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中药穴位贴敷治疗妊娠期恶心呕吐的研究概况
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Abstract:
妊娠期恶心呕吐是孕妇常见病,会对母体和胎儿产生不良影响,可发展为妊娠剧吐,导致不良妊娠结局。近年来,由于穴位贴敷在妊娠期恶心呕吐的治疗中具有效果良好、操作简便安全、可与不同疗法联合应用等优势,被广泛应用于临床。文章就中药穴位贴敷的机制及中药穴位贴敷治疗妊娠期恶心呕吐的应用现状进行综述,以期为在不同干预方案下应用中药穴位贴敷治疗妊娠期恶心呕吐提供依据。
Nausea and vomiting of pregnancy is a common disease of pregnant women, which will have adverse effects on the mother and fetus and can develop into hyperemesis gravidarum, leading to adverse pregnancy outcomes. In recent years, acupoint application has been widely used in clinics, which has attracted much attention because of its advantages such as good effect, simple and safe operation and combined application with different therapies in the treatment of nausea and vomiting of pregnancy. This paper summarizes the mechanism of acupoint application of traditional Chinese medicine and the application status of acupoint application of traditional Chinese medicine in the treatment of nausea and vomiting of pregnancy, in order to provide a basis of acupoint application of traditional Chinese medicine under different intervention schemes in treating nausea and vomiting of pregnancy.
[1] | Fejzo, M.S., Trovik, J., Grooten, I.J., et al. (2019) Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum. Nature Reviews Disease Primers, 5, Article No. 62. https://doi.org/10.1038/s41572-019-0110-3 |
[2] | 刘承东, 常惠, 刘德广, 等. 妊娠剧吐的中西医研究进展[J]. 中国医药导报, 2021, 18(11): 37-40. |
[3] | 朱卫丰, 王雅琦, 吴文婷, 等. 中药穴位贴敷的现代研究进展[J]. 中国中药杂志, 2023, 48(3): 579-587. |
[4] | 王璐, 孙越臣, 云雪林. 《中医方剂大辞典》中治疗妊娠恶阻方剂的用药规律分析[J]. 临床医药文献电子杂志, 2019, 6(94): 165-167. |
[5] | 胡许欣, 刘晓, 楚玉, 等. 生姜中有效部位及相关活性成分的止呕作用研究[J]. 中国中药杂志, 2016, 41(5): 904-909. |
[6] | 强姝婷, 国慧, 熊浩荣, 等. 生姜多类型化学物质与药理作用及药食同源研究进展[J]. 江苏农业学报, 2021, 37(1): 259-266. |
[7] | 石云舟, 王富春. 针灸治疗妊娠性恶心呕吐的选穴规律分析[J]. 世界中医药, 2016, 11(2): 209-213. |
[8] | Mcparlin, C., O’Donnell, A., Robson, S.C., et al. (2016) Treatments for Hyperemesis Gravidarum and Nausea and Vomiting in Pregnancy. JAMA, 316, 1392-1401. https://doi.org/10.1001/jama.2016.14337 |
[9] | 陆凤燕, 王圆圆, 辛娟娟, 等. 从“肚腹三里留”论经穴效应的特异性[J]. 中国针灸, 2016, 36(8): 840-844. |
[10] | 劳美铃, 魏爱生, 王甫能, 等. 重灸中脘穴对脾胃虚寒型糖尿病胃轻瘫患者胃肠激素、胃动力学的影响[J]. 上海针灸杂志, 2020, 39(4): 387-391. |
[11] | 刘琳, 张仲源, 张宇雁. 促进透皮吸收的中药作用机理介绍[J]. 中国药业, 2010, 19(20): 78-79. |
[12] | 庞晓晨, 成睿珍, 赵静, 等. 中药透皮给药系统研究进展及其新剂型的应用[J]. 中国新药杂志, 2019, 28(3): 286-291. |
[13] | 方世平, 杨宝玉. 药剂学促进透皮吸收技术的机制[J]. 中国医院药学杂志, 2000(12): 46-48. |
[14] | 郭秀彩, 刘霞, 徐月红. 白芥子涂方穴位与非穴位给药皮肤渗透特性的比较研究[J]. 中国中药杂志, 2012, 37(7): 1034-1038. |
[15] | 姜明瑞, 王志成, 岳珠珠, 等. 延胡索总碱贴片经神阙穴与非穴位给药的皮肤渗透性比较[J]. 中国实验方剂学杂志, 2022, 28(19): 148-153. |
[16] | 周爱玲, 邵政一, 刘祖舜. 小鼠穴位特异性本质的继续探讨[J]. 针刺研究, 1994(2): 60-62. |
[17] | Ifrim-Chen, F. and Ifrim, M. (2005) The Relation between the Acupoint Structures and the Clinical Therapeutic Effects. Italian Journal of Anatomy and Embryology, 110, 45-49. |
[18] | Tan, H., Tumilty, S., Chapple, C., et al. (2019) Understanding Acupoint Sensitization: A Narrative Review on Phenomena, Potential Mechanism, and Clinical Application. Evidence-Based Complementary and Alternative Medicine, 2019, Article ID: 6064358. https://doi.org/10.1155/2019/6064358 |
[19] | 丁娜. 针刺联合穴位贴敷治疗妊娠剧吐疗效观察[J]. 实用中医药杂志, 2022, 38(10): 1671-1673. |
[20] | 黎秋艳, 李砺, 吴树芬. 梅花针叩刺联合穴位贴敷在妊娠剧吐患者中的应用[J]. 齐鲁护理杂志, 2021, 27(14): 83-86. |
[21] | 聂义茹. 隔姜灸联合穴位贴敷治疗妊娠剧吐疗效观察[J]. 实用妇科内分泌电子杂志, 2022, 9(20): 14-16. |
[22] | 张静, 张朝霞, 袁淑珍. 胃复安穴位注射配合砂仁姜汁穴位敷贴治疗妊娠剧吐的效果[J]. 首都食品与医药, 2021, 28(16): 167-168. |
[23] | 陈桂英, 马小星, 胡海娜. 内关穴注射液维生素B6联合生姜贴敷法治疗妊娠剧吐的效果及对胃电图指标的影响[J]. 贵州医药, 2022, 46(3): 404-405. |
[24] | 许洁, 郁金芬. 内关穴位按压配合生姜敷贴法对妊娠剧吐患者胃动素水平的影响[J]. 世界中医药, 2020, 15(2): 280-285. |
[25] | 叶文慧, 范丽梅, 杨威, 等. 耳穴压豆联合内关穴位贴敷治疗妊娠剧吐的疗效观察[J]. 广州中医药大学学报, 2020, 37(4): 671-675. |
[26] | 华树玉. 中药穴位贴敷联合耳穴埋豆治疗妊娠恶阻的效果[J]. 临床合理用药杂志, 2021, 14(17): 168-169. |
[27] | 汪琛琛, 唐爱华, 许明跃, 等. 穴位敷贴配合耳穴埋豆辅治脾胃虚弱型妊娠恶阻临床研究[J]. 实用中医药杂志, 2022, 38(8): 1327-1329. |
[28] | 黄华安. 香砂六君子汤联合穴位贴敷治疗妊娠剧吐的临床观察[J]. 黑龙江医药, 2021, 34(6): 1257-1259. |
[29] | 杨芍, 徐巍. 桂枝汤加减联合穴位贴敷治疗脾胃虚弱型妊娠剧吐的疗效观察[J]. 保健医学研究与实践, 2023, 20(1): 41-44. |