宋东玲

【摘 要】 目的：分析中西医结合治疗46例妊娠呕吐的效果。方法：选择2018年2月至2019年6月前来就诊的46例妊娠呕吐孕妇作为研究对象，随机分为两组，两组病例数相同。对照组孕妇采用补液、肌注镇静等常规治疗，研究组在此基础上给予中药汤剂治疗。治疗后，比较两组孕妇用药与症状消失时间、尿酮体转阴时间与治疗总有效率。结果：治疗后，研究组孕妇用药与症状消失、尿酮体转阴时间分别为（8.03±0.63）d、（6.15±0.72）d、（3.25±0.98）d，与对照组比较，差异具有统计学意义（P<0.05）。研究组治疗总有效率为95.65%，高于对照组，差异具有统计学意义（P<0.05）。结论：采用中西医结合治疗妊娠呕吐可以更快地改善孕妇呕吐症状，使孕妇尿酮体恢复正常，疗效更为显著。

【关键词】 妊娠呕吐;和胃固妊汤;补液治疗;镇静治疗;尿酮体

[Abstract] Objective：To analyze the effect of combination of traditional Chinese and western medicine on 46 cases of pregnancy and vomiting. Methods： Forty-six pregnant women with vomiting who came to see the doctor from February 2018 to June 2019 were randomly divided into two groups. The number of cases was the same in both groups. The pregnant women in the control group were treated with conventional fluids such as fluid replacement and intramuscular injection， and the research group was given traditional Chinese medicine decoction. After treatment， the time of disappearance of medication and symptoms， the time of urinary ketone conversion and the total effective rate of treatment were compared between the two groups of pregnant women. Results： After treatment， the medication and symptoms of the pregnant women in the study group disappeared， and the time of urinary ketone body negative was （8.03±0.63）d， （6.15±0.72）d， （3.25±0.98）d， the difference was statistically significant （P<0.05）. The total effective rate of the study group was 95.65%， which was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： The combination of traditional Chinese and Western medicine in the treatment of pregnancy vomiting can improve the vomiting symptoms of pregnant women more quickly， and the urinary ketone body of pregnant women can return to normal， and the curative effect is more remarkable.

[Key words]Pregnancy vomiting; Heweiguren soup; Fluid therapy; Sedation; Urine ketone body

妊娠嘔吐是较为常见的早孕反应，多数孕妇还伴有食欲减退等症状，这主要是因为女性在怀孕后体内的荷尔蒙分泌与黄体素增加，子宫平滑肌收缩减少，胃肠道蠕动也会受到一定程度的影响，造成孕妇消化不良[1]。一般而言，妊娠呕吐在第16周后会逐步缓解，虽然轻度妊娠呕吐不会危及孕妇生命，但也会直接影响孕妇的日常生活。而重度妊娠呕吐孕妇则会影响孕妇营养摄入，不利于胎儿成长发育，甚至可能影响妊娠结局，绝大多数妊娠呕吐孕妇经过治疗后症状均可改善或消失。但研究发现[2-3]，西医治疗妊娠呕吐具有一定的局限性，难以取得满意的效果。为了探究中西医结合治疗妊娠呕吐的效果，本研究选择了46例孕妇作为研究对象进行对比研究。

1 资料与方法

1.1 一般资料

选择2018年2月至2019年6月前来就诊的46例妊娠呕吐孕妇作为研究对象，随机分为两组，两组病例数相同。……