针刺治疗妊娠剧吐疗效观察

Observation on therapeutic effect of acupuncture on hyperemesis gravidarum

目的:寻找治疗妊娠剧吐的较佳方法。方法:将90例妊娠剧吐患者随机分为针刺组、西药组、中药组,每组30例。各组均进行补充水、电解质基础治疗,针刺组穴取大杼、上巨虚、内关、公孙等,予针刺治疗;西药组口服鲁米那30mg,每日3次;中药组依辨证分型,随证加减采用汤药治疗。观察各组患者临床疗效、酮体、二氧化碳结合力(CO2-CP)及电解质紊乱情况。结果:治疗7天后,针刺组治疗总有效率为96.7%,优于西药组的46.7%、中药组的60.0%(均P<0.01)。针刺组酮体情况较治疗前明显改善(P<0.05),且优于西药组(P<0.05);各组患者均随着病情的好转,CO2-CP、电解质紊乱情况也有好转趋势。结论:针刺治疗妊娠剧吐起效迅速,疗效显著,无不良反应发生。

Objective To explore a more effective therapy for treatment of hyperemesis gravidarum. Methods Ninety cases were randomly divided into an acupuncture group, a western medicine group and a Chinese medicine group, 30 cases in each group. They were treated with same supplement of water and electrolyte, with acupuncture at Dazhu （BL 11）, Shangjuxu （ST 37）, Neiguan （PC 6）, Gongsun （SP 4）, etc. added in the acupuncture group, with oral administration of Luminal 30 mg thrice each day added in the western medicine group and with oral administration of Chinese herbal decoction according to syndrome differentiation of TCM added in the Chinese medicine group. The therapeutic effect, ketone bodies, carbon dioxide combining power （CO2-CP） and electrolyte imbalance situation in all the groups were observed. Results After treatment for 7 days, the total effective rate of 96.7% in the acupuncture group was better than 46.7% in the western medicine group and 60.0% in the Chinese medicine group （both P〈0. 01）. There were significant improvements in ketone bodies in the acupuncture group compared with those before treatment and those in the western medicine group （both P〈0.05）, and improvements in CO2-CP and electrolyte imbalance in all the groups were following the recovery of disease. Conclusion Acupuncture has rapid and obvious therapeutic effect on hyperemesis gravidarum without adverse reactions.