目的探讨中药联合食疗治疗妊娠期水肿的临床效果,寻求一种对妊娠水肿有治疗作用同时兼有预防作用的新方法、新思路。方法将明确诊断为妊娠水肿的患者300例,按抽签法随机分为两组:中药组和中药配合食疗组,每组150例,两组孕妇均服中药,水煎服,每日1剂,连服10d;中药配合食疗组在服用中药的同时加用清蒸鲫鱼汤,疗程前后监测孕妇体重、查尿常规、血常规及肝肾功能,并行胎儿宫内监护进行疗效评判。结果中药联合食疗组临床效果显效率、有效率、无效率分别为68.7%、24.0%、7.3%,较中药组的48.0%、27.3%、24.7%,差异有统计学意义;两组治疗前后水肿消退情况及血液中白蛋白含量测定比较,差异有统计学意义(P〈0.05);两组胎儿宫内NST评分均良好,差异无统计学意义(P〉0.05)。结论中药配合食疗对防治妊娠水肿消肿效果好,不影响胎儿正常发育,中药标本兼治,防治结合,经临床验证疗效好,无毒副作用,易于接受,值得推广应用。
Objective To explore the clinical effect of curing gestational edema with traditional Chinese medicine and dietetic therapy, so as to search a new mehod and, perspective of curing as well as preventing gestational edema. Methods Firstly, 300 cases of patients diagnosed as gestational edema were randomly divided into two groups: group of traditional Chinese medicine curing and group of traditional Chinese medicine together with dietetic therapy curing, each group having 150 cases of patients. Patients in both groups take traditional Chinese medicine decocted in water, one dose per day, for 10 days. Except for taking cubs, patients in the group of traditional Chinese medicine together with dietetic therapy curing were treated with steamed crucian carp soup. The weight, routine urine and blood tests, liver and kidney functions of the patients were. monitored before and after treatment. The treatment assessment was op- erated through fetal intrauterine monitoring. Results The significant efficiency., efficiency and.inefficiency in the group of traditional Chinese medicine together with dietetic therapy curing was 68.7%, 24.0%, 7.3% respectively, compared with 48.0%, 27.3%, 24.7% in the group of traditional Chinese medicine curing. There were significant differences. Ac- cording to the comparison of the edema subsiding effect before and after treatment, and the amount of albumin in blood, the difference had statistical significance (P 〈 0.05). The intrauterine NST rating was favorable in both groups, without significant difference. Conclusion The detumescence effect is good to cure gestational edema with traditional Chinese medicine and dietetic therapy. It doesn't affect the normal development of the fetus. The traditional Chinese medicine has both a curing and a preventing function to address both the symptoms and root causes, with little side effects. The clinical effect is proved good, the curing approch of traditional Chinese medicine is gladly accepted and is worth of spreading.