耳穴压豆配合苏叶黄连汤治疗肝胃不和型妊娠剧吐的临床疗效

Clinical Effect of Auricular Point Pressure Dou combined with Suye Huanglian Decoction in Treating Hyperemesis Gravidarum of Liver and Stomach Dissonance

目的探讨耳穴压豆配合苏叶黄连汤治疗肝胃不和型妊娠剧吐的临床疗效。方法选取2021年3月至2022年12月于东莞市康华医院接受治疗的100例肝胃不和型妊娠剧吐患者为研究对象,按照随机数字表法分为对照组与观察组,各50例。对照组予以常规治疗,观察组在对照组基础上采用耳穴压豆配合苏叶黄连汤治疗。比较两组临床疗效、症状变化、血清胃动素、尿酮体水平、生命质量。结果观察组治疗有效率高于对照组(P<0.05)。治疗2周后两组妊娠专用恶心呕吐量表(PUQE)各项评分降低,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗2周后两组血清胃动素水平升高,尿酮体水平降低,且观察组血清胃动素水平高于对照组,尿酮体水平低于对照组,差异有统计学意义(P<0.05)。治疗2周后两组妊娠恶心呕吐生活质量量表(NVPQOL)各项评分降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论耳穴压豆配合苏叶黄连汤治疗肝胃不和型妊娠剧吐疗效确切,可有效调节血清胃动素、尿酮体水平,改善症状,促进生命质量提升,优势较为显著。

Objective To explore the clinical effect of auricular point combined with Suye Huanglian decoction in treating hyperemesis gravidarum with liver and stomach dissonance.Methods A total of 100 patients with hyperemesis gravidarum with hepatogastric disordered disorder treated in Dongguan Kanghua Hospital from March 2021 to December 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was treated with routine treatment,and the observation group was treated with auricular point combined with Suye Huanglian decoction on the basis of control group.The clinical effect,symptom change,serum motilin,urinary ketone body level and quality of life of the two groups were compared.Results The effective rate of the observation group was higher than that of the control group(P<0.05).After 2 weeks of treatment,the scores of pregnancy specific nausea and vomiting scale(PUQE)decreased in both groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After 2 weeks of treatment,the serum motilin level increased and the urinary ketone body level decreased,and the serum motilin level in the observation group was higher than that in the control group,and the urinary ketone body level was lower than that in the control group,the difference was statistically significant(P<0.05).After 2 weeks of treatment,the scores of NVPQOL decreased in both groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion Auricular point pressure Dou combined with Suye Huanglian decoction in the treatment of hyperemesis gravidarum with liver and stomach discordia has a definite effect,which can effectively regulate the levels of serum motilin and urinary ketone,improve symptoms and promote the quality of life,with significant advantages.