CAJ | 학술논문

目的：探讨体质辩证在围生育期保健中的应用效果。方法选取2013－01～2013－12间在我院行孕前检查计划受孕的300例健康育龄期妇女为研究对象，将其随机分为观察组与对照组，对照组采用常规检查，观察组在对照组基础上采用中医体质辩证进行中药调理，饮食、生活起居、情志调节，比较两组孕妇妊娠期并发症、剖宫产、产后出血及母乳喂养成功率。结果观察组孕妇妊娠剧吐、妊娠期高血压、妊娠期糖尿病、阴道炎、贫血、早产、胎膜早破发生率均低于对照组，两组间各值比较差异有统计学意义（ P＜0．05）；观察组孕妇剖宫产、产后出血发生率明显低于对照组，两组比较差异有统计学意义（ P＜0．05）；观察组孕妇母乳喂养成功率明显高于对照组，经比较差异有统计学意义（ P＜0．05）。结论中医体质辩证可根据孕妇不同体质类型进行有针对性的保健，可减少孕妇妊娠期并发症发生，降低剖宫产、产后发生率，提高母乳喂养成功率，具有显著临床实施效果，值得在临床中推广应用。
목적：탐토체질변증재위생육기보건중적응용효과。방법선취2013－01～2013－12간재아원행잉전검사계화수잉적300례건강육령기부녀위연구대상，장기수궤분위관찰조여대조조，대조조채용상규검사，관찰조재대조조기출상채용중의체질변증진행중약조리，음식、생활기거、정지조절，비교량조잉부임신기병발증、부궁산、산후출혈급모유위양성공솔。결과관찰조잉부임신극토、임신기고혈압、임신기당뇨병、음도염、빈혈、조산、태막조파발생솔균저우대조조，량조간각치비교차이유통계학의의（ P＜0．05）；관찰조잉부부궁산、산후출혈발생솔명현저우대조조，량조비교차이유통계학의의（ P＜0．05）；관찰조잉부모유위양성공솔명현고우대조조，경비교차이유통계학의의（ P＜0．05）。결론중의체질변증가근거잉부불동체질류형진행유침대성적보건，가감소잉부임신기병발증발생，강저부궁산、산후발생솔，제고모유위양성공솔，구유현저림상실시효과，치득재림상중추엄응용。
Objective To investigate the effect of dialectical application in peri health care .Methods Selecting 300 cases of healthy women of childbearing age as the object of study from January , 2013 to December , 2013 in the hospital for the pre inspection planning con-ception, dividing them into observation group and control group by random grouping method , adopting the conventional approach for curing the control group , and in addition to the control group , applying the constitution of traditional Chinese medicine dialectical Chinese medicine conditioning , eating, living and emotion regulation for curing the observation group , comparing pregnant women , pregnancy complications , cesarean section , postpartum hemorrhage and the success rate of breastfeeding of the two groups .Results The occurrence rate of pregnant women with hyperemesis gravidarum, gestational hypertension, gestational diabetes mellitus, vaginitis, anemia, premature delivery, prema-ture rupture of membranes of the observation group are lower than those of the control group , and the value comparison between the two groups has statistical significance ( P<0.05 );occurrence rate of pregnant women , postpartum hemorrhage of cesarean section of the obser-vation group are apparently lower than that of the control group , and comparison has statistical significance ( P<0.05 );the success rate of pregnant women , breast feeding of the observation group are higher than that for the control group , and comparison has statistical signifi-cance(P<0.05).Conclusion Constitution of traditional Chinese medicine dialectic according to different constitution types targeted health care of pregnant women reduce pregnancy complications , and reduce the incidence of cesarean section and postpartum , which has a substantial clinical curative effect and is worthy of clinical application widely .