子午流注择时穴位贴敷治疗脾胃虚弱证妊娠恶阻患者的临床研究
Clinical Study on Midnight-Noon Ebb-Flow of Acupoint Application in the Treatment of Patients with Vomiting During Pregnancy due to Spleen and Stomach Deficiency
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摘要: 目的 探讨子午流注择时穴位贴敷治疗脾胃虚弱证妊娠恶阻患者的临床疗效。方法 将120例妊娠恶阻脾胃虚弱证患者根据治疗方法的不同分为择时穴位贴敷组(治疗组)和基础治疗对照组（对照组），每组各60例。对照组给予基础治疗静脉补液、饮食起居护理与情志调护，治疗组在对照组基础上，给予子午流注择时穴位贴敷，敷贴时间为2 h，每日1次，2周为1个疗程。观察2组脾胃虚弱证妊娠恶阻患者的临床疗效、平均住院时间、复发率及酮体转阴情况。结果 治疗组的总有效率为96.6%，对照组为65.0%，2组比较差异具有显著性（P<0.01）；治疗组平均住院天数为（5.9±2.4）d，对照组平均住院天数为（9.6±1.8）d，2组比较差异具有显著性意义（P<0.01）；治疗组为3例，复发率为5%，对照组复发例数为16例，复发率为26.6%，2组比较差异具有显著性意义（P<0.01）；治疗组52例酮体转阴，转阴率为86.7%，对照组40例转阴，转阴率为75.0%，2组比较差异具有显著性意义（P<0.05）。结论 子午流注择时穴位贴敷能有效提高脾胃虚弱证妊娠恶阻患者的临床疗效。Abstract: OBJECTIVE To study the clinical effect of midnight-noon ebb-flow of acupoint application in the treatment of patients with vomiting during pregnancy due to spleen and stomach deficiency. METHODS According to the difference of treating methods， 120 patients with vomiting during pregnancy were divided into the midnight-noon ebb-flow of acupoint application group (the treatment group) and the basic treatment control group (the control group)， and 60 cases in each group. The control group was given basic treatment intravenous infusion， daily life nursing and emotion regulation. And the treatment group was given midnight-noon ebb-flow of acupoint application on the basis of the control group， the application time was 6 h， once a day. The clinical effects， average hospital stays， recurrent rates and acetone body negative-conversing conditions of patients with vomiting during pregnancy due to spleen and stomach deficiency in two groups were observed. RESULTS The total effective rate of the treatment group was 96.6%， and that of the control group was 65.0%， the differences between the two groups were statistically significant (P<0.01). The average hospital stays of the treatment group were (5.9±2.4)d， and that of the control group were (9.6±1.8)d， the differences between the two groups were statistically significant (P<0.01). There were three recurrent cases in the treatment group， the recurrent rate was 5%; and there were 16 recurrent cases in the control group， and the recurrent rate was 26.6%; the differences between the two groups were statistically significant (P<0.01). There were 52 acetone body negative-conversing cases in the treatment group， the negative-conversing rate was 86.7%; there were 40 acetone body negative-conversing cases in the control group， the negative-conversing rate was 75.0%， the differences between the two groups were statistically significant (P<0.01). CONCLUSION Midnight-noon ebb-flow of acupoint application can effectively improve the clinical effect in the treatment of patients with vomiting during pregnancy due to spleen and stomach deficiency.
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