妊娠期恶心呕吐与中医体质的相关性研究

Study on the correlation of constitution with nausea and vomiting during pregnancy

目的:探讨妊娠期恶心呕吐(NVP)的程度、中医体质的特征及两者之间相关性。方法:选取2018年6月至12月期间就诊于山西中医药大学附属医院妇产科门诊的妊娠早期妇女,运用NVP专用量化表(PUQE)和《中医体质分类与判定标准》进行临床流行病学横断面调查。结果:本次共调查妊娠早期妇女120名,PUQE平均评分为(7.24±2.17)分,NVP症状表现明显者的常见体质为气郁质、气虚质、阳虚质,其中气郁质与NVP之间存在显著正相关(rs=0.259,P<0.01)。结论:NVP症状与中医体质之间存在一定的关联性,基于体质可调、体质可变的原理,可通过早期调控体质起到预防NVP,提高妊娠早期妇女生活质量的作用。

Objective:To investigate the degree of nausea and vomiting,the characteristics of constitution and their correlation of pregnant women.Methods:The women in the early stage of pregnancy were selected from June 2018 to December 2018 in the Affiliated Hospital of Shanxi University of Chinese Medicine.The clinical symptoms of NVP were investigated by the questionnaire PUQE,the constitution types were conducted according to the TCM Constitution Classification and Judgment Criteria,and statistical analysis was performed based on clinical data.Results:There were 120 women in the early stage of pregnancy were investigated,and the average score of PUQE was(7.24±2.17).The common constitution of women with obvious symptoms of NVP were qi-stagnation,qi-deficiency and yang-deficiency,and there was a strong correlation(rs=0.259,P<0.01)between qi-stagnation and NVP.Conclusion:There is a certain correlation between the constitution and the symptoms of nausea and vomiting in pregnancy.Based on the principle of adjustable constitution and changeable constitution,the symptoms of NVP would be prevented by regulating the constitution,and to improve the quality of pregnant women.