健脾固妊汤治疗脾胃虚弱型妊娠呕吐30例临床观察.docxVIP

·19 ·第 39 卷第 6 期 Vol. 39 No. ·19 · 2023 年 6 月 HUNAN JOURNAL OF TRADITIONAL CHINESE MEDICINE Jun. 2023 引用 :朱双全 ,贺冰 ,王萍 . 健脾固妊汤治疗脾胃虚弱型妊娠呕吐 30 例临床观察[J] . 湖南中医杂志 ,2023 ,39(6) :19-22. 健脾固妊汤治疗脾胃虚弱型妊娠呕吐 30例临床观察 朱双全 ,贺 冰 ,王 萍 ( 湖南中医药大学第二附属医院 ,湖南 长沙 ,410005) [ 摘要] 目的 :探讨健脾固妊汤治疗脾胃虚弱型妊娠呕吐的临床疗效 。方法 :将 60 例脾胃虚弱型妊娠 呕吐患者按照随机数字表法分为治疗组和对照组 ,每组各 30 例 。对照组予西医常规治疗 , 治疗组在对照组 治疗的基础上配合健脾固妊汤治疗 。比较 2 组临床疗效、血清胃泌素( GAS) 含量、血清血管活性肠肽( VIP ) 含量、尿酮体转阴时间、住院时间以及安全性 。结果 : 治愈率治疗组为 80. 00% ( 24/30) , 对照组为 70. 00% (21/30) ,差异有统计学意义( P 0. 05) 。治疗后 ,2 组 GAS 和 VIP 水平均显著下降 ,且治疗组下降幅度更 大 ,差异均有统计学意义(P0. 01 或 P0. 05) 。治疗组尿酮体转阴时间、住院时间均短于对照组 ,差异有统 计学意义(P0. 01) 。2 组治疗过程中均未出现明显的不良反应 。结论 :健脾固妊汤联合西药治疗脾胃虚弱 型妊娠呕吐疗效颇佳 ,值得临床推广应用。 [ 关键词] 妊娠呕吐;脾胃虚弱型;中西医结合疗法 ;健脾固妊汤 [ 中图分类号]R271. 914. 24+ 1 [文献标识码]A DOI :10. 16808/j. cnki. issn1003-7705. 2023. 06. 004 Clinical effect of Jianpi Guren decoction in treatment of vomiting of pregnancy with deficiency of spleen and stomach :An analysis of 30 cases ZHU Shuangquan ,HE Bing ,WANG Ping (The Second Affiliated Hospital of Hunan University of Chinese Medicine ,Changsha 410005 ,Hunan ,China ) [Abstract] Objective:To investigate the clinical effect of Jianpi Guren decoction in the treatment of vomi- ting of pregnancy with deficiency of spleen and stomach. Methods:A total of 60 patients with vomiting of pregnancy with deficiency of spleen and stomach were divided into treatment group and control group using a random number table ,with 30 patients in each group. The patients in the control group were given conventional Western medicine treatment ,and those in the treatment group were given Jianpi Guren decoction in addition to the treatment in the control group. The two groups were compared in terms of clinical outcome ,serum gastrin ( GAS) content ,serum va- soactive intestinal peptide ( VIP ) content , time to clearance of urine acetone bodies , length of hospital stay , and safe