国际生殖健康/计划生育杂志2025，Vol.44Issue(5)：416-423,8.DOI:10.12280/gjszjk.20250045
中西医治疗妊娠恶心呕吐的进展
Research Progress of Treating Nausea and Vomiting of Pregnancy with Traditional Chinese Medicine and Modern Medicine
摘要
Abstract
Nausea and vomiting of pregnancy(NVP)is the most common complication among pregnant women.The pathogenesis is related with genetics,hormones,Helicobacter pylori,and social psychological factors in the theory of Western medicine.Doxylamine/pyridoxine and other oral drugs are commonly used for treatment,including promethazine,metoclopramide,ondansetron,gabapentin,and glucocorticoids.Although these drugs can significantly alleviate NVP symptoms,the potential impact on the health of both mother and fetus has raised the concern among pregnant women,especially regarding the use of these medications in the first trimester.It is considered by Traditional Chinese Medicine(TCM)that the main etiology and pathogenesis of NVP is adverse rising of Chongqi,and disharmong of stomach qi.Based on the principle of regulating qi and harmonizing the middle,lowering counterflow and stopping vomiting in TCM treatment which not only prescribe oral decoction of TCM "varies from person to person" through syndrome differentiation but also flexibly use external treatment methods,such as acupuncture,acupoint injection,acupoint application,acupressure,auricular point pressing with bean,moxibustion and rectal instillation,have showed the remarkable efficacy.However,the relatively small sample sizes of clinical studies on TCM therapies have limited the in-depth exploration of these distinctive treatment approaches.In the future,it is imperative to further deepen the collaborative research between Western medicine and TCM to provide more scientific and personalized options for the diagnosis and treatment of NVP.关键词
妊娠/恶心/孕吐/妊娠剧吐/治疗/中西医结合疗法Key words
Pregnancy/Nausea/Morning sickness/Hyperemesis gravidarum/Therapy/Integrated Chinese traditional and Western medicine therapy引用本文复制引用
石百超,王宇,高敬书,卢凤娟,关木馨,吴效科..中西医治疗妊娠恶心呕吐的进展[J].国际生殖健康/计划生育杂志,2025,44(5):416-423,8.基金项目
黑龙江省卵巢疾病临床医学研究中心(LC2020R009) （LC2020R009）
黑龙江省"头雁"团队-中西医结合妇科特色技术创新团队 （）
中医药循证能力提升项目(国中医药科技中药便函[2023]24号) （国中医药科技中药便函[2023]24号）
