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生姜对缓解孕期恶心呕吐的作用:一项随机、安慰剂对照试验。

Effect of ginger on relieving nausea and vomiting in pregnancy: a randomized, placebo-controlled trial.

作者信息

Saberi Farzaneh, Sadat Zohreh, Abedzadeh-Kalahroudi Masoumeh, Taebi Mahboobeh

机构信息

Department of Midwifery, Kashan University of Medical Sciences, Kashan, IR Iran.

Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.

出版信息

Nurs Midwifery Stud. 2014 Apr;3(1):e11841. doi: 10.17795/nmsjournal11841. Epub 2014 Apr 17.

Abstract

BACKGROUND

Nausea and vomiting are common and unpleasant complications in pregnancy. Although many alternative therapists support the use of ginger for nausea and vomiting of pregnancy, there is currently insufficient clinical evidence to support its use in this condition.

OBJECTIVES

The present study was performed to assess the effectiveness of ginger in the treatment of nausea and vomiting in pregnancy.

PATIENTS AND METHODS

This seven-day clinical trial was performed on 120 eligible pregnant women with symptoms of mild to moderate nausea and vomiting before 16 weeks gestation. They were divided into; ginger, placebo and control groups, by block randomization. Women were asked to record their nausea and vomiting for three days, and then participants received either ginger capsules, or a placebo for four days. No intervention was done with the control group. Data measure was self-recorded symptoms according to the Rhodes Index. Data were analyzed by ANOVA, ANCOVA, Kruskal-Wallis, Chi-square, and Fisher's exact test, for the quantitative and qualitative variables.

RESULTS

There were no statistical differences in the baseline demographics between the three groups apart from age of marriage and wanted or unwanted pregnancy. An ANCOVA test (covariance test) showed significant differences in mean scores after the intervention in the three groups (P < 0.001).

CONCLUSIONS

Ginger was effective for the relief of mild to moderate nausea and vomiting in pregnant women at less than 16 weeks gestation.

摘要

背景

恶心和呕吐是孕期常见且令人不适的并发症。尽管许多替代疗法支持者主张使用生姜治疗孕期恶心和呕吐,但目前尚无足够的临床证据支持其在这种情况下的应用。

目的

本研究旨在评估生姜治疗孕期恶心和呕吐的有效性。

患者与方法

这项为期七天的临床试验针对120名符合条件的孕妇开展,这些孕妇在妊娠16周前有轻至中度恶心和呕吐症状。通过区组随机化将她们分为生姜组、安慰剂组和对照组。要求女性记录三天的恶心和呕吐情况,然后参与者接受四天的生姜胶囊或安慰剂。对照组不进行干预。数据测量是根据罗兹指数自行记录症状。对定量和定性变量的数据分别采用方差分析、协方差分析、克鲁斯卡尔-沃利斯检验、卡方检验和费舍尔精确检验进行分析。

结果

除结婚年龄以及妊娠意愿外,三组之间的基线人口统计学特征无统计学差异。协方差分析显示三组干预后的平均得分存在显著差异(P < 0.001)。

结论

生姜对妊娠16周以内孕妇的轻至中度恶心和呕吐有缓解作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd23/4228518/15413a847d90/nms-03-11841-i001.jpg

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