治疗孕妇恶心呕吐的几种方法

M. Zhelezova, R. Sharipova
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摘要

研究目的:评价姜提取物对轻、中度孕妇恶心呕吐的治疗效果。研究设计:观察性研究。材料与方法。该研究包括56名有恶心和呕吐症状的孕妇:在第一次就诊时,她们在怀孕6-16周时有恶心和/或呕吐的症状。在治疗开始前、治疗第4天和第7天,用妊娠-独特量化呕吐和恶心量表评估恶心和呕吐的严重程度。孕妇被分成两组。主要组由28名服用膳食补充剂Preginor的妇女组成,作为对照组,28名患者只接受生活方式和饮食调整的建议。在56名被研究的孕妇中,有36名有轻微的恶心和呕吐症状(主组18名,对照组18名);20例孕妇出现中度恶心呕吐(主组10例,对照组10例)。Preginor含有一种高度选择性的生姜根提取物(67毫克),标准化为5%的姜辣素,相当于约1克新鲜生姜;维生素B6 1.4毫克,乳酸镁112.5毫克。研究的结果。与只接受生活方式和饮食改变建议的孕妇相比,服用生姜的孕妇恶心和呕吐症状的缓解平均快了48小时:分别在3,3(0,5)天和5,1(1,2)天后(t = - 5,60, p = 0.000)。在中度恶心和呕吐的过程中,服用生姜也有助于缓解大多数患者(80%)的病情。结论。Preginor是一种有效的非药物疗法,用于缓解孕妇的恶心和呕吐症状。建议将膳食补充剂Preginor广泛引入临床实践,提高医务人员和患者对其有效性和安全性的认识。关键词:呕吐,恶心,妊娠剧吐,姜提取物。
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Alternative Methods of Therapy of Nausea and Vomiting of Pregnant Women
Study Objective: Evaluation of the effectiveness of ginger extract in the treatment of nausea and vomiting light and moderate range of pregnant women. Study Design: Observational study. Materials and Methods. The research included 56 pregnant women with symptoms of nausea and vomiting: at the first visit they had complaints of nausea and/or vomiting being 6–16 weeks pregnant. The severity of nausea and vomiting was assessed on the Pregnancy- Unique Quantification of Emesis and Nausea scale before the start of therapy, on days 4 and 7 of treatment. The pregnant women were divided into two groups. The main group consisted of 28 women who took the dietary supplement Preginor, a comparison group — 28 patients who were given only recommendations for lifestyle and diet modification. Among 56 pregnant women who were studied, there 36 were with light symptoms of nausea and vomiting (18 women from the main group and 18 in the comparison group); 20 pregnant women had a moderate degree of nausea and vomiting (10 patients from the main group, 10 from the comparison group). Preginor contains a highly selective ginger root extract (67 mg) standardized to 5% gingerols, which corresponds to about 1 g of fresh ginger; vitamin B6 1.4 mg, magnesium lactate 112.5 mg. Study Results. Relief of symptoms of nausea and vomiting in pregnant women who took ginger was on average 48 hours faster compared to patients who received only recommendations for lifestyle and diet modification: after 3,3 (0,5) and 5,1 (1,2) days, respectively (t = –5,60, p = 0.000). With a moderate course of nausea and vomiting, taking ginger also helped to alleviate the condition in the majority of patients (80%). Conclusion. Preginor is an effective non-pharmacological remedy for the relief of symptoms of nausea and vomiting of pregnant women. It is advisable to recommend the dietary supplement Preginor for widespread introduction into clinical practice, raising the awareness of medical personnel and patients about its effectiveness and safety. Keywords: vomiting, nausea, hyperemesis gravidarum, ginger extract.
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