维生素B6和穴位按压对妊娠剧吐孕妇呕吐症状的影响

H. Mahmood, T. Shah, Sohail Rasool, Ammara Waqar, Zia-ul-Miraj, Z. Maken, Awais Gohar, A. Rauf
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引用次数: 3

摘要

妊娠剧吐(hyemesis Gravidarum, HG)是一种常见的妊娠早期综合征,通常发生在妊娠6周左右。患者可能引起脱水、电解质代谢紊乱和脂肪代谢异常,引起妊娠诱发风险增加。目的:探讨维生素B配合穴位按压配合心理辅助治疗对重度呕吐孕妇呕吐症状及心理健康的影响。研究类型:随机对照试验研究时间:2019年1月至2019年12月12个月抽样方法:数据收集自巴基斯坦拉合尔Gulab Devi教学医院妇科门诊就诊的受试者索引。对照组:年龄20 ~ 37岁,平均(26.12±2.44)岁;妊娠8 ~ 17周,平均(9.18±1.77)周。样本选择纳入标准:1)符合HG诊断标准;2) 20 ~ 40岁;3)双方均签署知情同意书。排除标准:医学疾病引起的呕吐,如葡萄胎、胃肠道疾病、病毒性肝炎、胆囊炎等。本研究经古拉德维教学医院医学伦理委员会批准。将入组孕妇按随机数字表法分为对照组和实验组,每组48例。研究工具:问卷调查和访谈样本量(n)=96。结果:治疗7 d后,实验组在临床疗效、SAS、SDS评分、止吐、住院时间和费用等方面的有效率均明显低于对照组,且均在控制范围内。讨论:除补液等生理治疗外,心理治疗也不可忽视。结论:维生素B6和穴位按压联合HG心理辅助治疗效果显著,可显著缓解孕妇焦虑、抑郁,促进孕妇康复。
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Effect of Vitamin B6 and Acupressure on Vomiting Symptoms in Pregnant Women with Hyperemesis Gravidarum
Introduction: Hyperemesis Gravidarum (HG) is a common early pregnancy syndrome that usually occurs around 6 weeks of pregnancy. The patient may cause dehydration, electrolyte metabolism disorders and abnormal fat metabolism, causing increased risk of pregnancy-induced. Objective: The effects of vitamin B and acupressure application combined with psychological adjuvant therapy on vomiting symptoms and mental health in pregnant women with severe vomiting. Methods: Study Type: Randomized Control Trial Duration of Study: Twelve Months from January 2019 to December 2019 Sampling Technique: The data has been collected from the subject index coming to the gynecology OPD of Gulab Devi Teaching Hospital, Lahore, Pakistan. Control group: aged 20 to 37 years, with an average of (26.12±2.44) years; 8 to 17 weeks of gestation, with an average of (9.18±1.77) weeks. Sample Selection Inclusion Criteria: All persons who have 1) meet the diagnostic criteria for HG; 2) 20 to 40 years of age; 3) both signed informed consent. Exclusion Criteria: vomiting caused by medical diseases such as hydatidiform mole, gastrointestinal disease, viral hepatitis, cholecystitis. This study was approved by the Medical Ethics Committee of Gulab Devi Teaching hospital. Pregnant women who were enrolled were divided into control group and experimental group according to the random number table method, with 48 cases in each group. Study Tools: Questionnaire and Interview Sample size (n)=96. Results: After 7 days of treatment the effective percentage rate in the experimental group was higher as compare to the control group in terms of clinical efficacy, SAS and SDS scores, antiemetic and hospitalization time and cost was much lower and within limits in the experimental group as compare to control group. Discussion: In addition to physiological treatment such as fluid replacement, psychological treatment should not be ignored. Conclusion: vitamin B6 and acupressure application combined with psychological adjunctive treatment of HG had a significant effect and could significantly relieve pregnant women Anxiety, depression and promote the recovery of pregnant women.
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