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按需治疗晨吐?

Treating morning sickness PRN?

机构信息

for Duchesnay Inc., Blainville, Quebec, Canada.

出版信息

Can Fam Physician. 2013 Feb;59(2):150-1.

PMID:23418239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3576941/
Abstract

QUESTION

I received a telephone call from my sister who lives in the United States. She is experiencing moderate symptoms of morning sickness, but she tells me that she was advised to treat her symptoms only pro re nata- meaning, when symptoms re-emerge. Does this make sense?

ANSWER

No, it does not. Typically, nausea and vomiting of pregnancy continue for weeks and months, and in some cases until labour. It is critical to treat symptoms consistently so the woman can maintain adequate fluid and calorie intake. When symptoms improve, the dose of antiemetic medication should be decreased gradually.

摘要

问题

我接到了住在美国的姐姐打来的电话。她有中度晨吐症状,但她告诉我,医生建议她只按需治疗——也就是说,当症状再次出现时。这有道理吗?

答案

没有道理。通常情况下,怀孕引起的恶心和呕吐会持续数周和数月,在某些情况下,甚至会持续到分娩。持续治疗症状非常重要,这样孕妇才能保持充足的液体和热量摄入。当症状改善时,应逐渐减少止吐药物的剂量。

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本文引用的文献

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Review of NVP and HG and Early Pharmacotherapeutic Intervention.奈韦拉平与妊娠剧吐及早期药物治疗干预的综述
Obstet Gynecol Int. 2012;2012:252676. doi: 10.1155/2012/252676. Epub 2011 Nov 24.
2
Factors associated with elective termination of pregnancy among Canadian and American women with nausea and vomiting of pregnancy.加拿大和美国妊娠合并恶心呕吐的女性中与选择性终止妊娠相关的因素。
J Psychosom Obstet Gynaecol. 2001 Mar;22(1):7-12. doi: 10.3109/01674820109049946.
3
Measuring drug effectiveness by default: the case of Bendectin.默认情况下衡量药物疗效:以多潘立酮为例。 (注:Bendectin通用名是多潘立酮,是一种抗组胺药,曾用于缓解孕期恶心和呕吐,但后来因担心其与出生缺陷有关而退市 ,这里按照常见的医学药物名翻译习惯进行了翻译,具体可根据上下文调整。) 正式译文:默认情况下衡量药物疗效:以 Bendectin 为例。
Can J Public Health. 1995 Jan-Feb;86(1):66-70.