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阶梯式饮食联合穴位贴敷对妊娠剧吐孕妇剧吐及营养状态的影响

Influence of Stepped Diet Combined with Acupoint Application on Hyperemesis and Nutritional Status of Pregnant Women with Hyperemesis Gravidarum
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摘要 目的:研究阶梯式饮食联合穴位贴敷对妊娠剧吐(HG)孕妇剧吐及营养状态的影响。方法:纳入2024年7—12月上饶市妇幼保健院收治的82例HG孕妇,随机将其分为对照组和观察组,各41例。对照组实施常规护理干预,观察组给予阶梯式饮食联合穴位贴敷干预,两组均干预2周。比较干预前后两组营养状态[患者主观整体评估量表(PG-SGA)]、生活质量[妊娠恶心呕吐生活质量量表(NVPQOL)]。比较两组干预后剧吐发生率、不良反应及并发症发生率。比较两组护理满意度。结果:干预后,观察组营养状态优于对照组(P<0.05)。干预后,两组NVPQOL各项评分较干预前降低,且观察组低于对照组(P<0.05)。观察组干预后剧吐发生率低于对照组(P<0.05),但两组皮肤红肿、瘙痒、胸闷气短、心慌总发生率比较,差异无统计学意义(P>0.05)。观察组护理满意度优于对照组(P<0.05)。结论:阶梯式饮食联合穴位贴敷干预可提高HG孕妇营养状态,降低其剧吐发生率。 Objective:To study the influence of steeped diet combined with acupoint application on hyperemesis and nutritional status in pregnant women with hyperemesis gravidarum(HG).Method:A total of 82 pregnant women with HG admitted to Shangrao Maternal and Child Health Hospital from July to December 2024 were included and randomly divided into a control group and an observation group,with 41 cases in each group.The control group carried out routine nursing intervention,while the observation group was given stepped diet combined with acupoint application intervention.Both groups were intervened for 2 weeks.The nutritional status[patient generated subjective global assessment(PG-SGA)]and quality of life[nausea vomiting of pregnancy quality of life(NVPQOL)]before and after intervention,incidence rate of hyperemesis after intervention,incidence rate of adverse reactions and complications,nursing satisfaction were compared between two groups.Result:After intervention,the nutritional status of the observation group was better than that of the control group(P<0.05).After intervention,the NVPQOL scores of each item of both groups were lower than those before intervention,and the scores of the observation group were lower than those of the control group(P<0.05).The incidence of hyperemesis after intervention in the observation group was lower than that in the control group(P<0.05),but there was no statistically significant difference in the total incidence of skin redness and swelling,itching,chest tightness and shortness of breath,and palpitations between the two groups(P>0.05).The nursing satisfaction of the observation group was better than that of the control group(P<0.05).Conclusion:Stepped diet combined with acupoint application intervention can improve the nutritional status,and reduce the incidence rate of hyperemesis in HG pregnant women.
作者 祝欢 周梦 张靖宇 ZHU Huan;ZHOU Meng;ZHANG Jingyu(Department of Gynecology,Shangrao Maternal and Child Health Hospital,Shangrao 334000,China;不详)
出处 《中国医学创新》 2026年第2期82-86,共5页 Medical Innovation of China
基金 上饶市科技指导计划项目(2023CZDX52)。
关键词 阶梯式饮食 穴位贴敷 妊娠剧吐 营养状态 Stepped diet Acupoint application Hyperemesis gravidarum Nutritional status
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