Aikins Murphy P
Department of Obstetrics and Gynecology, and The Center for Complementary and Alternative Medicine Research in Women's Health, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
Obstet Gynecol. 1998 Jan;91(1):149-55. doi: 10.1016/s0029-7844(97)00582-6.
To review available evidence about the effectiveness of alternative therapies for nausea and vomiting of pregnancy.
MEDLINE and 13 additional US and international data bases were searched in 1996-1997 for papers that described use of alternative medicine in the treatment of pregnancy and pregnancy complications, specifically those addressing nausea, vomiting, and hyperemesis. Bibliographies of retrieved papers were reviewed to identify additional sources.
All relevant English language clinical research papers were reviewed. Randomized clinical trials addressing specifically the use of nonpharmaceutical and nondietary interventions were chosen for detailed review.
TABULATION, INTEGRATION, AND RESULTS: Ten randomized trials studying the effects of acupressure, ginger, and pyridoxine on nausea and vomiting of pregnancy were reviewed. Evidence of beneficial effects was found for these three interventions, although the data on acupressure are equivocal. Insufficient evidence was found for the benefits of hypnosis. Other interventions have not been studied.
There is a dearth of research to support or to refute the efficacy of a number of common remedies for nausea and vomiting of pregnancy. The best-studied alternative remedy is acupressure, which may afford relief to many women; ginger and vitamin B6 also may be beneficial.
回顾关于妊娠恶心和呕吐替代疗法有效性的现有证据。
1996年至1997年检索了MEDLINE以及另外13个美国和国际数据库，以查找描述替代医学用于治疗妊娠及妊娠并发症，特别是针对恶心、呕吐和妊娠剧吐的文献。对检索到的文献的参考文献进行了审查以确定其他来源。
对所有相关的英文临床研究论文进行了审查。选择专门针对非药物和非饮食干预使用的随机临床试验进行详细审查。
制表、整合与结果：对10项研究指压、生姜和维生素B6对妊娠恶心和呕吐影响的随机试验进行了审查。发现这三种干预措施有有益效果的证据，尽管指压的数据不明确。未发现催眠有益的充分证据。其他干预措施尚未研究。
缺乏支持或反驳许多常见妊娠恶心和呕吐疗法疗效的研究。研究最多的替代疗法是指压，它可能使许多女性得到缓解；生姜和维生素B6也可能有益。
