临床疗效、恶心呕吐缓解时间、复发情况、不良反应发生情况,以及治疗前后尿酮体、中医证候积分变化。结果 治疗10 d后,联合组总有效率为93。02%(40/43),高于对照组74。42%(32/43),差异有统计学意义(P<0。05)。联合组恶心呕吐缓解时间、复发率均低于对照组,差异有统计学意义(P<0。05)。两组患者治疗期间均未见不良反应发生。两组患者治疗3 d后、治疗10 d后尿酮体水平、中医证候积分均较治疗前下降,联合组治疗3 d后、治疗10 d后尿酮体水平、中医证候积分均低于对照组,差异有统计学意义(P<0。05)。结论 在常规西医治疗及和胃安胎膏神阙穴外敷的基础上,联合和胃固妊汤能够促进肝胃不和型妊娠剧吐患者临床症状缓解、提高临床疗效、降低复发风险,且安全性良好。
Clinical Application Analysis of Hewei Guren Decoction(和胃固妊汤)Combined with External Application of Hewei Antai Ointment(和胃安胎膏)at Shenque(RN8)on Hyperemesis Due to Disharmony between Liver and Stomach
Objective To analyze the clinical application value of Hewei Guren Decoction(和胃固妊汤)combined with exter-nal application of Hewei Antai Ointment(和胃安胎膏)at Shenque(RN8)in the treatment of hyperemesis due to disharmony be-tween liver and stomach.Methods Eighty-six patients with hyperemesis gravidarum due to disharmony between liver and stom-ach in the hospital from February 2017 to September 2021 were randomly divided into the combined group and the control group,with 43 cases in each group.All patients were treated with routine western medicine and external application of Hewei Antai Ointment(和胃安胎膏)at Shenque(RN8),and the combined group added Hewei Guren Decoction.The clinical curative effect,the remission time of nausea and vomiting,the recurrence,the occurrence of adverse reactions and the changes of urine ketone body and TCM syndrome integral before and after treatment were compared between the two groups.Results After 10 days of treatment,the total effective rate of the combined group was 93.02%(40/43),which was higher than that of the control group(74.42%,32/43),and the difference was statistically significant(P<0.05).The remission time and recurrence rate of nausea and vomiting in the combined group were significantly lower than those in the control group(P<0.05).No adverse reactions oc-curred in both groups during treatment.After 3 and 10 days of treatment,the urine ketone body level and TCM syndrome score of the two groups decreased compared with those before treatment.And those of the combined group were lower than those of the control group with statistical significance(P<0.05).Conclusion On the basis of routine western medicine treatment and external application of Hewei Antai Ointment at Shenque(RN8),the combination of Hewei Guren Decoction can promote the relief of clin-ical symptoms,improve the clinical efficacy and reduce the risk of recurrence in patients with hyperemesis gravidarum due to dis-harmony between liver and stomach,and it is safe.

Hewei Guren Decoction(和胃固妊汤)Hewei Antai Ointment(和胃安胎膏)Shenque(RN8)disharmony be-tween liver and stomachhyperemesis gravidarum

陈湘宜、张里援、陈苗苗、张虹

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温州市中医院,浙江温州 325000

和胃固妊汤 和胃安胎膏 神阙穴 肝胃不和 妊娠剧吐

国家中医药管理局"十二五"重点专科项目浙江省中医药科技项目温州市科技局项目

国中医药办医政函[2015]177号2016ZA0182Y20170173

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(8)