Carlsson C P, Axemo P, Bodin A, Carstensen H, Ehrenroth B, Madegård-Lind I, Navander C
Physical Medicine Unit, Department of Rehabilitation, University Hospital, Lund, Sweden.
J Pain Symptom Manage. 2000 Oct;20(4):273-9. doi: 10.1016/s0885-3924(00)00185-8.
Hyperemesis gravidarum, severe vomiting, develops in about 1-2% of all pregnancies. Acupuncture on the point PC6 above the wrist on the palmar side has been found to prevent some types of nausea and vomiting. The purpose of the present study was to see if acupuncture, in addition to standard treatment, could hasten the improvement of hyperemesis gravidarum. Thirty-three women with hyperemesis were evaluated in a randomized, single-blind, crossover comparison of two methods of acupuncture, active (deep) PC6 acupuncture or placebo (superficial) acupuncture. The women estimated their degree of nausea on a visual analogue scale (VAS). The daily number of emesis episodes were documented. Crossover analyses showed that there was a significantly faster reduction of nausea VAS and more women who stopped vomiting after active acupuncture than after placebo acupuncture. This study suggests that active PC6 acupuncture, in combination with standard treatment, could make women with hyperemesis gravidarum better faster than placebo acupuncture.
妊娠剧吐，即严重呕吐，在所有妊娠中发生率约为1%至2%。已发现针刺位于手掌侧手腕上方的内关穴（PC6）可预防某些类型的恶心和呕吐。本研究的目的是探讨针刺除标准治疗外，是否能加速妊娠剧吐的改善。33名妊娠剧吐女性参与了一项随机、单盲、交叉对照研究，比较两种针刺方法，即有效（深刺）内关穴针刺与安慰剂（浅刺）针刺。女性通过视觉模拟量表（VAS）评估其恶心程度，并记录每日呕吐发作次数。交叉分析显示，与安慰剂针刺相比，有效针刺后恶心VAS评分降低明显更快，停止呕吐的女性更多。本研究表明，有效内关穴针刺联合标准治疗，比安慰剂针刺能更快地改善妊娠剧吐女性的症状。
