95例妊娠剧吐的临床分析

Clinical Analysis on Vomiting of Pregnancy of 95 Cases

目的分析妊娠剧吐所致水电解质紊乱、酸中毒其可能的病因及治疗方法。方法收集1996～2008年我院妇产科以"妊娠剧吐"为诊断收入院的95例患者的临床资料。结果妊娠剧吐与年龄及孕周有明显关系。妊娠剧吐易导致代谢性酸中毒+代谢性碱中毒+呼吸性碱中毒。在基础治疗中辅以心理治疗可缓解剧吐症状。结论妊娠剧吐需及时纠正水电解质紊乱及酸碱失衡,辅以适当的心理治疗可取得良好疗效。

Objective To analyze the disorder of electrolyte and acidosis caused by vomiting of pregnancy,discuss the causes and therapy of this disease. Methods The clinical materials of 95 cases of vomiting of pregnancy patient from 1996 to 2008 in our department were analyzed. Results There were closed relationship between the vomiting of pregnancy and age,pregnant weeks. It would cause metabolic acidosis,metabolic alkalosis and respiratory alkalosis. And the symptom can be relieved by adding mental therapy during the drug therapy. Conclusion The vomiting of pregnancy, should be taken to avoid the disorder of electrolyte and imbalance of acid and alkaline. Adding proper mental therapy can gain better curative effect.