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孕期使用中药的调查与分析

A survey and analysis of using traditional Chinese medicine during pregnancy.

作者信息

Chen Han-Qing, Zou Su-Hua, Yang Jian-Bo, Cai Jian, Zhang Ying, Wang Zi-Lian

机构信息

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-Sen University Guangzhou 510080, Guangdong, China.

出版信息

Int J Clin Exp Med. 2015 Oct 15;8(10):19496-500. eCollection 2015.

Abstract

BACKGROUND

The usage of Traditional Chinese Medicine (TCM) during pregnancy is very common for Chinese people. However, there are only a few studies relevant to the usage of TCM during pregnancy-providing very little knowledge on the benefits or harmful effects of these medicines to pregnant women or the fetus.

OBJECTIVES

The purpose of this study is to survey the current situation of TCM usage during pregnancy, and to explore the factors that affect the use of TCM.

METHODS

Data was collected from pregnant patients who delivered in our hospital, from March 2012 to August 2012. All patients who agreed to join this study were asked to fill-up a questionnaire.

RESULTS

1,010 patients were willing to participate in this study. 11.2% (113, 1,010) of patients used at least one kind of TCM during pregnancy. The average TCM usage is 2.1 species. The most commonly used drugs are Antai pill (39 cases, 34.5%), Xiaochaihu granules (31 cases, 27.4%), and Shengxuening tablets (23 cases, 20.4%). Patients who smoke during pregnancy (OR=1.8, 95% CI: 0.75.1), drink during pregnancy (OR=1.6, 95% CI: 0.46.1), have been hospitalized during pregnancy (OR=4.8, 95% CI: 2.97.9), have pregnancy complications (OR=2.7, 95% CI: 1.54.9) and those who are infertile (OR=2.6, 95% CI: 1.4~4.8) have higher chances of using TCM during pregnancy.

CONCLUSIONS

Pregnant women commonly use TCM during pregnancy. Pregnant women who smoke, drink, hospitalized during pregnancy, experience pregnancy complications and infertility are more likely to use TCM.

摘要

背景

对于中国人来说,孕期使用中药非常普遍。然而,仅有少数关于孕期使用中药的研究,对于这些药物对孕妇或胎儿的益处或有害影响提供的了解很少。

目的

本研究旨在调查孕期使用中药的现状,并探索影响中药使用的因素。

方法

收集2012年3月至2012年8月在我院分娩的孕妇的数据。所有同意参与本研究的患者都被要求填写一份问卷。

结果

1010名患者愿意参与本研究。11.2%(113/1010)的患者在孕期使用了至少一种中药。中药的平均使用种类为2.1种。最常用的药物是安胎丸(39例,34.5%)、小柴胡颗粒(31例,27.4%)和生血宁片(23例,20.4%)。孕期吸烟的患者(OR=1.8,95%CI:0.75.1)、孕期饮酒的患者(OR=1.6,95%CI:0.46.1)、孕期住院的患者(OR=4.8,95%CI:2.97.9)、有妊娠并发症的患者(OR=2.7,95%CI:1.54.9)以及不孕患者(OR=2.6,95%CI:1.4~4.8)在孕期使用中药的可能性更高。

结论

孕妇在孕期普遍使用中药。孕期吸烟、饮酒、住院、有妊娠并发症和不孕的孕妇更有可能使用中药。

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本文引用的文献

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Acta Obstet Gynecol Scand. 2005 Jul;84(7):699-700. doi: 10.1111/j.0001-6349.2005.00659.x.
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