针刺八脉交会穴加穴位贴敷治疗妊娠恶阻临床观察
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摘要
目的观察针刺八脉交会穴加穴位贴敷治疗肝胃不和型妊娠恶阻的临床疗效。方法 60例肝胃不和型妊娠恶阻患者随机分为针刺组、补液组,分别采用针刺加穴位贴敷和常规补液的方法,观察两组患者的临床疗效、起效时间、治疗次数。结果针刺组治愈20例,有效8例,无效2例,其疗效与补液组比较差异有统计学意义(P<0.05),并且针刺组在起效时间、治疗次数方面也优于补液组,差异有统计学意义(P<0.05)。结论针刺八脉交会穴加穴位贴敷治疗肝胃不和型妊娠恶阻较静脉补液治疗效果显著,起效快,治疗次数少,无不良反应。
Objective To observe the clinical efficacy of acupuncture at the eight confluent points plus acupoint sticking in treating hyperemesis gravidarum(HG) due to liver stomach disharmony. Method Sixty patients with HG due to liver stomach disharmony were randomized into an acupuncture group and a fluid infusion group to receive acupuncture plus acupoint sticking and fluid infusion, respectively. The clinical efficacy, action time and number of treatment session in the two groups were observed. Result In the acupuncture group, 20 cases were recovered, 8 cases showed effective and 2 cases failed, and the therapeutic efficacy was significantly different from that in the fluid infusion group(P<0.05). Moreover, the acupuncture group was also superior to the fluid infusion group in comparing the action time and number of treatment session(P<0.05). Conclusion Acupuncture at the eight confluent points plus acupoint sticking can produce a more significant efficacy in treating HG due to liver stomach disharmony compared to fluid infusion, and it can take a faster action with fewer treatment sessions while causing no adverse reactions.
Objective To observe the clinical efficacy of acupuncture at the eight confluent points plus acupoint sticking in treating hyperemesis gravidarum(HG) due to liver stomach disharmony. Method Sixty patients with HG due to liver stomach disharmony were randomized into an acupuncture group and a fluid infusion group to receive acupuncture plus acupoint sticking and fluid infusion, respectively. The clinical efficacy, action time and number of treatment session in the two groups were observed. Result In the acupuncture group, 20 cases were recovered, 8 cases showed effective and 2 cases failed, and the therapeutic efficacy was significantly different from that in the fluid infusion group(P<0.05). Moreover, the acupuncture group was also superior to the fluid infusion group in comparing the action time and number of treatment session(P<0.05). Conclusion Acupuncture at the eight confluent points plus acupoint sticking can produce a more significant efficacy in treating HG due to liver stomach disharmony compared to fluid infusion, and it can take a faster action with fewer treatment sessions while causing no adverse reactions.
引文
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[30]黎美娜,许敏,袁炼莲,等.中药穴位敷贴治疗妊娠恶阻的疗效观察[J].临床医学工程,2012,19(7):1165-1166.
[31]张钢纲.实用外治临床大全[M].北京:中国医药科技出版社,1994:12.
[32]刘强,周莉玲,李锐.中药透皮吸收制剂的研究思路[J].中药新药与临床药理,1997,8(2):116-118.
[33]黄伯舜.紫苏的临床应用体会[J].中国中药杂志,2005,30(13):1046-1047.
[34]祁烁,李忠.行气宽中话紫苏[J].抗癌之窗,2013,(3):52-53.
[35]李艳荣,潘海峰,魏红,等.中药材黄芩的研究近况[J].承德医学院学报,2009,26(4):418-420.
[36]徐民,盛兴利,颜治国,等.黄芩高产栽培技术[J].农业知识,2003,(6):24.
[37]乔晓莉,赵倩,肖学凤,等.黄连解毒汤研究概况[J].天津药学,2008,20(1):65-67.
[2]周训云,周红琴.中西医结合治疗胃虚型妊娠恶阻[J].当代医学,2011,17(34):152.
[3]王芳,田翠.耳穴压豆治疗妊娠恶阻研究述评[J].光明中医,2013,28(7):1528-1528,F0003.
[4]刘凤霞,米海霞.中药治疗妊娠恶阻疗效观察[J].中国中医急症,2017,26(5):866-869.
[5]胡民.妊娠恶阻的情志及辨证施膳调护[J].四川中医,2017,(9):207-209.
[6]刘金艳.小半夏汤合橘皮竹茹汤治疗妊娠恶阻的临床分析[J].河北中医药学报,2016,31(2):28-31.
[7]张东淑.辨证治疗妊娠恶阻96例[J].实用中医药杂志,2007,23(11):705.
[8]李林鲜,张琦.中医治疗妊娠恶阻近五年研究进展[J].甘肃医药,2016,35(1):24-26.
[9]谢幸,苟文丽.妇产科学[M].第8版,北京:人民卫生出版社,2013:79-81.
[10]谈勇.中医妇科学[M].第10版,北京:中国中医药出版社,2016:144-148.
[11]商桂华,刘金艳,祁宝银,等.加味四逆散联合针灸治疗妊娠恶阻肝胃不和证的疗效观察[J].中医药信息,2017,34(4):113-115.
[12]国家中医药管理局.中医病证诊断疗效标准[S].北京:中国医药科技出版社,2012:242.
[13]邹静.安胎和胃降逆汤联合补液治疗妊娠恶阻60例[J].河南中医,2015,35(1):131-132.
[14]黄红燕.自拟中药汤剂内服与穴位贴敷治疗脾胃虚弱型妊娠恶阻效果观察[J].中国乡村医药,2017,(3):30-31.
[15]潘艳芳,张晓华.温胆汤加减联合敷脐治疗妊娠恶阻33例[J].中医药导报,2012,18(3):92-93.
[16]张如苗.中西医结合治疗妊娠恶阻160例[J].中国实用乡村医生杂志,2010,(3):33.
[17]王琼芳.穴位贴敷治疗妊娠恶阻体会[J].中国民间疗法,2017,25(4):24-25.
[18]邓中荣.舒肝理脾汤治疗妊娠恶阻临床疗效观察[J].内蒙古中医药,2015,34(12):160.
[19]樊璠,秦岭,秦恒.寿胎丸合二陈汤加减治疗肝胃不和型妊娠恶阻临床研究[J].河南中医,2015,35(12):3148-3149.
[20]靳洪文,王会平,李玉芝.自拟茵陈汤治疗妊娠呕吐[J].时珍国医国药,2000,11(6):539.
[21]何瑛,黄家珍,陈容芳.内关穴注射维生素B1治疗妊娠剧吐51例[J].广西医科大学学报,2001,18(6):886.
[22]孙玉贞,孙红英.维生素B1穴位封闭治疗妊娠剧吐的疗效观察[J].广东医学院学报,2002,20(5):363.
[23]张淑娟,王伟明.四逆散合半夏泻心汤治疗肝胃不和型慢性胃炎病例观察[J].实用中医内科杂志,2011,25(9):56.
[24]李林鲜,张琦.中医治疗妊娠恶阻近五年研究进展[J].甘肃医药,2016,35(1):24-26.
[25]张旭宾,黄杰明,欧阳惠卿.妊娠恶阻中医源流述要[J].中医文献杂志,2004,(2):50-52.
[26]林敏.四逆散加减治疗肝胃不和型反流性食管炎的临床体会[J].临床消化病杂志,2012,24(1):45-46.
[27]谢龙霞.内关穴的临床应用[J].光明中医,2000,15(2):32-34.
[28]崔婷婷.中西医结合治疗妊娠剧吐临床观察[J].中国医药导报,2009,6(1):29-30.
[29]Yeo IJ,Jung JW,Yi BY,et al.Feasibility study on inverse four-dimensional dose reconstruction using the continuous dose-image of EPID[J].Med Phys,2013,40(5):051702.
[30]黎美娜,许敏,袁炼莲,等.中药穴位敷贴治疗妊娠恶阻的疗效观察[J].临床医学工程,2012,19(7):1165-1166.
[31]张钢纲.实用外治临床大全[M].北京:中国医药科技出版社,1994:12.
[32]刘强,周莉玲,李锐.中药透皮吸收制剂的研究思路[J].中药新药与临床药理,1997,8(2):116-118.
[33]黄伯舜.紫苏的临床应用体会[J].中国中药杂志,2005,30(13):1046-1047.
[34]祁烁,李忠.行气宽中话紫苏[J].抗癌之窗,2013,(3):52-53.
[35]李艳荣,潘海峰,魏红,等.中药材黄芩的研究近况[J].承德医学院学报,2009,26(4):418-420.
[36]徐民,盛兴利,颜治国,等.黄芩高产栽培技术[J].农业知识,2003,(6):24.
[37]乔晓莉,赵倩,肖学凤,等.黄连解毒汤研究概况[J].天津药学,2008,20(1):65-67.