中药贴敷神阙、涌泉穴辅助治疗妊娠恶阻的临床研究

Clinical research of Chinese medicine acupoint sticking at Shenque and Yongquan in adjuvant treatment of pregnancy resistance

目的观察中药贴敷神阙、涌泉穴辅助治疗妊娠恶阻的临床效果。方法选择平湖市中医院2015年1月至2018年1月收治的妊娠恶阻患者210例为研究对象,采用随机数字表法分为对照组(n=105)与观察组(n=105),对照组采用常规对症治疗,观察组在对照组基础上采用神阙、涌泉穴中药贴敷辅助治疗。观察两组治疗后的临床效果,比较两组主要症状消失率及治疗后2周内复发率。结果观察组治疗5 d后、治疗10 d后总有效率分别为68.57%(72/105)、98.10%(103/105),均明显优于对照组的51.43%(54/105)、71.43%(75/105),差异均有统计学意义(χ^2=6.429、28.905,均P<0.05);对照组呕吐、头晕、倦怠消失率分别为50.48%、44.57%、34.12%,均明显低于观察组的70.48%、71.28%、80.90%(χ^2=8.786、13.624、39.071,均P<0.05);观察组治疗后2周内复发率为2.86%,明显低于对照组的22.86%,差异有统计学意义(χ^2=18.743,P<0.05)。结论中药贴敷神阙、涌泉穴辅助治疗妊娠恶阻的疗效显著优于常规对症治疗。

Objective To observe the clinical effect of Chinese medicine acupoint sticking at Shenque and Yongquan in adjuvant treatment of pregnancy resistance. Methods From January 2015 to January 2018, 210 patients with preeclampsia were selected in the Traditional Chinese Medicine Hospital of Pinghu. According to the random number table method, the patients were divided into control group(n=105) and observation group (n=105). The control group was treated with routine infusions. In the observation group, Shenque Yongquan two-acupoint traditional Chinese medicine was applied as an adjuvant therapy on the basis of the control group. The treatment effects of the two groups after 5 days and 10 days treatment were observed, and the disappearance rate of the main symptoms and the recurrence rate within 2 weeks after treatment were observed. Results The total effective rates of the observation group after treatment for 5 days and treatment for 10 days were 68.57%(72/105) and 98.10%(103/105), respectively, which were significantly higher than those of the control group [51.43%(54/105) and 71.43%(75/105)], the differences were statistically significant(χ^2=6.429, 28.905, all P<0.05). The disappearance rates of vomiting, dizziness and burnout in the observation group were 50.48%, 44.57% and 34.12%, respectively, which were significantly lower than those in the control group (70.48%, 71.28% and 80.90%)(χ^2=8.786, 13.624, 39.071, all P<0.05). The recurrence rate of the observation group (2.86%) with in 2 weeks was significantly lower than 22.86% of the control group, and the difference was statistically significant(χ^2=18.743, P<0.05). Conclusion Shenque Yongquan two-acupoint Chinese traditional medicine sticking combined with conventional infusion therapy has significant clinical effect in the treatment of pregnancy resistance.